RVer Insurance Exchange’s 2019 Guide to Health Plan Options for RVers
If you are on Medicare, please click here to go to our Medicare Page
Updated 12/11/2018 NEW PLAN AVAILABLE! See Option #3 below!
Quick Enrollment Links (scroll down the page for details on all of these options)
2019 Affordable Care Act Changes
Below are the main ACA changes being implemented in 2019 for individuals and families. If you are looking for a more comprehensive overview of the ACA then you can get that by clicking here and also here (great resource at Kaiser Foundation).
- 2019 Open Enrollment is UNCHANGED from 2018. It runs for 6 weeks November 1, 2018 – December 15, 2018.
- For 2019, your out-of-pocket maximum can be no more than $7,900 ($6,750 for HSA plans) for an individual plan and $15,800 ($13,500 for HSA plans) for a family plan before marketplace subsidies.
- For 2019, your Maximum deductible is the same as the Out-of-pocket Maximum, just like 2017
- For 2019 HSA plans, the Minimum Deductible required is $1,350/$2,700 Individual/Family
- For 2019 the maximum HSA contribution is $3,500 (+$1,000 for 55+) for individuals and $7,000 (+$1,000 for 55+) for families.
- The Individual Shared Responsibility Provision: On January 20, 2017 President Donald Trump issued Executive Order 13765 which eliminates the Individual Mandate penalty as of January 1, 2019.
- Short Term Medical ruling: In August 2018 the Centers for Medicare and Medicaid Services (CMS) issued a final ruling on Short Term Medical lengths of coverage in order to address affordability challenges associated with ACA plans. The two significant changes to STM plans effective October 1, 2018 are:
- STM plans can be initially written for up to a 364 day period.
- STM plans can be renewed for up to 36 months.
2019 ACA Rate Changes
You can use this tool to search for any insurance company’s requested 2019 rate increase (actual increase may be higher or lower based on state approval). Here is a summary of the rate increases requested by 3 popular insurers among RVers (as of 10/10/18):
- South Dakota’s Avera Health: +2.58% (regional PPO plans) Rate INCREASE
- Texas’ Blue Cross Blue Shield: -6.09% (HMO plans) Rate DECREASE
- Florida’s Florida Blue: unpublished as of 10/10/2018, according to Florida Blue not to exceed +15%
A couple of key ACA definitions to know:
Minimum Essential Coverage (MEC) is the least amount of coverage that is required by Obamacare for an individual to be considered “compliant” and to avoid having to pay the Individual Mandate penalty if it were to be enforced. All ACA Marketplace plans and most major medical health insurance plans are considered MEC. Since the individual mandate tax penalty is gone as of January 1, 2019 it is unlikely that stand-alone MEC plans will have a significant roll in 2019.
Minimum Essential Coverage should not be confused with Essential Health Benefits (EHB). EHB is a set of 10 categories of services health insurance plans must cover under the Affordable Care Act in order to be offered on the Marketplace. These include doctors’ services, inpatient and outpatient hospital care, prescription drug coverage, pregnancy and childbirth, mental health services, and more. You can view more details about EHB as well as state-specific benchmarks here.
2019 Healthcare Plan Options
ACA PPO plans are still hard to find and even if you do find one it does not necessarily make it a good choice for nationwide coverage, given the fact that their provider networks may be regional only (Like Avera Health in SD). So, once again we are offering alternative options for those that once something outside of the ACA offerings. The two biggest changes to our offerings in 2019 are 1) Short Term Medical can be written for up to 364 days (and renewed for up to 3 years) and, 2) Premier Plans (Elite Series) are back for self-employed individuals.
Here is an overview of the healthcare plan options available to RVers in 2019 (please note that these 5 options are not in any particular order):
Option #1 Affordable Care Act Coverage (‘Obamacare’)
Subsidy eligible, no medical underwriting.
Otherwise known as ‘Obamacare’ this is Major Medical health insurance like you would obtain from the Federal Marketplace or your state’s exchange. These, and only these, are subsidy-eligible plans. However, it is getting increasingly difficult to find nationwide PPO coverage options on the Marketplace exchange. But, if you can find one, and you have pre-existing health conditions and/or qualify for a subsidy then this may be the best option for you. There is NO MEDICAL UNDERWRITING with this option.
You must enroll for these plans during the annual Open Enrollment unless you have a special circumstance (like changing state of residency): November 1, 2018 to December 15, 2018 for 2019 coverage.
See if you qualify for a subsidy, get quotes, and enroll in an ACA plan right here. This is our new enrollment platform that is FAST, SECURE, and SIMPLER than going to Healthcare.gov. 2019 Rates may not show up there before November 1, 2018.
If you decide to go with an ACA plan without nationwide coverage and you are an active person (hiking, biking, etc.) I’d recommend adding an accident policy to your ACA coverage at the very least since these plans cover you anywhere in the country.
Option #2 Nationwide PPO plans for SELF-EMPLOYED BUSINESS OWNERS.
From a current happy client with this option…
I signed up with you in 2017 for Cigna 3000 PPO. In January 2018, I suffered a heart attack and they covered it all . . . I found out recently that the plan auto renewed for the 2019 year. I couldn’t be happier. Not only is it a much better plan than I can get through the marketplace, its also at a much lower cost. I’d like you to know that this plan has taken good care of me at a very reasonable rate. I’m not sure if you still offer this plan, but I would recommend it.
Must be self-employed, Must be relatively healthy.
We now have multiple plans to choose from if you are a self-employed business owner. You can not be fully retired and qualify for these plans. If, however, you or your spouse/partner work 30+ hours per week then this may be a great option for you.
We have been granted restricted access to these plans through an arrangement with the plans’ administrator and the workers’ union that offers the plans. Union membership is required and built into the premiums. All rates and details can be found once you access the enrollment sites via the links below.
Available to residents of ALL 50 STATES! Nationwide provider networks!
- You need to be relatively healthy to qualify for these plans. Any surgery in the past 6 months or scheduled in the next 12 months will likely disqualify you. If you are taking expensive medications at the time of application you will likely not qualify. Type I diabetes, high cholesterol, hypertension are okay if there aren’t other additional pre-existing conditions. Contact Us if you are unsure if you qualify.
- Since these are workers’ association plans, the named primary applicant must be working 30+ hrs per week at the time of application. There are no specific income requirements.
- You can not be fully retired and qualify for these plans.
- Plans cover most preventive care at 100%, in addition to being a comprehensive medical plans.
- Plans are available for individuals and families.
- Plans are not subsidy eligible (only ACA plans are eligible for subsidy).
- Nationwide coverage with excellent networks.
- Enrollment is OPEN Year Round in all 50 states! You must apply by midnight of the 17th in order to get covered by the 1st of the following month.
Click on the links below to view the details, rates, provider networks and to enroll. You will need to look under the Major Medical tab in the menu. Contact Kyle if you have any questions.
These plans are offered through a workers’ union group. Proof of self-employment is required, plan rates are based on your age. National PPO Network.
These plans are offered through industry-specific associations. Proof of self-employment is NOT required, plan rates are not based on your age. National PPO Network.
Option #3 NEW Fixed Benefit Indemnity Insurance from United HealthOne – SEE ANY DOCTOR – APPLY ANYTIME!
We are thrilled to introduce a new Fixed Benefit Medical plan to the RV community. Although these are not ‘Obamacare’ ACA plans (therefore not eligible for subsidy) they offer nationwide benefits to RVers that most ACA plans can not offer. Fixed Benefit plans offer a cash benefit payout when you have an illnesses or accident and can be an excellent alternative to expensive major-medical insurance.
But what about the ACA penalty? Effective January 1, 2019 that penalty is gone. Plans like this, which were popular before the ACA penalized people for having them, are coming back now that there is no more individual share responsibility penalty.
These plans could either be used to supplement an ACA plan that doesn’t have a nationwide network to give you nationwide benefits or as a stand-alone nationwide plan. You can apply for these plans any time of the year. There are no deadlines or enrollment periods.
This fixed benefit insurance pays for hospitals services, emergency room, air and ground ambulance, surgery (including assistant surgeon, facility, and anesthesia fees), doctor visits (including second opinions), wellness and preventive, prescriptions drugs, diagnostic lab and imaging, and more.
Health ProtectorGuard and Core Access (same plan, different name in some states like SD) from United HealthOne is an excellent Fixed Benefit plan that allows you to use any licensed doctor or hospital in the country! You can also take advantage of the network discounts using the PHCS Multiplan Network.
Why do we consider this the best fixed benefit indemnity plan out there? Here’s why…
1) it offers the highest payment schedule we have seen for fixed benefit plans,
2) See any licensed medical doctor or hospital in the country! Or use the PHCS Multiplan network for deeper discounts.
3) It is offered by United HealthOne, the largest healthcare company in the world and “A Rated” (By AM BEST),
4) It’s benefits are pretty extensive with $0 deductible options, and perhaps most importantly,
5) the Health ProtectorGuard plans from United Healthcare have unlimited annual and unlimited lifetime benefit maximums — something you are not likely to find from any other fixed benefit plan in the country.
(Box Elder, SD zip code is 57719 – Livingston, TX zip code is 77399 – Look up any other zip code here)
But, what about the risks of having a fixed-benefit insurance plan like this instead of a major medical health insurance plan? We considered that as well as we looked at our own options for health insurance. We weighed the cost of an ACA plan ($1100/month for our family of 3 for an HMO plan with $6900 deductible and only good in Texas) vs this option (we pay $605/month for our family for the top-Primary Preferred Health ProtectorGuard plan). When we did our own risk-benefit analysis and considered the likelihood of an expensive hospital stay and the average cost of a hospital stay (we found this article and this study to be very helpful in our decision-making process), we concluded that the cost savings was worth the relatively low risk of needing more coverage than this plan would provide. Of course, you have to do your own research, draw your own conclusions, and determine what is an acceptable risk for you and your family.
Option #4 AlieraCare Health Care Sharing Ministry (HCSM) or Kingdom HealthShare (HCSM)
Does not cover pre-existing conditions for 24 months, not health insurance. UPDATE 12/12/2018 We now have an HCSM option available to South Dakota residents
Perhaps the most unconventional idea here is to drop health insurance and join a medical cost sharing group instead. These faith-based expense sharing programs are not insurance. Instead members directly share unforeseen medical expenses. Members make a fixed monthly sharing contribution. The groups have set up different systems to either reimburse members for their expenses or directly pay providers for the eligible expenses other members incur. By paying only for actual expenses and non-profit admin fees, the costs of these programs can be very attractive. This was a very popular option for RVers in 2017.
This is our preferred HCSM plan from Aliera Healthcare that combines the 63 Minimum Essential Coverage preventive care benefits plan with a HCSM for hospitalization. It is an ACA exempt plan because it covers preventive care (after a 9 month waiting period) at 100% with no out of pocket expense to the member and includes an ACA-exempt HCSM hospitalization plan. It is not two separate bundled plans but is one plan through Aliera. Rates look good, benefits are nationwide, and the application is simple. The Statement of Beliefs is non-evangelical personal rights/liberty oriented, making it appealing to a broader audience than some of the other HCSMs.
This is a Health Care Sharing Ministry + Preventive Care plan. The HCSM portion is through Trinity Healthshare. You do not need to purchase Aliera + Trinity separately. They are combined upon checkout when you enroll.
There are comprehensive and catastrophic options available from both of these HCSMs. If you get an ACA plan and due to subsidy are paying little to no premium but do not have nationwide coverage then you might consider adding a catastrophic HCSM (or a Fixed Benefit Option 3 plan) to give you nationwide protection.
- Details and ENROLLMENT: Click here for details on the AlieraCare Standard plans which are Comprehensive Coverage.
- Details and ENROLLMENT: Click here for details on the AlieraCare CarePlus plans which are Catastrophic Coverage only.
- For South Dakota AlieraCare is not available but we have an alternative from Kingdom HealthShare which is almost identical. Click here for details about Kingdom HealthShare.
View the provider network for all AlieraCare and Kingdom HealthShare plans here: PHCS Multiplan
You can contact Kyle with your questions about AlieraCare or Kingdom HealthShare.
Consider adding an accident plan to this option.
Option #5 Short Term Medical – A REAL OPTION in 2019.
There is legislation that became effective October 1, 2018 that makes it possible to get a Short Term Medical plan for up to 364 days and to renew it for up to 3 years! However, not every insurance company nor state has adopted these rules.
Short Term Medical plans are medically underwritten so they will be most suitable for healthy individuals without pre-existing conditions or expensive medications. Keep in mind that when you renew a STM plan you have to medically qualify each renewal term. So, if you have a medical situation occur while enrolled in a STM they can not drop your coverage but they can deny you the option to renew it at the end of your term.
** BOTH of our Short Term Medical options below provide NATIONWIDE COVERAGE! **
We now offer 2 options for Short Term Medical: National General or IHC Group
Both of these carriers offer excellent nationwide coverage, but for residents of WA state IHC Group is not available. Click on a logo below to get quotes and enroll in Short Term Medical! Both companies have National PPO Networks!
Contact Kyle if you need assistance with choosing a Short Term Medical plan. Kyle can customize a plan to meet your needs and budget!
South Dakota: Get STM for up to 12 months with National General, 6 months with IHC Group. (Important: when running quotes for National General below be sure and select your county from the dropdown menu or else it will show “no plans available”! Box Elder, SD zip code is 57719 Pennington County)
Texas and Florida: Get STM for up to 364 days with IHC Group, 12 months from National General (Livingston, TX zip code is 77399 Polk County)
Need a different zip code? Look up any zip code here!
We understand it can be overwhelming when looking at these options and the comparison chart (below) to try and decide what is the BEST option for YOU. But, please understand there is no one-size-fits-all here. You will have to weigh your options carefully before deciding for yourself which option makes the most sense for you and your family.
The first question to ask yourself is, “what’s most important to me?”.
Is it monthly cost? Out of pocket costs (i.e deductibles)? Nationwide coverage? Using a subsidy? Avoiding the penalty? Covering your pre-existing conditions? You will have to consider the importance of each of these categories before deciding which healthcare plan strategy to have in place for 2017.
So let’s look briefly at each of these separately…
If MONTHLY COST is the most important factor to you…
Then you will need to determine if you qualify for a subsidy first. You can do that by running quotes at our ACA enrollment page right here. If you qualify for a subsidy and MONTHLY COST is the most important factor to you then a ACA plan is probably your best option since none of the other options can be used with a subsidy. If you do not qualify for a subsidy, however, you will probably find any of the other options offer a 30-70% lower cost option than an ACA plan.
If you primarily want MAJOR MEDICAL Health Insurance…
Then you will want to select an ACA plan or, if you are self-employed, you can consider the HSA 5000 plan and Premier Plans.
If you primarily want PREVENTIVE ROUTINE CARE benefits…
Then you will want to consider either an ACA plan, HSA 5000, Premier Plans or the AlieraCare option since these options include FULL ACA-required preventive care with ZERO out of pocket costs to members. But, we advise against purchasing a plan solely based on this offering since the largest risk of loss with healthcare is not routine preventive care but rather extended hospitalization.
If NATIONWIDE COVERAGE is the most important factor to you…
Then you may want to consider alternatives to ACA coverage like the HSA 5000, Premier Plans, Fixed-Benefit or AlieraCare. All of these alternatives give you nationwide coverage. There are very few ACA plans that will give you this nationwide coverage for anything other than a medical emergency. There are NONE in Arizona, South Dakota, or Texas (popular RVer domicile states). Florida Blue* remains a good ACA option for Florida residents that still allows members to use the national Blue Cross Blue Shield network when traveling outside of Florida.
If AVOIDING THE TAX PENALTY is the most important factor to you (It shouldn’t be in 2019!)…
The individual mandate tax penalty has been REPEALED!
Don’t lose sight of the reason you are buying healthcare coverage: to protect yourself against a significant financial loss in the event of a major medical situation.
If you are unhealthy and have extensive PRE-EXISTING CONDITIONS…
Then the choice is clear: You need an ACA plan. ACA plans are the only option that will cover all pre-existing conditions on day 1 without waiting periods. Same with prescriptions. If you have lots of prescriptions you need coverage for then an ACA plan is your best option. Most alternative healthcare options will give you discounts on prescriptions but will not give you a “copay” structure like ACA plans—although many ACA plans do subject you to your plan deductible first. Some ACA alternatives will cover pre-existing conditions after a 12-24 month waiting period.
We often get asked, “What do YOU have for coverage?”..
For my family (Kyle), we are healthy, have residency in Texas, and do not qualify for a subsidy. So, we have chosen to go with the United Healthcare Fixed Benefit (option #3 above) for our 2019 health insurance.
We encourage you to not make your choice based on what somebody else has chosen because your situation is unique to you. Case in point: There are 3 health insurance agents here at the RVer Insurance Exchange and each of us has chosen a different option above based on budget, health, lifestyle, risk aversion, and location. We strongly urge you to consider all of your options and make the choice that makes the most sense to you.
Here are 2 additional items we suggest you give consideration to:
- Consider adding an Accident, Hospitalization or Indemnity policy to whichever option you choose if you have a high deductible or don’t have nationwide coverage. An ACI plan can help cover first-dollar expenses if you have an accident or specified illness. This is a particularly good idea for ACA plans with high deductibles and/or lacking nationwide coverage. Click Here for details.
- As always we suggest every RVer enroll in our Telemedicine plan so that you can get telephone consultations anywhere in the country. Some of the options in the chart above include a Telemedicine plan but most do not. You can join our very popular Telemedicine program by clicking here. It’s low-cost, convenient, and can save you a lot of time and money if you need to consult with a doctor. It also includes discounts on prescriptions, dental, vision, hearing, and more.
If you currently have an ACA plan…
ACA has automatic re-enrollment in place for 2018. So if you are happy with your ACA plan, it is still available, and your income is not changing from 2018, then you can use the re-enrollment fallback if you want to. However, we suggest re-shopping your plan for 2019 since there may be better plans available to you that were not available in 2018. Additionally, it is very important to report income changes to the Marketplace if you are receiving a subsidy.
Your insurance company will send you a letter if your 2018 plan is not being offered in 2019.
Comparison Chart of Healthcare Plan Options…
Created with Compare Ninja
State Availability Chart
Created with Compare Ninja
Sample Only Rate Comparison Chart (Florida, nonsmokers, unsubsidized, $5000-$6000 deductible)
Created with Compare Ninja