Health Insurance Tips

WE CAN HELP — Our health care experts are working to provide you with the resources you need to make the most of new health care consumer protections and tools.

Get The Best Deal On Health Insurance

Looking for health coverage? The Health Insurance Marketplace could save you time and money.

1. Check out options at the Health Insurance Marketplace. The plans include coverage for doctor visits, hospitalizations, maternity care, emergency room care, prescriptions and more.
Online
: HealthCare.gov
Toll free: (800)318-2596  TTY: (855) 889-4325

2. Find out about financial help that’s available. At the Health Insurance Marketplace, you can find out if you qualify for financial assistance to lower your costs.

3. Use the Health Insurance Marketplace to compare plans side-by-side. The new marketplace lists your options on one website, and shows what each plan covers.

4. Take advantage of expert help in-person, online, or by phone. Specially trained people are available in communities across the country to help you apply and understand your options. Find them at LocalHelp.healthcare.gov.

5. Don’t take no for an answer. For coverage starting January 2014, insurance companies can no longer deny you due to a pre-existing condition.

6. Keep in touch. Check for updates on our website, and tell us about your experience. We want to hear what you think so we can spot trends and advocate for ongoing improvements. Contact us.

HEALTH CARE CONSUMER PROTECTIONS

If you have coverage, you already have protections under the health care law, such as:

  • Children and young adults can stay on their parents’ plan until age 26
  • Free preventive care, including check-ups and vaccinations
  • Insurance companies can’t set a lifetime cap on what they’ll pay if you get sick
  • Rebates if your insurance company spends less than 80% of premiums on care

Plus, new protections for coverage effective January 1, 2014 include:

  • Insurers can’t deny anyone coverage for having a “pre-existing condition”
  • No more annual caps on what your insurer will pay if you get sick
  • Insurance companies can’t charge women more than men for coverage

See more information about the health care law, the Affordable Care Act

 

Issue updates

Report | U.S. PIRG Education Fund | Health Care

Should I Stay or Should I Go?

Tips for consumers deciding whether to keep their individual health insurance plan or switch to a new plan.

> Keep Reading
News Release | U.S. PIRG | Health Care

Tips for Bypassing Healthcare.gov Glitches and Getting Enrolled

While experts work to fix the problems with the federal health insurance marketplace website, U.S. PIRG urges consumers to take advantage of other ways to enroll.

> Keep Reading
News Release | U.S. PIRG Education Fund | Health Care

U.S. PIRG Education Fund Announces “Health Insurance 101” Campus Education Campaign

U.S. PIRG Education Fund celebrated the kick-off of its new health care outreach and education effort focusing on young Americans. The outreach effort comes as the Affordable Care Act’s “health insurance marketplaces” prepare to open in states across the country.

> Keep Reading
News Release | U.S. PIRG | Health Care

U.S. PIRG Testifies on “Pay for Delay” Before Senate Subcommittee

Today, Mike Russo, U.S. PIRG's Federal Program Director, testified at a hearing on “Pay-for-Delay Deals: Limiting Competition and Costing Consumers” held by the Senate Judiciary Committee, Subcommittee on Antitrust, Competition and Consumer Rights.

> Keep Reading

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News Release | U.S. PIRG | Health Care

Tips for Bypassing Healthcare.gov Glitches and Getting Enrolled

While experts work to fix the problems with the federal health insurance marketplace website, U.S. PIRG urges consumers to take advantage of other ways to enroll.

> Keep Reading
News Release | U.S. PIRG Education Fund | Health Care

U.S. PIRG Education Fund Announces “Health Insurance 101” Campus Education Campaign

U.S. PIRG Education Fund celebrated the kick-off of its new health care outreach and education effort focusing on young Americans. The outreach effort comes as the Affordable Care Act’s “health insurance marketplaces” prepare to open in states across the country.

> Keep Reading
News Release | U.S. PIRG | Health Care

U.S. PIRG Testifies on “Pay for Delay” Before Senate Subcommittee

Today, Mike Russo, U.S. PIRG's Federal Program Director, testified at a hearing on “Pay-for-Delay Deals: Limiting Competition and Costing Consumers” held by the Senate Judiciary Committee, Subcommittee on Antitrust, Competition and Consumer Rights.

> Keep Reading
News Release | U.S. PIRG | Health Care

Twenty Top Generic Drugs Delayed By Industry Payoffs

Americans with cancer, heart disease, epilepsy and other conditions have been forced to pay an average of 10 times more than necessary for at least 20 blockbuster drugs, according to a report released today by Community Catalyst and U.S. PIRG.

> Keep Reading

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Result | Health Care

KEEPING HEALTH CARE AFFORDABLE

Across the country, U.S. PIRG has stood up against unjustified rate hikes and won victories in Oregon and California so far. Thanks in part to our advocacy, California now requires insurers to justify rate hikes to the public, and Oregon state regulators recently cut a proposed 22% rate hike almost in half, saving $12.5 million for some ratepayers.  

> Keep Reading
Result | Health Care

Young People Now Covered

This year, the federal health care reforms that U.S. PIRG worked to win have started to pay off for young people. In the past, teens saw their premiums soar or were denied coverage when they turned 19, even if they’d been insured their whole lives. Now, they can remain on their parents’ plans until age 26. 

> Keep Reading
Report | U.S. PIRG Education Fund | Health Care

Should I Stay or Should I Go?

Tips for consumers deciding whether to keep their individual health insurance plan or switch to a new plan.

> Keep Reading
Report | U.S. PIRG | Health Care

Top Twenty Pay-For-Delay Drugs

Our research revealed 20 major drugs that were subject to an industry practice called “pay for delay,” in which brand name pharmaceutical companies pay off generic drug manufacturers to keep lower cost equivalents off the market, forcing consumers to pay higher brand-name drug prices.

> Keep Reading
Report | U.S. PIRG | Public Health, Health Care

Prescription for Danger

Compounding pharmacies are increasingly behaving like pharmaceutical companies by producing drugs in bulk, despite the fact that they are not inspected or regulated like the pharmaceutical industry. Due to this lack of oversight, many compounding pharmacies have not adhered to safe manufacturing practices, and shown little regard for consumer safety. According to an analysis of warning letters sent to other compounding pharmacies by the FDA from 2002 to 2012, there is a long history of violations that have in many cases led to unnecessary illness, injury, and even death.

> Keep Reading
Report | U.S. PIRG Education Fund | Health Care

Making the Grade

This report assesses the progress that the states have made, and for the states that have begun to set up their health care exchange, evaluates them on the myriad policies and criteria that will determine whether it is ultimately successful in improving health care for consumers.

> Keep Reading
Report | U.S. PIRG Education Fund | Health Care

Building a Better Health Care Marketplace

The creation of a new health insurance exchange offers our state the chance to build a better marketplace for health care.  The exchange can help individuals and small businesses by increasing competition and improving choices in the state’s insurance market.  By providing better options and better information, and negotiating on behalf of its enrollees, the exchange can level the playing field for consumers.

> Keep Reading

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Blog Post | Health Care

The Supreme Court and the High Cost of Rx Drugs

Everyone knows prescription drugs cost much more than they should. But many people are surprised to learn about one of the key ways drug companies keep prices high: Paying off competitors to keep generics off the market. On Monday, the Supreme Court heard arguments in a case about this very practice.

> Keep Reading
Blog Post | Health Care

Pictures from our DC toy safety news conference today | Ed Mierzwinski

Today, PIRGs around the country released our 27th annual Trouble In Toyland report, highlighting potential choking, toxics, magnet and noise hazards kids may face. Here are a few photos from our DC event, where we were joined by Dr. Bryan Rudolph, a pediatric gastroenterologist, and Bob Adler, a Commissioner of the CPSC.

> Keep Reading
Blog Post | Health Care

FTC consumer champion has industries making false health claims afraid, very afraid | Ed Mierzwinski

Adweek profiles FTC consumer chief David Vladeck and his campaign to make yogurt makers, athletic apparel makers, cereal makers and household name firms from Reebok and Skechers to Kellogg's and Dannon to either tell the truth about their health claims or pay. It's a nice piece on the FTC's work and on the longtime consumer champion, who heads back to his Georgetown Law professorship at the end of the year.

> Keep Reading
Blog Post | Health Care

What's Next on Health Care Costs?

Now that the election is over, talk has turned to the need to work together and get results for America. It’s a tall order, and on the polarized issue of health care, it may seem like an impossible task. But here's why I'm optimistic that we can in fact make progress.

> Keep Reading
Blog Post | Health Care

Here’s that Rx refill you didn’t order

Is your pharmacy refilling your prescription without your knowledge or approval, and billing your insurance company for the cost? If so, it’s the latest example of waste we shouldn't tolerate in our health care system.

> Keep Reading
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