Out-of-Pocket Maximums and Deductible Limits For 2023

Each year the ACA sets new limits for out-of-pocket maximums and deductibles. Here are the limits for 2023 plans for individuals and families. For 2023, your out-of-pocket maximum can be no more than $9,100 for an individual plan and $18,200 for a family plan before marketplace subsidies. These numbers have been revised up for 2023,… Read More

Out-of-Pocket Maximums and Deductible Limits For 2022

Each year the ACA sets new limits for out-of-pocket maximums and deductibles. Here are the limits for 2022 plans for individuals and families. For 2022, your out-of-pocket maximum can be no more than $8,700 for an individual plan and $17,400 for a family plan before marketplace subsidies. These numbers have been revised up for 2022,… Read More

Out-of-Pocket Maximums and Deductible Limits For 2021

Each year the ACA sets new limits for out-of-pocket maximums and deductibles. Here are the limits for 2021 plans for individuals and families. For 2021, your out-of-pocket maximum can be no more than $8,550 for an individual plan and $17,100 for a family plan before marketplace subsidies. These numbers have been revised up for 2021,… Read More

Out-of-Pocket Maximums and Deductible Limits For 2020

Each year the ACA sets new limits for out-of-pocket maximums and deductibles. Here are the limits for 2020 plans for individuals and families. For 2020, your out-of-pocket maximum can be no more than $8,150 for an individual plan and $16,300 for a family plan before marketplace subsidies. For 2020, your maximum deductible is the same… Read More

Out-of-Pocket Maximums and Deductible Limits for 2020 Health Plans

Out-of-Pocket Maximums and Deductible Limits For 2020 Each year the ACA sets new limits for out-of-pocket maximums and deductibles. Here are the limits for 2020 plans for individuals and families. For 2020, your out-of-pocket maximum can be no more than $8,150 for an individual plan and $16,300 for a family plan before marketplace subsidies. For… Read More

Out-of-Pocket Maximums and Deductible Limits for 2019 Health Plans

Out-of-Pocket Maximums and Deductible Limits For 2019 Each year the ACA sets new limits for out-of-pocket maximums and deductibles. Here are the limits for 2019 plans for individuals and families. For 2019, your out-of-pocket maximum can be no more than $7,900 for an individual plan and $15,800 for a family plan before marketplace subsidies. For… Read More

Out-of-Pocket Maximums and Deductible Limits for 2018 Health Plans

Out-of-Pocket Maximums and Deductible Limits For 2018 Each year the ACA sets new limits for out-of-pocket maximums and deductibles. Here are the limits for 2018 plans for individuals and families. For 2018, your out-of-pocket maximum can be no more than $7,350 for an individual plan and $14,700 for a family plan before marketplace subsidies. For 2018, your maximum deductible is… Read More

Out-of-Pocket Maximums and Deductible Limits for 2017 Health Plans

Out-of-Pocket Maximums and Deductible Limits For 2017 Each year the ACA sets new limits for out-of-pocket maximums and deductibles. Here are the limits for 2017 plans for individuals and families. For 2017, your out-of-pocket maximum can be no more than $7,150 for an individual plan and $14,300 for a family plan before marketplace subsidies. For 2017, your maximum… Read More

Out-of-pocket Maximum Limits on Health Plans

Out-of-Pocket Maximums Under the Affordable Care Act The ACA limits out-of-pocket maximums, the max amount of costs for covered services you’ll pay out-of-pocket in a policy period on your health plan. For 2023, your out-of-pocket maximum can be no more than $9,100 for an individual plan and $18,200 for a family plan before marketplace subsidies…. Read More

Missed Deadline for ObamaCare

What Happens if I Missed the Deadline for ObamaCare? If you miss the annual deadline for ObamaCare Open Enrollment, you might miss your opportunity for cost-assisted coverage. However, you may still have options for obtaining health insurance. Open enrollment for private individual and family health plans is limited each year. For example, most states have… Read More

2024 Cost Assistance Obamacare

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

Understanding Medicare Part D: Enrollment and Costs in 2023

Introduction to Medicare Part D Medicare Part D, a program that offers outpatient prescription drug benefits, is a lifeline for older adults and individuals with long-term disabilities. These beneficiaries can enroll in private plans, including stand-alone prescription drug plans (PDPs) and Medicare Advantage prescription drug plans (MA-PDs). These plans supplement traditional Medicare and include drug… Read More

The Battle Over Medicare Advantage: Insights from Democratic U.S. Lawmakers and Universal Healthcare Advocates

“It is time to call out so-called Medicare Advantage for what it is,” said Rep. Rosa DeLauro. This statement underscores the growing concern among Democratic U.S. lawmakers about Medicare Advantage. This program, essentially private insurance, has been accused of profiting by denying coverage and using the name of Medicare to trick our seniors. On July… Read More

Medicare Part B Premiums: A Potential Increase in 2024 Due to New Alzheimer’s Treatment

Retirees may need to brace themselves for a potential increase in one of their regular costs — Medicare Part B premiums — in 2024. This projected increase is primarily driven by a new Alzheimer’s treatment recently entering the market. The Projected Increase in Medicare Part B Premiums Earlier this year, the Medicare trustees projected that… Read More

Medicare Drug Price Negotiation: Improved Access and Affordability for Marginalized Populations

The Inflation Reduction Act’s Medicare drug price negotiation provision is set to revolutionize the affordability and accessibility of medications for millions of Americans. This groundbreaking reform is particularly significant for women, Black, Hispanic or Latino, LGBTQI+, and disabled beneficiaries who have historically faced challenges accessing necessary medications due to high costs. The Inflation Reduction Act:… Read More

Lowering Prescription Drug Costs: The Biden-Harris Administration’s New Tools for Extra Help

The Biden-Harris Administration recently unveiled new tools to lower prescription drug costs for low-income seniors and people with disabilities. These tools focus on expanding the Extra Help program, a vital initiative that provides financial assistance for individuals enrolled in Medicare Part D. This program is a lifeline for many people, helping to cover their Medicare… Read More

2023 Texas Judge Ruling: The Future of Preventive Care Under ObamaCare

On Thursday, March 30, 2023, a Texas federal judge invalidated the Affordable Care Act (ACA) mandate requiring insurers to cover specific preventive services for free, such as certain cancer screenings and medicines for preventing heart disease. The ruling could affect over 150 million Americans’ out-of-pocket costs for these services. Immediate implications are unclear, and health experts don’t expect significant short-term changes. The Biden administration is expected to appeal the decision, which could lead to further legal proceedings.

2024 ObamaCare Eligibility Chart and Subsidy Calculator

This page features a 2024 ObamaCare eligibility chart, the 2023 federal poverty level used for 2024 subsidies, and a subsidy calculator. ObamaCare Cost Assistance To get assistance under the Affordable Care Act, you generally must earn between 100% – 400% of the poverty level. For 2024 coverage, that is $14,580-$58,320 for an individual and $30,000-… Read More

Open Enrollment 2024 Dates and Deadlines

ObamaCare Health Insurance Deadline 2024 ObamaCare’s Open Enrollment period for 2024 health plans started November 1, 2023, and ends January 15, 2024, in most states. Plans sold during Open Enrollment start as early as January 1, 2024. Open enrollment is the only time of year you can enroll in a health plan, switch plans, or… Read More

ObamaCare Income Limits Chart

Income limits for ObamaCare depend on family size and are based on the federal poverty guidelines published each year. With that said, there is no hard limit for subsidies through 2025 as the “subsidy cliff” has been temporarily eliminated. Below, we present the income limits for 2023 coverage (plans held during 2023) and 2024 coverage… Read More

HSA Limits for 2023

Health Saving Accounts and ObamaCare for 2023 We cover everything you need to know about Health Savings Accounts (HSAs) for 2023, including how HSAs work with health plans under the Affordable Care Act. TIP: The Affordable Care Act is sometimes called “ObamaCare” or the “ACA” for short. Thus, this page is about HSAs and how… Read More

Cost Sharing Reduction Subsidies 2023

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

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