Health Insurance


Health Insurance

Under 65 Individual Health Plans - The Affordable Healthcare Act (ACA), often referred to as Obamacare offers individuals the ability to purchase health insurance without having any pre-exisiting condition exclusions.  Enrollment is on an annual basis and following certain life events. The Federal Open Enrollment for Individual Health Insurance is scheduled for 11/1/2018 to 12/16/2018. At that ticme you will be able to enroll in an under 65 health plan that will start as of 1/1/2019.  These plans are guaranteed issue which means that there are no waiting periods before you can start receiving medical care.  Carriers for 2019 include Blue Cross Blue Shield of North Carolina, AMBETTER Healthcare and CIGNA.  Blue Cross Blue Shield of North Carolina is the ONLY carrier offering individual health plans outside of healthcare.gov.

Health Sharing Ministries - A health care sharing ministry is an orgaIt nization that facilitates sharing of health care costs among individual members, in the United States, who have common ethical or religious beliefs. A health care sharing ministry does not use actuaries, does not accept risk or make guarantees, and does not purchase reinsurance policies on behalf of its members. Members of health care sharing ministries are exempt from the individual mandate requirement of the U.S. Patient Protection and Affordable Care Act,[1] often referred to as Obamacare (the individual shared responsibility provision was repealed in December 2017, effective in 2019). This means members of health care sharing ministries are not required to have insurance as outlined in the individual mandate.[2].  LSM Insurance Associates has contracts with Aliera Healthcare, Med Cost and Altura.

Short Term Medical Plans - The Department of Health and Human Services (HHS) announced the new regulation that allows for up to 12- months (364 days)* of Short Term Medical (STM) coverage, with up to 36 months for renewals, for customers enrolled on October 2, 2018 and later; replacing the current maximum of up to 3-months. Clients can get four sequential policies at the initial enrollment, each with a 90 day durattion term.  Deductibles from $1,000 to $10,000,