Individual Health Care Plans

Information about individual health care plans in the United States for early retirement, including key provisions of the affordable health care act of 2010, examples of AARP health care options, and health/medical insurance quote examples. Additional resources at the bottom.

In the United States, most people are covered by employer provided medical insurance or by individual plans.

Typically the employer contributes only a portion of the cost of health/medical insurance and the employee portion is deducted from their paycheck.

When the employer doesn't provide health coverage benefits, people must purchase personal medical insurance.

In all cases, this medical coverage is expensive, and for many years it has been a topic for political debate as lawmakers attempt to find ways to lower the cost of health care.

The Affordable Health Care Act

In 2010, President Obama signed the Affordable Care Act, which provides much needed reforms to the health insurance industry.

For all the details, see the White House website: Health Reform at WhiteHouse.gov

Here are some key points:

  • Insurance companies can no longer deny coverage to children with pre-existing conditions. In 2014, this will expand and apply to everyone.
  • Dollar limits on care will be phased out by 2014.
  • Insurance companies can no longer drop coverage due to mistakes on forms, previously a common practice to avoid expensive procedures.
  • Insurance companies must provide certain preventive care services for free.
  • Affordable Insurance Exchanges will promote competition between insurance companies which should lower costs.


Costs of Individual Health Care Plans

There are many differences in the way health insurance programs are provided between states. Since this website is focused on retirement planning, it isn't possible to cover all of those differences here, but a few points are given below.

The AARP organization (aarp.org) is a good starting point for getting information on the cost of personal medical insurance plans. They have partnered with the Aetna insurance company to provide online quotes, as well as applications for coverage to their members. Visit their website to get a health/medical insurance quote for your age, gender, and state of residence.

Here are sample quotes from their website:

Female, age 57 in NC

medical insurance quote

Male age 56 in NC

medical insurance quote male age 56

Other Medical Insurance Resources (USA)

  • On pre-existing conditions, the US Department of Health and Human Services:

    HHS.gov
  • Information about Medicaid for people with lower incomes, HealthCare.gov:

    On Medicaid: Healthcare.gov and Medicaid.gov



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