rkortes wrote:
Executive wrote:
When deciding on a domicile state as a full timer, be sure to check on health insurance and coverage in States other than your domicile State.
Insightful post.... can you expand on this health insurance topic? I'm not quite getting what you mean. Thanks!:)
Naio wrote:
Unfortunately, a lot of us are not old enough for Medicare.
If you are under 65 (not on Medicare) and don't have COBRA or some other company/military health coverage, then you'll have to buy health insurance.
While there are other options, you'll most likely buy health insurance ON the ACA ("Obamacare") exchange or OFF the exchange (like directly from a insurance company).
The advantage of buying on the ACA exchange is that you are eligible for subsidies.However, for health plans purchased on the ACA exchange, insurance companies now base these plans and options on state
counties. Think of counties as the "group" used to determine what will be offered and for how much.
Picking the "right" county to domicile in is often more important than the state you pick.One more time --
Selecting a Domicile -- It's All about Counties.
For full timers who travel around the country, the "Holy Grail" of health insurance is a plan that has in-network service (doctors, hospitals, clinics) in every state. Typically, that was some sort of Blue Cross Blue Shield (BCBS) PPO plan.
For example . . .
- Texas -- I think one of the main reasons folks select Texas as a domicile (besides no state income tax) is the Escapees Mail Forwarding service. However, this service is based in Polk County, one of the worst Texas counties for ACA on-exchange health care. Only HMO plans are being offered in Polk County on the ACA exchange this year. There are PPO plans offered in other TX counties, but these plans seem to have only in-state doctors in their network -- not good for full timers.
- Florida -- again, chosen as a domicile I think because of no states income tax and an Escapees Mail service based out of Sumter County. However, unlike Polk County, TX, Sumter County offers BCBS "EPO" plans on the exchange which have BCBS's out-of-state network available to full timers.
- South Dakota -- no state income taxes, but PPO plans available in every state county. However, the PPO plans do not appear to have an out-of-state doctor network.
- Nevada -- the Undiscovered Country. No state income taxes. Ten Anthem BCBS PPO plans available in every NV county.