Frequently Asked Questions

What is a Defined Budget Strategy?

A defined budget strategy is typically a post-tax contribution that an employer provides to eligible employees that staff can use to help cover monthly insurance premiums or other medical costs.

How do healthcare tax credits work?

Similar to a child tax credit, premium tax credits help eligible individuals and families cover the premiums for their health insurance purchased through the Health Insurance marketplace. To receive this credit, certain requirements must be met. 

Will the premiums be tax free?

There are two options to fund individual health insurance: post-tax contributions where employees can receive premium tax credits, or pre-tax contributions via a QSEHRA. 
In most cases, our clients find that our post-tax strategy is more advantageous than utilizing a pre-tax HRA or even a pre-tax traditional group health plan. 

Do we have to wait until the end of our current group health plan to utilize the RH+ strategy?

No, a group health plan can be cancelled at any time. Individuals qualify for a Special Enrollment Period (SEP) if they have had certain life events: losing health coverage, moving, marriage, divorce, having a baby, etc. 
Switching to our RH+ strategy creates a SEP for employees allowing them to access individual health coverage.

Will all of my doctors be included under my coverage?

Networks vary depending on the plan selected. Each employee can choose their own plan and network to include their preferred doctors. We recommend visiting the providers website or calling your doctor to make sure they participate in the network of your choice. 

How do I submit a claim?

To submit a claim to your insurance carrier, contact the member services department of your chosen carrier. We cannot submit claims on your behalf. 

Can I take coverage with me if I leave my employer?

Yes, all plans through the RH+ platform are individual plans not connected to any employer. Any budget provided by your employer to assist with monthly premium costs would discontinue at termination of employment, so individuals would assume the full monthly premium cost. Remodel will also no longer make payments on your behalf if you are no longer employed by an organization on our platform. 

How do I cancel my plan?

Remodel Health can cancel your plan on your behalf. Please contact your chosen carrier's customer service department to cancel your insurance plan, and inform your Remodel Health member care coordinator of your intent to cancel. 

If I've had a major life change, do I need to notify my advisor?

Yes, if you have had any major life change that may affect your insurance coverage, please let your member care coordinator know as soon as possible.