Best Health Insurance Agencies in San Pedro

Frequently Asked Questions

• Introduction

  If you're looking for health insurance for yourself or your family, an agent can help you save time, understand your options, and manage your costs. Insurance agents must be licensed in the state where they operate. They can provide information about on- and off-exchange plans to help you weigh all of your options, and they can see if you qualify for tax credits that can lower your monthly premiums. There's no cost to work with an agent, and they can help you save quite a bit by recommending the best plan for your needs. Here's what you should know before you get started.
  

• What does coinsurance in healthcare policies in San Pedro entail?

  In San Pedro, coinsurance in healthcare plans is the amount of the medical bills that individuals will shoulder after they meet the policy's deductible. For instance, if the healthcare plan is 50% coinsurance, policyholders will pay the other 50% of medical bills once they meet their deductible. However, coinsurance in health policies has a maximum amount of no more than $1,000 out-of-pocket expenses, no matter how big the percentage of the obtained coinsurance or the final claim.

• Can immigrants in San Pedro obtain health insurance policies from the Covered California marketplace?

  Under the Affordable Care Act, only immigrants who are lawfully present in San Pedro can apply for healthcare plans in the Covered California marketplace. These include lawful temporary and permanent residents, refugees and asylees, individuals with worker or student visas, and those with temporary protected status. On the other hand, immigrants who are DACA recipients, pregnant or recently gave birth, and aged 26 or below or 50 and above can obtain health insurance through Medi-Cal.

• What is included in the 1095-A form from the health insurance market in San Pedro?

  The Form 1095-A, or the Health Insurance Marketplace Statement, includes basic information about the enrollees in San Pedro, including the recipient's name, Social Security Number, the names of covered individuals, and the policy start and termination date. It provides information on the amount of monthly enrollment premiums, advance premium tax credit, and the second-lowest-cost silver plan premium. Additionally, Form 1095-A can be used to file an accurate tax return with the Internal Revenue Service.

• Are healthcare plans from the marketplace in San Pedro change every year?

  It depends. Healthcare plans through the marketplace in San Pedro may change their premiums, co-payments, and deductibles. Insurance agencies may also terminate the policyholder's coverage and provide them with new options. Meanwhile, health insurance companies send notices to individuals stating the changes to their policy and the new amount of premiums before open enrollment.

• Is there a tax penalty for having no health insurance coverage in San Pedro?

  According to California legislation, residents of San Pedro with no health insurance coverage may be subject to a tax penalty of up to $2,550 per family, $425 per dependent child under 18 years old, and $850 per adult. The California Franchise Tax Board will assess these penalties for the annual state tax filing of those without coverage but who have access to low-cost plans within the limitations. However, individuals with financial hardship and Alaskan Natives are exempted from the legislation.

• How can you find affordable health insurance? 

  Affordable insurance is available through employers, Medicare, Medicaid, and the federal Health Insurance Marketplace, which offers subsidies in the form of tax credits. You can also purchase coverage through private insurance companies and independent agents. Nearly half of all Americans have employer-sponsored health insurance, and about 10% of the population is uninsured.