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Greencard Holders - Short Term Visiting and Obamacare

Greencard Holders - Short Term Visiting and Obamacare

We have recently been getting a lot of inquiries from people whose parents are green card holders (permanent residents of the U.S. as per U.S. immigration definition) but try to spend as much time as possible in their native country using the allowed travel duration and also using the re-entry permit etc. Even though they have a green card, they are essentially "visiting" the U.S. for a short term and are looking for health insurance.

What is PPACA (Obamacare)?

PPACA stands for Patient Protection and Affordable Care Act, popularly known as Obamacare. It is a law that was signed in March 2010 and went into affect on Jan 1, 2014, at least regarding the provision that almost everyone who legally lives in the U.S. needs to buy the health insurance and keep it for the entire year or pay the tax penalty which depends upon the income. On the other hand, insurance companies selling Obamacare compliant insurance plans can not exclude pre-existing conditions and need to cover them.

Where can I buy Obamacare compliant plan?

If your state has health insurance exchange, you can buy through that. Otherwise, you can buy from the federal exchange on healthcare.gov. Depending upon your household income, you may be eligible for federal subsidy on insurance premiums. Alternatively, you can also purchase directly from private insurance companies or through insurance brokers, but mostly in those cases, there are no subsidies.

When can I purchase Obamacare compliant plan?

You can purchase Obamacare compliant plan only during their open enrollment period which is usually from Nov 15 through Jan 15.

Why can't I purchase Obamacare compliant plan at any time?

As insurance companies are expected to cover pre-existing conditions and you are expected to keep the insurance year round, you can't purchase only when you need it. Otherwise, everyone would wait until they are sick or injured.

My greencard holder parents are going to be in the U.S. for 4 months. What kind of insurance plans can I get for them?

Please look at greencard holders medical insurance to understand what they would be eligible to purchase.

Are any of those plans in the link you specified above Obamacare compliant? If not, why not?

They are all short term travel insurance type products. Short term plans are specifically exempted from being Obamacare compliant.

If a plan is not Obamacare compliant, what does it mean?

That primarily means that it would generally cover any new medical conditions, injuries or accidents that may occur after the effective date of the policy and will not cover any pre-existing conditions, preventive check ups or maternity or anything like that. Some of those plans may cover acute onset of pre-existing conditions, up to some amount, up to some age. Please look into the brochure and other details of each product for further information.

The following questions apply outside the open enrollment period:

Can I get Obamacare compliant plan for them?

No, because the open enrollment period is over now.

What should I have done to enroll them into Obamacare compliant plan? Or what should I do now?

You should have enrolled them into a suitable plan during the previous open enrollment period. If you didn't do that earlier, you will need to wait until the next open enrollment period opens up.

My parents were not even in the U.S. during the last open enrollment period and by the time next open enrollment period opens up, they would have already gone back to their native country. In that case, what can I do?

As mentioned earlier (above), green card holders are permanent residents of the US and are expected to be enrolled in Obamacare compliant plans year round and not only for a short period.

But if they are going to be in the U.S. only for a short period, why should I waste money by enrolling them year round into Obamacare compliant plan?

That is entirely your choice. If you would like to purchase the insurance for a short term, it is NOT going to be Obamacare compliant and it will not provide some of the benefits you might be looking for.

If I don't enroll them into Obamacare compliant plan year round, do I have to pay the penalty? If I purchase a short term plan from you, do I have to pay the penalty?

Purchasing a short term plan (which is not going to be Obamacare compliant) is essentially the same thing as not having any health insurance, as far as having to pay the penalty. Regarding the tax penalties, please contact your attorney and/or tax professional who would be able to analyze your exact situation including your finances and be able to guide what kind of penalty you or they might be subject to.

The following questions apply during the open enrollment period:

If my parents are 65+, what kind of insurance plans can I enroll them into?

That really depends upon the state they are resident of and some times even depends upon zip code.

Approximately, what kind of premiums should I expect to pay for Obamacare compliant plans for my elderly parents?

We can't really tell you exactly as it varies a lot, but you are looking at something like $600 to $800 a month with a high deductible such as $5,000 or so. Again, this is very rough idea.

I looked at some of those Obamacare compliant plans, but their premiums are very high. I can't afford them. Is there something cheaper available?

Not really. What you see are the prices for the kind of plans you are trying to purchase.

Will my parents by eligible for federal subsidy in Obamacare? Or can they get it for free? They have no income.

First and foremost, Obamacare is NOT free health insurance for everyone. Additionally, people with no income are not even eligible for Obamacare subsidy. Also because you (or your brother etc.) sponsored their green card, your income is considered to be their income. As you already showed that your income is good enough for the household size (at the time of filing I-864, Affidavit of Support), you are unlikely to qualify for any subsidies. Even if there are subsidies, they might be minimal.

Instead of purchasing Obamacare compliant plans, can I just purchase new immigrants health insurance plans?

That is certainly your choice. However, it would be considered the same as not having any compliant insurance plan and they may be subject to penalties. Please discuss that with your CPA (accountant) to see what is financially most efficient for you considering the kind of benefits you will have or lack.

Is there any possible way where I can purchase the Obamacare compliant plan for the short term they are visiting, pay small premium and also avoid the penalty at the same?

That is not possible. You can't have your cake and eat it too.

Did you know?

Prices are regulated by law.

You cannot find a lower price anywhere for the same product.

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Why purchase insurance from Insubuy®?

Same Price. Better Service.®

There are many advantages in purchasing from Insubuy® and no disadvantages.

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Visiting USA?

Healthcare costs are very high in the U.S.

Buy U.S. based visitors insurance and enjoy your trip.

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Traveling abroad?

Did you know that your insurance may not cover you abroad or that it may only provide limited coverage?

Purchase travel medical insurance that includes emergency medical evacuation.

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New immigrant to USA?

You would not be eligible to enroll in Medicare for the first 5 years.

Purchase new immigrant medical insurance to bridge the gap.

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Going on a vacation?

You could lose your non-refundable trip costs if you had to cancel your trip.

Buy a trip cancellation insurance package plan and be worry-free.

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Are you an exchange visitor to USA?

The U.S. Department of State requires all J visa holders to purchase compliant insurance.

Buy J visa medical insurance to meet your requirements.

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Traveling to Europe?

Schengen countries require most non-US citizens to purchase Schengen visa insurance.

Make an instant purchase online and get instant visa letter.

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Traveling frequently throughout the year?

You don’t need to purchase travel insurance for every trip.

Purchase annual multi trip travel insurance for your travels.

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International student in the U.S.?

Most schools require international students to purchase health insurance.

Purchase international student health insurance that meets most school requirements.

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To continue with the application please scroll down to confirm this notice

CALIFORNIA RESIDENTS SPECIAL NOTICE

1. THE INSURANCE POLICY THAT YOU ARE APPLYING TO PURCHASE IS BEING ISSUED BY AN INSURER THAT IS NOT LICENSED BY THE STATE OF CALIFORNIA. THESE COMPANIES ARE CALLED "NONADMITTED" OR "SURPLUS LINE" INSURERS.

2. THE INSURER IS NOT SUBJECT TO THE FINANCIAL SOLVENCY REGULATION AND ENFORCEMENT THAT APPLY TO CALIFORNIA LICENSED INSURERS.

3. THE INSURER DOES NOT PARTICIPATE IN ANY OF THE INSURANCE GUARANTEE FUNDS CREATED BY CALIFORNIA LAW. THEREFORE, THESE FUNDS WILL NOT PAY YOUR CLAIMS OR PROTECT YOUR ASSETS IF THE INSURER BECOMES INSOLVENT AND IS UNABLE TO MAKE PAYMENTS AS PROMISED.

4. THE INSURER SHOULD BE LICENSED EITHER AS A FOREIGN INSURER IN ANOTHER STATE IN THE UNITED STATES OR AS A NON-UNITED STATES (ALIEN) INSURER. YOU SHOULD ASK QUESTIONS OF YOUR INSURANCE AGENT, BROKER, OR “SURPLUS LINE” BROKER OR CONTACT THE CALIFORNIA DEPARTMENT OF INSURANCE AT THE FOLLOWING TOLL-FREE TELEPHONE NUMBER 1-800-927-4357. ASK WHETHER OR NOT THE INSURER IS LICENSED AS A FOREIGN OR NON-UNITED STATES (ALIEN) INSURER AND FOR ADDITIONAL INFORMATION ABOUT THE INSURER. YOU MAY ALSO CONTACT THE NAIC’S INTERNET WEB SITE AT WWW.NAIC.ORG.

5. FOREIGN INSURERS SHOULD BE LICENSED BY A STATE IN THE UNITED STATES AND YOU MAY CONTACT THAT STATE’S DEPARTMENT OF INSURANCE TO OBTAIN MORE INFORMATION ABOUT THAT INSURER.

6. FOR NON-UNITED STATES (ALIEN) INSURERS, THE INSURER SHOULD BE LICENSED BY A COUNTRY OUTSIDE OF THE UNITED STATES AND SHOULD BE ON THE NAIC’S INTERNATIONAL INSURERS DEPARTMENT (IID) LISTING OF APPROVED NONADMITTED NON-UNITED STATES INSURERS. ASK YOUR AGENT, BROKER, OR “SURPLUS LINE” BROKER TO OBTAIN MORE INFORMATION ABOUT THAT INSURER.

7. CALIFORNIA MAINTAINS A LIST OF APPROVED SURPLUS LINE INSURERS. ASK YOUR AGENT OR BROKER IF THE INSURER IS ON THAT LIST, OR VIEW THAT LIST AT THE INTERNET WEB SITE OF THE CALIFORNIA DEPARTMENT OF INSURANCE: www.insurance.ca.gov.

8. IF YOU, AS THE APPLICANT, REQUIRED THAT THE INSURANCE POLICY YOU HAVE PURCHASED BE BOUND IMMEDIATELY, EITHER BECAUSE EXISTING COVERAGE WAS GOING TO LAPSE WITHIN TWO BUSINESS DAYS OR BECAUSE YOU WERE REQUIRED TO HAVE COVERAGE WITHIN TWO BUSINESS DAYS, AND YOU DID NOT RECEIVE THIS DISCLOSURE FORM AND A REQUEST FOR YOUR SIGNATURE UNTIL AFTER COVERAGE BECAME EFFECTIVE, YOU HAVE THE RIGHT TO CANCEL THIS POLICY WITHIN FIVE DAYS OF RECEIVING THIS DISCLOSURE. IF YOU CANCEL COVERAGE, THE PREMIUM WILL BE PRORATED AND ANY BROKER’S FEE CHARGED FOR THIS INSURANCE WILL BE RETURNED TO YOU.

07/11
LSW1146D

Cuba Notice

Travel to Cuba remains subject to restrictions imposed by U.S. sanctions, administered by the US Treasury. Only those who qualify for travel authorized under US Treasury's regulations and who comply with the terms of such authorization can legally travel to Cuba. Individuals traveling to Cuba must meet the following criteria in order to qualify for travel authorized under one of the general licenses outlined below:

Criteria for travel authorized by the US Treasury

If you have read and agree to the terms of both Notices: California and Cuba, please click the continue button if you wish to complete the application process. Otherwise, please click cancel to abort the application process.

To continue with the application please scroll down to confirm this notice

CALIFORNIA RESIDENTS SPECIAL NOTICE

1. THE INSURANCE POLICY THAT YOU ARE APPLYING TO PURCHASE IS BEING ISSUED BY AN INSURER THAT IS NOT LICENSED BY THE STATE OF CALIFORNIA. THESE COMPANIES ARE CALLED "NONADMITTED" OR "SURPLUS LINE" INSURERS.

2. THE INSURER IS NOT SUBJECT TO THE FINANCIAL SOLVENCY REGULATION AND ENFORCEMENT THAT APPLY TO CALIFORNIA LICENSED INSURERS.

3. THE INSURER DOES NOT PARTICIPATE IN ANY OF THE INSURANCE GUARANTEE FUNDS CREATED BY CALIFORNIA LAW. THEREFORE, THESE FUNDS WILL NOT PAY YOUR CLAIMS OR PROTECT YOUR ASSETS IF THE INSURER BECOMES INSOLVENT AND IS UNABLE TO MAKE PAYMENTS AS PROMISED.

4. THE INSURER SHOULD BE LICENSED EITHER AS A FOREIGN INSURER IN ANOTHER STATE IN THE UNITED STATES OR AS A NON-UNITED STATES (ALIEN) INSURER. YOU SHOULD ASK QUESTIONS OF YOUR INSURANCE AGENT, BROKER, OR “SURPLUS LINE” BROKER OR CONTACT THE CALIFORNIA DEPARTMENT OF INSURANCE AT THE FOLLOWING TOLL-FREE TELEPHONE NUMBER 1-800-927-4357. ASK WHETHER OR NOT THE INSURER IS LICENSED AS A FOREIGN OR NON-UNITED STATES (ALIEN) INSURER AND FOR ADDITIONAL INFORMATION ABOUT THE INSURER. YOU MAY ALSO CONTACT THE NAIC’S INTERNET WEB SITE AT WWW.NAIC.ORG.

5. FOREIGN INSURERS SHOULD BE LICENSED BY A STATE IN THE UNITED STATES AND YOU MAY CONTACT THAT STATE’S DEPARTMENT OF INSURANCE TO OBTAIN MORE INFORMATION ABOUT THAT INSURER.

6. FOR NON-UNITED STATES (ALIEN) INSURERS, THE INSURER SHOULD BE LICENSED BY A COUNTRY OUTSIDE OF THE UNITED STATES AND SHOULD BE ON THE NAIC’S INTERNATIONAL INSURERS DEPARTMENT (IID) LISTING OF APPROVED NONADMITTED NON-UNITED STATES INSURERS. ASK YOUR AGENT, BROKER, OR “SURPLUS LINE” BROKER TO OBTAIN MORE INFORMATION ABOUT THAT INSURER.

7. CALIFORNIA MAINTAINS A LIST OF APPROVED SURPLUS LINE INSURERS. ASK YOUR AGENT OR BROKER IF THE INSURER IS ON THAT LIST, OR VIEW THAT LIST AT THE INTERNET WEB SITE OF THE CALIFORNIA DEPARTMENT OF INSURANCE: www.insurance.ca.gov.

8. IF YOU, AS THE APPLICANT, REQUIRED THAT THE INSURANCE POLICY YOU HAVE PURCHASED BE BOUND IMMEDIATELY, EITHER BECAUSE EXISTING COVERAGE WAS GOING TO LAPSE WITHIN TWO BUSINESS DAYS OR BECAUSE YOU WERE REQUIRED TO HAVE COVERAGE WITHIN TWO BUSINESS DAYS, AND YOU DID NOT RECEIVE THIS DISCLOSURE FORM AND A REQUEST FOR YOUR SIGNATURE UNTIL AFTER COVERAGE BECAME EFFECTIVE, YOU HAVE THE RIGHT TO CANCEL THIS POLICY WITHIN FIVE DAYS OF RECEIVING THIS DISCLOSURE. IF YOU CANCEL COVERAGE, THE PREMIUM WILL BE PRORATED AND ANY BROKER’S FEE CHARGED FOR THIS INSURANCE WILL BE RETURNED TO YOU.

07/11
LSW1146D

If you have read and agreed to the terms of this notice and wish to continue, please click the continue button. Otherwise, please click cancel to abort the application process.

Cuba Notice

Travel to Cuba remains subject to restrictions imposed by U.S. sanctions, administered by the US Treasury. Only those who qualify for travel authorized under US Treasury's regulations and who comply with the terms of such authorization can legally travel to Cuba. Individuals traveling to Cuba must meet the following criteria in order to qualify for travel authorized under one of the general licenses outlined below:

Criteria for travel authorized by the US Treasury

I certify that I have read the above and that all individuals applying for coverage qualify for travel authorized under one of the general licenses per US Treasury regulations.

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