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Goodrx Frequently Asked Questions
Can I know more about the discount card?
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Can you tell me what the public programs obtain?
The government offers several public health insurance programs. Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP) are among the best known.
Each has different requirements, restrictions, and coverage.
- Medicare is a federal health insurance program for adults age 65 and over, younger people with disabilities, and those with permanent kidney failure or ALS (Lou Gehrig’s disease).
- It has different parts and options, such as coverage for prescription drugs.Medicaid provides free or low-cost health insurance to low-income families and children, pregnant women, older adults, and people with disabilities.
- All but 12 states have expanded eligibility to adults earning up to 138% of the federal poverty limit under the Affordable Care Act (ACA).CHIP offers low-cost health coverage for children in families who earn too much income to qualify for Medicaid. CHIP also covers pregnant women in certain states.
- All states provide a version of CHIP, but the program’s name can vary.
What can I learn about private insurance?
Private — also known as commercial — health insurance is available through employers as well as directly from insurers.
Under the ACA, any company with more than 50 workers must offer a basic health plan and cover at least 60% of the cost, or it may pay a penalty.
Some of the less common forms of private insurance include:Short-term health plans provide inexpensive, temporary coverage.
These plans fall outside ACA rules. They generally don’t cover preexisting conditions and offer such limited benefits that you may pay a lot of money out-of-pocket if you need care.
Catastrophic health plans operate under ACA rules. But you have to be under age 30 or have a hardship to qualify.
Do I need additional coverage besides Medicare?
When you first sign up for Medicare, you can choose original Medicare (Parts A and B) or Medicare Advantage, which bundles the parts together.
Those who pick original Medicare may add Medicare supplemental insurance, called Medigap, to cover out-of-pocket costs such as deductibles and copays.
Enrollees who choose Medicare Advantage may get benefits beyond original Medicare, but they can’t also get Medigap. Some may need Part D coverage for prescription medications.
When can I sign up for health insurance?
Enrollment periods vary depending on the kind of coverage you’re signing up for.
If you have employer-based health insurance, you can compare and switch plans once a year.
Open enrollment often lasts a few weeks in the fall.
Open enrollment for Medicare runs October 15 through December 7.
For many coverage types, special enrollment periods let you sign up after a life change — such as a new job, a move, or a child’s birth — outside open enrollment periods.