What is Actuarial Value? Actuarial value is average total of costs for covered benefits covered by a health plan. Let’s look at how ObamaCare’s metal plan actuarial values work and how actuarial value applies to all plans in general. FACT: Actuarial Value (AV) in regards to health insurance was created by the Affordable Care Act to rank ObamaCare’s… Read More
There aren’t copayment restrictions, but plans must offer an actuarial value of at least 60%, which means they must pay on average 60% of all costs of all people on the plan.
Everything You Need to Know About Obamacare Cost Assistance For 2024 We cover everything you need to know about cost assistance for 2024 health plans under the Affordable Care Act (ObamaCare). In other words, here is everything you need to know about Premium Tax Credits, Cost Sharing Reduction Subsidies, Medicaid and CHIP, HSAs, and Medical… Read More
Cost Sharing Reduction (CSR) subsidies reduce your out-of-pocket expenses on silver plans purchased through the health insurance marketplace for those with incomes between 100% – 250% of the poverty level. For 2023 CSR values remain unchanged and provide 70%, 73%, 87%, or 94% Actuarial Value depending on income. CSR subsidies lower your coinsurance, and lower… Read More
Everything You Need to Know About Obamacare Cost Assistance For 2023 We cover everything you need to know about cost assistance for 2023 health plans under the Affordable Care Act (ObamaCare). In other words, here is everything you need to know about Premium Tax Credits, Cost Sharing Reduction Subsidies, Medicaid and CHIP, HSAs, and Medical… Read More
Our ObamaCare 2022 Guide: Everything You Need to Know About ObamaCare Subsidies, Rates, Dates, Enrollment, and More We cover everything you need to know about ObamaCare in 2022 including information on enrollment, assistance, benefits, plan types, and more. In this article, we’ll cover what you need to know for 2022 coverage purchased during open enrollment 2022 (Nov 1,… Read More
Cost Sharing Reduction (CSR) subsidies reduce your out-of-pocket expenses on silver plans purchased through the health insurance marketplace for those with incomes between 100% – 250% of the poverty level. CSR subsidies lower your coinsurance, and lower copays, deductibles, and maximum out-of-pocket costs you will pay in a policy period. CSR subsidies are based on… Read More
Everything You Need to Know About Obamacare Cost Assistance For 2022 We cover everything you need to know about cost assistance for 2022 health plans under the Affordable Care Act (ObamaCare). In other words, here is everything you need to know about Premium Tax Credits, Cost Sharing Reduction Subsidies, Medicaid and CHIP, HSAs, and Medical… Read More
Everything You Need to Know About Obamacare Cost Assistance For 2021 We cover everything you need to know about cost assistance for 2021 health plans under the Affordable Care Act (ObamaCare). In other words, here is everything you need to know about Premium Tax Credits, Cost Sharing Reduction Subsidies, Medicaid and CHIP, HSAs, and Medical… Read More
Cost Sharing Reduction (CSR) subsidies reduce your out-of-pocket expenses on silver plans purchased through the health insurance marketplace for those with incomes between 100% – 250% of the poverty level. CSR subsidies lower your coinsurance, and lower copays, deductibles, and maximum out-of-pocket costs you will pay in a policy period. CSR subsidies are based on… Read More
Cost Sharing Reduction (CSR) subsidies reduce your out-of-pocket expenses on silver plans purchased through the health insurance marketplace for those with incomes between 100% – 250% of the poverty level. CSR subsidies lower your coinsurance, and lower copays, deductibles, and maximum out-of-pocket costs you will pay in a policy period. They are lowered by a… Read More
Our ObamaCare 2020 – 2021 Guide: Everything You Need to Know About ObamaCare Subsidies, Rates, Dates, Enrollment, and More We cover everything you need to know about ObamaCare in 2020 including information on enrollment, assistance, benefits, plan types, and more. Below we’ll cover what you need to know for 2020, and for 2021 coverage purchased in 2020. TIP:… Read More
Everything You Need to Know About Obamacare Cost Assistance For 2020 We cover everything you need to know about cost assistance on 2020 health plans under the Affordable Care Act (ObamaCare). In other words, here is everything you need to know about Premium Tax Credits, Cost Sharing Reduction Subsidies, Medicaid and CHIP, HSAs, and Medical… Read More
Everything You Need to Know About ObamaCare for 2019: Information on Subsidies, Rates, Dates, Enrollment, and More We cover everything you need to know about ObamaCare in 2019 including information on enrollment, assistance, benefits, plan types, and more. NOTE: This page covers everything you need to know for 2019 up until open enrollment 2020 (which happens at the… Read More
Below is a list of archived pages that are important to the site: ObamaCare Basics ObamaCare News: Daily ObamaCare Updates ObamaCare: Everything You Need to Know About the ACA ObamaCare What is ObamaCare? ObamaCare Facts ObamaCare Summary How Does ObamaCare Work? How Will ObamaCare Affect Me? Health Insurance Exchange ObamaCare Individual Mandate Minimum Essential… Read More
Everything You Need to Know about Obamacare Cost Assistance 2019 Below is a break down of everything you need to know about cost assistance on 2019 health plans under the Affordable Care Act (ObamaCare). In other words, here is everything you need to know about Premium Tax Credits, Cost Sharing Reduction Subsidies, Medicaid and CHIP, HSAs, and… Read More
Below is a copy of the 2015 study published on HHS, “The Potential Fiscal Consequences of Not providing CSR Reimbursement.”
How Do Cost Sharing Reduction Subsidies Work? ObamaCare’s Cost Sharing Reduction Subsidies (CSR) lower out-of-pocket costs, based on income, for Silver plans bought on the Health Insurance Marketplace. Please note that CSR subsidies are paid to insurance companies, not to individuals. They are intended to offset the expenses of offering lower-cost health insurance to qualifying individuals. Eliminating… Read More
Get the facts on the CBO report on the Better Care Reconciliation Act of 2017 (the Senate’s ObamaCare repeal and replace plan AKA TrumpCare).
We present a simple summary of the American HealthCare Act (AHCA), sometimes known as TrumpCare, the plan to repeal and replace aspects of the Affordable Care Act (ACA) via the 2017 budget reconciliation process.
We present a simple list of the pros and cons of the ObamaCare Replacement plan (as found in the The American Health Care Act) that some call TrumpCare.
Washington State House Bill 1026 Several House representatives in Washington have sponsored HB 1026 which would establish a single-payer health care system in Washington state using the Affordable Care Act’s State Innovation Waiver 1332. The 1332 waivers first became available to state legislators this year, and these waivers allow states to utilize 95% of the… Read More
We explain the Republican ObamaCare “repeal and delay” plan which plans to defund and repeal ObamaCare and the delay a replacement.
What Repealing and Replacing ObamaCare Could Look Like Under the Trump Administration Republicans in Congress plan to repeal the Affordable Care Act (ObamaCare). Get the facts on a repeal and replace plan under the Trump administration and what it means for America. UPDATE 2019: The repeal and replace plan never passed, and thus some specifics here… Read More
The GOP has promised to repeal and replace ObamaCare, but step one might be a repeal of ObamaCare through the budget reconciliation process.