Frequently Asked Questions

The current state of health care in the U.S. is confusing for many. It’s a new way of looking at health coverage, and you probably have many questions. KELLYexchange has the answers you’re looking for.

We know it is challenging to decide which individual insurance products are the best for you. Below are some of the most common questions we receive. If you have reviewed our frequently asked questions and still need help, please feel free to contact us to learn more.

   
         

 

 

What is KELLYexchange?
KELLYexchange is a one-stop shop for individual and family health insurance coverage. Through KELLYexchange, you can get quotes, compare plans and purchase coverage either online or by working with one of our experienced specialists.

KELLYexchange focuses on helping individuals and families gain health insurance coverage that is right for their unique needs (depending on age, location, etc).

Why should I purchase my coverage through KELLYexchange? Can’t I just purchase directly through the providers?
Purchasing health plans directly through a carrier can be a very costly mistake when purchasing individual and family health insurance. Here are just a few of the reasons why:

  1. Compare Rates and Plans

    No matter where you get your health insurance policy, the price will always be the same because health insurance rates are firmly set by State Insurance Departments. However, through KELLYexchange, you have access to the rates and coverage details from a variety of carriers. This allows you to compare plans and related costs on an “apples to apples” basis. KELLYexchange is here to help you find the best health insurance policy from a variety of the best insurers, not just one.

  2. Assistance with Complex Decisions

    Purchasing your health coverage through KELLYexchange gives you confidence in knowing that we will assist you in understanding the different coverage plans available through many or all of the best insurers in your state. Our experts are familiar with all the best insurers, and that helps you get the health insurance policy that fits you best.

  3. Dedicated Customer Service

    When you need help or call the insurer directly with a problem, chances are you’re going to get a different person assisting you almost every time you call. When you call KELLYexchange, you interact with the same dedicated team of knowledgeable agents to help you every time. You’re not just a number to us, you’re a valued person.

  4. We’re Loyal to the Customer – not the Carrier

    We’re not captive or bound in loyalty to any single health insurer. Our loyalty is to you, the customer, first. We advocate and represent you with any of the insurers you choose through KELLYexchange. If a problem arises with your policy, we will be dedicated to working on your behalf with the insurer to assist with your issue.


Does it cost more to purchase my coverage through KELLYexchange?
No. KELLYexchange works on your behalf at no cost to you; we are paid by the insurance carriers once our clients purchase their policies.


Does KELLYexchange have the best prices?
You will get the same prices no matter where you shop because health insurance rates are regulated by your state's Department of Insurance. However, by purchasing through KELLYexchange, you can rest assured that you will be receiving top-notch customer service through the term of your policy.


Can I call on the experts of KELLYexchange if I need assistance after I’ve purchased my coverage?
Yes, if you purchase your coverage through KELLYexchange, we will assist you with any questions or concerns throughout the term of your policy.


Are there other policies available from the KELLYexchange that are not quoted on your site?
Yes- absolutely! KELLYexchange will quote the most common policies online, but we also offer many other unique policies that are designed to fit the needs of people with varying situations. If you’re looking for a specific type of policy that you can’t find on our site, give us a call at 1-877-YOU-EXCHANGE & we’ll be happy to take the time to let you know about rare programs or policies available that might be exactly what you’re looking for!


How do you protect my private information?
Shopping with the KELLYexchange is safe and secure. We are committed to protecting your privacy and the information you provide to us. As a result, KELLYexchange will not sell, trade or give away your personal information to anyone, except those specifically involved in the referral or processing of your health insurance quote or application. We use industry-leading technologies to ensure the security of all the information under our control.

We're a proud partner of TRUSTe and have received the privacy their seal of approval. TRUSTe is the largest privacy advocacy organization on the Internet, and we encourage you to read our Privacy Policy online.


How can I figure out if I am eligible for financial assistance?
Your total household income has to be between 100% and 400% of the Federal Poverty Level (or FPL) in order to qualify for a “premium tax credit,” or subsidy, to assist you in paying for your health coverage. To see if you may qualify, CLICK HERE to use our subsidy calculator.


If I apply for an insurance plan, am I obligated to buy?
No, you are under no obligation to buy a health insurance plan when using our site. After submitting your application you may cancel it at any time during the enrollment process. When you submit an application you will typically include your credit card number, bank account information, or a check for the initial premium payment, but most insurance companies will not charge your card, debit your account, or deposit your check until your application is finalized. However, some insurance companies may charge an application fee. You will be notified in the application process if the plan you choose requires an application fee. Please note that these application fees are non-refundable. Most states will give policyholders a minimum of at least 10 days to decide whether or not to keep their policy.


How does dental insurance work?
Dental insurance works in much the same way that medical insurance works. For a specific monthly rate (or "premium"), you are entitled to certain dental benefits, usually including regular checkups, cleanings, x-rays, and certain services required to promote general dental health. Some plans will provide broader coverage than others and some will require a greater financial contribution on your part when services are rendered. A few plans may also provide coverage for certain types of oral surgery, dental implants, or orthodontia.


Should I consider a short-term plan?
Possibly. Short-term health insurance provides emergency protection for a limited period of time. If you are relatively healthy and know you will have employer-sponsored coverage within 6 months, a short-term plan may work for you.


What is Co-Insurance?
Co-insurance is the amount you pay for covered medical services after you’ve satisfied any copayment or deductible required by your health insurance plan. For example, if your insurance benefits cover 80% of charges, you will need to pay the remaining 20% even if your annual deductible is already met. That 20% is considered coinsurance. Your coinsurance responsibility stops once the ‘out-of-pocket maximum’ is met.


What is Maximum Out-of-Pocket Costs?
Your maximum out-of-pocket cost sets a limit to your yearly financial liability. Once you’ve paid out of pocket (typically through deductibles, copayments or coinsurance) to the “maximum” amount, the insurance company pays the full charges for any additional covered medical services rendered that year. Your monthly premium will not count toward your maximum out-of-pocket costs.

Can I purchase an individual health plan outside of open enrollment?
After Open Enrollment, you can enroll in private coverage through the Marketplace only if you have a qualifying life event or a complex situation related to applying in the Marketplace. If you do, you get a special enrollment period allowing you to buy a health insurance plan through the Marketplace.

Examples of qualifying life events:

  • Marriage
  • Having a baby
  • Adopting a child or placing a child for adoption or foster care
  • Moving outside your insurer’s coverage area
  • Losing other health coverage—due to losing job-based coverage, divorce, the end of an individual policy plan year in 2014, COBRA expiration, aging off a parent’s plan, losing eligibility for Medicaid or CHIP, and similar circumstances. Important: Voluntarily ending coverage doesn’t qualify you for a special enrollment period. Neither does losing coverage that doesn’t qualify as minimum essential coverage.
  • Gaining citizenship
  • Leaving incarceration
  • Gaining status as member of an Indian tribe. Members of federally recognized Indian tribes can sign up for or change plans once per month throughout the year.
  • For people already enrolled in Marketplace coverage: Having a change in income or household status that affects eligibility for premium tax credits or cost-sharing reductions.


What is an HSA?
"HSA" stands for Health Savings Account. HSAs allow consumers to pay for qualified medical expenses with income- tax free dollars.


How does an HSA work?

Pre-tax money is deposited each year into an HSA and can be easily withdrawn at any time with no penalty or taxes to pay for qualified medical expenses. Withdrawals can also be made for non-medical purposes, but will be taxed as normal income and are subject to percentage penalties if done prior to age 65. Any HSA funds not used each year remain in the account, and earn interest tax-free to supplement medical expenses at any time in the future. The HSA account belongs to you, not your employer; even if your employer contributes to your HSA.


Why should I consider getting an HSA?
You may save money in the short and long term by deducting 100% of your HSA contributions from your taxable income. Having a high-deductible HSA-compatible health insurance plan typically has a lower premium than a plan with a lower deductible.


How much can I contribute to my HSA?
The maximum 2014 contribution for individuals is $3,300 for 2014 and for families is $6,550 for 2014. You are not required to contribute the maximum each year, although some HSAs require a small minimum monthly contribution. If you are between the ages of 55 and 65, you can make an additional annual "catch up" contribution of $1,000 each year. This amount may change yearly and it is good to note the amount for 2014.


How do I use the funds in my HSA?
Typically an HSA will provide you with a checkbook or debit card. When you pay for a qualified medical expense, just use your debit card or check to make the payment. You do not need to submit receipts to the HSA administrator, although you should save them just as you keep receipts for other items that are deducted from your taxes.

NOTE: You must establish the HSA before you incur medical expenses otherwise the expenses will not qualify.

 
     
Health Care Reform mandates do not apply to citizens 65 or older. If you are 65 or older
CLICK HERE to learn more about resources, such as Medicare, that are available to you.
 
 

 

Do you have individual insurance questions? We have the answers.
Contact KELLYexchange today! Call 877-968-3924

KELLYexchange is your destination for Individual & Family Health Insurance

We are here to serve the individual health insurance needs of you and your family as mandated by the Affordable Care Act (ACA). On this site you can purchase the right health insurance plan that meets your unique needs and budget as well understand if you qualify for government assistance (also known as premium tax credits or a subsidy).


 

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