KENTUCKY HEALTH INSURANCE
When researching your health insurance options in the state of Kentucky, there are several things to keep in mind. If your employer does not offer benefits, are you healthy enough to obtain health insurance on the individual market? If so, Health Plan One can be of service to you in quoting plans appropriate for your needs and price range. Are you self-employed, owning your own business and employing between 2-50 employees? Health Plan One can also assist small business owners in obtaining small group coverage. Do you have any pre-existing conditions, disabilities, or are you below an income level which could qualify you for free or low-cost health care programs offered by the government? You may be eligible in Kentucky for Medicaid, KCHIP, or the high risk pool. Eligibility requirements for each of these options are available on this page.
EVERY KENTUCKY RESIDENT SHOULD KNOW ABOUT HEALTH INSURANCE
The type of health insurance familiar to most consumers is group coverage offered by an employer. With group health insurance through your employer, the policy is partially paid for by the company on behalf of their employees. The company will contribute a large percentage toward the monthly premium and you (the employee) will be responsible for paying the difference, about 16-27%. With group plans you have little choice in the specific benefits of the plan (these are determined by negotiations between the company and the insurance carrier) but you also cannot be denied coverage under the group plan no matter what prescriptions you may take or preexisting conditions you may have. By insuring a large group of employees together under one plan of the company’s choosing, individual employees are not subject to medical underwriting, rather the entire group is underwritten as a whole to determine the premium level everyone will pay. Therefore, the amount you pay in premiums as well as the quality of the coverage you receive are dependent not on how healthy you are or what benefits you would like to have, but how healthy your group is as a whole and what benefits the company has chosen for you.
KENTUCKY MEDICAL INSURANCE STATISTICS
Consider the following statistics about health care coverage in Kentucky:
Total Kentucky Residents – 4,226,138
Kentucky uninsured residents – 14.81%
Total Kentucky HMO enrollment – 340,642
Avg annual employee premium in KY employer-sponsored plan (after employer contrib): $806
Avg KY hospital cost per inpatient day (before insurance) – $1,390
KENTUCKY HEALTH PLANS
If you are self-employed, you could qualify for a small group plan in Kentucky. You must have 2 or more eligible employees who each work at least 30 hours per week. No minimum amount of time in business is required to apply, but you must be able to provide tax forms and other business documentation requested by the carrier to which you’re applying. All carriers in Kentucky do medically underwrite for small group plans. This means that though no one in the group can be denied coverage, the carrier can increase the rates based on the health history of employees enrolling. Health Plan One can help you by quoting plans for small groups.
YOUNG ADULT COVERAGE
Under the Affordable Care Act, if your plan covers children, you can now add or keep your children on your health insurance policy until they turn 26 years old.
KENTUCKY STATE HEALTH RESOURCES
Residents can also refer to a number of resources within Kentucky:
KENTUCKY DEPARTMENT OF MEDICAID SERVICES
Information available to see if you qualify for Kentucky’s Medicaid Program
KENTUCKY DENTAL HEALTH PROGRAM
Promotes dental health in children, includes a fluoride program
INFANTS AND CHILDREN HEALTH CARE ASSISTANCE DIRECTORY
Information specific to infants and children in Kentucky