Washington Healthplanfinder is just one of the fourteen major health insurance markets in the country and has been established according to the Patient Protection and Affordable Care Act, also commonly called Obamacare. In Washington State there are basically three types of health plans, Washington Health Choice, Washington Health Maintenance Organization, and Washington Essential Health. All three participate in a network of physicians and hospitals that participate in Washington Healthplanfinder. Basically if you are interested in buying a health plan in Washington State, you will need to visit one of these health insurance companies, obtain an application, and submit it. Once approved, the company will then determine premiums and take care of any questions or problems that you might have.

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According to the Patient Protection and Affordable Care Act (PPACA), all health insurance plans must offer "acuity" - coverage to the "beneficiaries" of the plan. That means that the federal health insurance law says that if you or a beneficiary is not provided "acuity" coverage, the plan cannot force you to pay for services you either don't need, don't want, or can't afford. It's pretty basic stuff in terms of economics. So how does WaHealthplan Finder work? The "wa" in "wa health" is a preposition that refers to the federal health care act - "health care act."

 

Under the federal health care act, if you are a resident of Washington State and if you meet certain requirements you can get coverage for most, if not all, of your out-of-network doctors, hospitals, and other medical providers. This is how Wahealthplanfinder works - it helps you find a qualified health plan in Washington State that will let you choose out-of-network providers at a reduced cost. Here's how it works:

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First, once you've chosen one of the Wahealth plans offered by WaHawaii, you have to go through an open enrollment period. During this open enrollment period, you'll be allowed to choose any doctor, hospital, or other medical provider you want as long as they accept WaHawaii insurance. In addition, during this open enrollment period you are also free to shop around for additional medical providers, but only if you don't have insurance already. During the open enrollment period, your new primary care physician will contact you via phone and explain how much additional coverage he or she will provide and how much he or she will charge.

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Once the open enrollment period has ended and you've made your choice, you will need to get legal help to set up primary care physician coverage. You can do this yourself, using the contact information you have initially provided WaHawaii. Or, you can get legal help from a licensed insurance agent who will help you fill out the application, complete a waiver of consent, and submit it to the appropriate federal health care reform agency.

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There are some specific things that the application must contain. Among them are your name, address, phone number, Social Security number, health insurance policy number, and proof that you are a U.S. citizen. Some applications require you to fax copies of your documents such as your I.D., passport, and birth certificate. If at all possible, you should get a copy of your current medical insurance policy in addition to your application. This will ensure that your application gets sent to the appropriate in-network providers, regardless of whether or not you're still in the open enrollment period.

 

Once you've gotten health insurance coverage, it's important to monitor your coverage closely. You may need to make a claim at some point. WaHawaii will send you a notice when your open enrollment period is ending and when you have to make a claim for benefits due to receipt of adverse event. You need to be sure to get health reports on a regular basis, so you'll know if you need to file a claim.

 

If you experience an adverse life event, your premiums may increase automatically, even if you're not getting new health insurance coverage during the open enrollment period. WaHawaii offers special enrollment periods for those who experience life events. You can select from a special enrollment period based upon your age (younger, middle-aged, and older adults) and occupation (employed, self-employed, and unemployed). WaHawaii will also allow you to choose among a set of different benefits, so you won't be forced into a contract with one particular health insurance provider.

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