The most common ways to get health insurance are through an employer, through the government, or on your own. Let’s look at these methods and then how to sign up. It all depends on your personal situation.
Through an employer
If you have health insurance through your job, you don’t have to worry about much - your employer will provide you with an employer-sponsored group plan. Some employers may have several insurer and plan options for you to choose from.
If you’ve lost your job, COBRA lets you stay on your employer’s health plan for a while. You may be eligible for COBRA if any of the following has happened:
- Loss of job for reasons other than gross misconduct.
- Reduced work hours below the minimum required for health plan eligibility.
- The employee enrolled in the plan dies.
- Divorce or legal separation from the employee enrolled in the plan.
- A child no longer meets the plan's eligibility rules.
COBRA lets you (and your dependents) stay insured, temporarily and at your own expense. It’s available only at companies with 20 or more full-time employees. Contact your employer to learn how to enroll in COBRA.
Through the government
Medicare is a federal program that provides basic health benefits to people 65 years or older and to certain disabled individuals. Medicare has four parts:
- Medicare Part A pays for hospital-related services and emergency care.
- Medicare Part B pays for doctor's office visits. Together, Part A and Part B are often referred to as Original Medicare.
- Medicare Part C, or Medicare Advantage, pays for Part A and Part B benefits (at an additional cost) and may include Part D prescription drug benefits. Medicare Advantage plans are offered by private health insurance companies.
- Medicare part D pays for prescription drugs.
Medicaid is a joint federal-state program that provides a wide range of health plan benefits to people with low incomes or resources. Hawaii’s Medicaid program is called QUEST Integration.
On your own
Not everyone has health insurance through their job or the government. Many people buy health insurance on their own.
Because an employer isn’t sharing the cost of your monthly premiums, an individual health plan may cost more in the short term, but you’ll save in the long term. If you have to go to the hospital for any reason, services like X-rays, pain medication, and follow-up visits can cost thousands of dollars. But with a health plan, you’ll pay hundreds, not thousands. That’s big savings.
Through the federal health insurance marketplace
Individuals can get insurance directly from HMSA or through the federal health insurance marketplace at HealthCare.gov. Depending on your financial situation, you may be eligible for financial help, which is only available through the federal marketplace.
Employees can get insurance through the federal health insurance marketplace at HealthCare.gov if the company they work at got its group plan there. If they did, your employer can tell you how to enroll.