1 00:00:00,990 --> 00:00:03,060 - So there are three ways that you might be able 2 00:00:03,060 --> 00:00:04,470 to get yourself health insurance. 3 00:00:04,470 --> 00:00:06,480 The first way is that you just get it directly, 4 00:00:06,480 --> 00:00:08,333 and that would be an individual plan. 5 00:00:08,333 --> 00:00:11,520 You pay the premium, you get the insurance. 6 00:00:11,520 --> 00:00:14,610 The second way is many employers will provide insurance. 7 00:00:14,610 --> 00:00:16,830 They will pay all of the premium, 8 00:00:16,830 --> 00:00:18,390 or a large chunk of the premium, 9 00:00:18,390 --> 00:00:20,850 in certain cases, they might even pay a large chunk, 10 00:00:20,850 --> 00:00:23,160 or the full premium for family members, 11 00:00:23,160 --> 00:00:25,200 and then the third way is the government. 12 00:00:25,200 --> 00:00:26,910 You have programs like Medicare 13 00:00:26,910 --> 00:00:28,440 for primarily senior citizens, 14 00:00:28,440 --> 00:00:30,990 some other cases where other folks might qualify as well. 15 00:00:30,990 --> 00:00:33,630 You have Medicaid for low income folks. 16 00:00:33,630 --> 00:00:37,410 You have also government programs for say, veterans. 17 00:00:37,410 --> 00:00:39,630 Now, as I just alluded to, 18 00:00:39,630 --> 00:00:40,830 probably the biggest difference 19 00:00:40,830 --> 00:00:43,050 is who actually makes the payment. 20 00:00:43,050 --> 00:00:44,040 The government programs, 21 00:00:44,040 --> 00:00:47,010 it's the government who's making the premium payment. 22 00:00:47,010 --> 00:00:49,380 In the employer case, it's the employer, 23 00:00:49,380 --> 00:00:53,070 and they're doing that with pre-tax money, which matters. 24 00:00:53,070 --> 00:00:54,810 They're giving this to you as a benefit 25 00:00:54,810 --> 00:00:56,850 and you do not pay taxes 26 00:00:56,850 --> 00:01:00,150 on the money that they are paying for your insurance. 27 00:01:00,150 --> 00:01:03,098 Well, with an individual plan, you pay that out of pocket. 28 00:01:03,098 --> 00:01:05,430 You pay that yourself. 29 00:01:05,430 --> 00:01:08,640 Now, if you meet certain income guidelines, 30 00:01:08,640 --> 00:01:10,800 and if you pay enough of a premium 31 00:01:10,800 --> 00:01:12,330 above a certain percentage of your income, 32 00:01:12,330 --> 00:01:14,610 some of that might be tax-deductible, 33 00:01:14,610 --> 00:01:17,310 but it is not fully tax-deductible 34 00:01:17,310 --> 00:01:19,830 the same way that when your employer pays for it, 35 00:01:19,830 --> 00:01:21,150 you don't have to pay any taxes 36 00:01:21,150 --> 00:01:25,530 on that premium that they're providing you at all. 37 00:01:25,530 --> 00:01:27,630 Now, on the individual side, 38 00:01:27,630 --> 00:01:31,140 because you are essentially deciding what type 39 00:01:31,140 --> 00:01:32,490 of insurance you want, 40 00:01:32,490 --> 00:01:35,160 it would give you the maximum choice. 41 00:01:35,160 --> 00:01:37,380 Now, in certain cases, that choice is limited, 42 00:01:37,380 --> 00:01:39,210 because when you're getting an individual plan, 43 00:01:39,210 --> 00:01:41,040 they're deciding what the premium is or 44 00:01:41,040 --> 00:01:46,040 whether to even insure you based on your situation, 45 00:01:46,290 --> 00:01:48,090 whether you have pre-existing conditions, 46 00:01:48,090 --> 00:01:50,730 your risk factor, et cetera, 47 00:01:50,730 --> 00:01:54,330 while with a government or with an employer plan, 48 00:01:54,330 --> 00:01:56,520 they're not looking at your individual circumstances. 49 00:01:56,520 --> 00:01:58,650 With an employer, the insurance company will say, okay, 50 00:01:58,650 --> 00:02:01,080 what's the average risk of all of the employees? 51 00:02:01,080 --> 00:02:02,880 And if you're a higher risk employee, 52 00:02:02,880 --> 00:02:04,770 the employer's going to pay the same premium 53 00:02:04,770 --> 00:02:06,780 for you as they're paying for everyone else, 54 00:02:06,780 --> 00:02:08,970 and so you get that same coverage. 55 00:02:08,970 --> 00:02:11,520 One potential negative of an employer plan is 56 00:02:11,520 --> 00:02:13,860 that it might be a little bit more limited in terms 57 00:02:13,860 --> 00:02:14,940 of the coverage options, 58 00:02:14,940 --> 00:02:17,340 but that's not always the case. 59 00:02:17,340 --> 00:02:20,190 Finally, government, you are going to have 60 00:02:20,190 --> 00:02:23,460 probably more limits on what type 61 00:02:23,460 --> 00:02:26,070 of healthcare you might get, but once again, 62 00:02:26,070 --> 00:02:29,070 they are fully paying the premium there. 63 00:02:29,070 --> 00:02:31,260 Last but not least, we could talk about deductibles. 64 00:02:31,260 --> 00:02:33,420 Generally speaking, the government plans 65 00:02:33,420 --> 00:02:34,920 are going to have the lowest deductibles. 66 00:02:34,920 --> 00:02:37,500 In some cases, they will have no deductibles. 67 00:02:37,500 --> 00:02:40,050 In the case of an employer-sponsored plan 68 00:02:40,050 --> 00:02:41,190 or an individual plan, 69 00:02:41,190 --> 00:02:44,910 it really depends on which plan you actually get. 70 00:02:44,910 --> 00:02:46,920 So for a lot of folks, 71 00:02:46,920 --> 00:02:51,270 if you're not retired, if you're not low income, 72 00:02:51,270 --> 00:02:54,690 employer-sponsored plans are probably where you wanna go, 73 00:02:54,690 --> 00:02:57,540 but if your employer doesn't offer those plans 74 00:02:57,540 --> 00:02:59,010 or you're self-employed 75 00:02:59,010 --> 00:03:00,390 and you need get that insurance yourself, 76 00:03:00,390 --> 00:03:03,190 then of course, individual plans is what you need to do.