New Jersey Affordable Healthcare Insurance Coverage
New Jersey residents can buy standard Affordable Care Act (Obamacare) coverage from the federal exchange called Healthcare.gov to help cover their addiction recovery. Open enrollment last from November 1, 2015, to January 31, 2016. Avoid automatic enrollment as policy plans may change from year to year and your former policy may not be as good for you as it was before.
Also, do not forget to update your household income for 2016 – based upon your income estimate for 2016, your premium support subsidy may be greater or less than before. Don’t forget that in 2016 tax penalties rise to $695 for adults and $347.50 per child or 2.5 percent of household income up to $2085 per household, whichever is more.
Obtaining insurance polices that fall under the Affordable Care Act window can help you recover from drug addiction without suffering from a major financial downfall. Every plan sold on the federal exchange has 10 Essential Health Benefits (EHB). One of these essential benefits is mental health and substance use disorder services (including counseling and psychotherapy). As a result, inpatient and outpatient substance use disorders treatment are subject to your specific policy’s copays and deductibles, but have no lifetime dollar amount limits or visit limits.
Coverage for mental health and substance use disorder consists of doctor visits, prescription drugs, inpatient hospitalization and outpatient care.
Obamacare Companies For New Jersey Residents
The following insurance companies sell their NJ health insurance plans on the federal marketplace and include AmeriHealth NJ, Health Republic Insurance of NJ, Horizon Blue Cross of NJ, Oscar, and United Health Care. These five insurance companies offer over 50 different plans in NJ, all of which cover substance abuse disorder as ordinary medical and surgical diagnoses: AmeriHealth NJ, Health Republic Insurance of NJ, Horizon Blue Cross of NJ, Oscar, and United Health Care. These five insurance companies offer over 50 different plans that cover substance abuse disorder as ordinary medical and surgical diagnoses.
Like all plans sold on state or federal market exchanges, coverage varies from each level of plan. While Bronze plans are the least expensive, they have the highest deductible – $6,000 and the highest out-of-pocket maximum at $13,700 per family. The maximum coverage under a Bronze plan is 60 percent of your costs after your deductible is met. As you go up in coverage to a Silver or Gold plan, your deductibles are less though your family out of pocket maximum may remain the same as under a Bronze plan.
Example Plans
An AmeriHealth New Jersey Bronze plan has the lowest premium payoffs, but also offers the highest deductibles and copays. For example, you may end up paying as much as 60 percent on a copay for inpatient rehabilitation. That’s why it might be a better idea to consider higher coverage plans, such as silver. A Silver plan from Horizon Blue Cross of New Jersey has an affordable premium and copays of just 30 percent. Subscribers find that this plan helps greatly with detox and substance abuse treatment.
If you live in New Jersey, you could buy a Gold Health Insurance plan from Oscar. It provides more coverage – 80 percent – and more easily handled copays of 20 percent. Folks in New Jersey also can buy Platinum policy with only a 10 percent copay for all covered services. Premiums for this plan are the most expensive.
What About Detox?
Detox is the most difficult part for most abuse disorder patients because it can be so taxing emotionally and physically. Thankfully, Obamacare plans will cover in and outpatient detox as part of a comprehensive rehabilitation plan. It covers it at the same rate as other rehabilitation services, making it easy for you to plan your payments.
Although some p
eople are unhappy with Obamacare, it has offered millions of people across the country access to a wide range of rehabilitation insurance options. But if you’re still confused by your options are need help making the right choice, please contact us any time at RehabCenter.net. We can help you sort through your plans and get the coverage you deserve.
