ObamaCare Facts 2014 – We Tell you the Facts, Not The Talking Points

We present the facts on Obama Care (ObamaCare), the health care plan for America. Our goal is to help you understand the Affordable Care Act. Decide for yourself what you think about the new health care law, based on the facts and not the talking points.

Obamacare(ObamaCare Facts Image Public Domain, Photo by Chuck Kennedy; U.S. Government Work)

• The official name for “ObamaCare” is the Patient Protection and Affordable Care Act (PPACA). It is also commonly referred to as Obama care, health care reform, or the Affordable Care Act (ACA).

• The Affordable Care Act was signed into law to reform the health care industry by President Barack Obama on March 23, 2010 and upheld by the supreme court on On June 28, 2012.

What is ObamaCare? ObamaCare’s goal is to give more Americans access to affordable, quality health insurance, and to reduce the growth in health care spending in the U.S.

• The Affordable Care Act expands the affordability, quality, and availability of private and public health insurance through consumer protections, regulations, subsidies, taxes, insurance exchanges, and other reforms.

• The fact is ObamaCare does not replace private insurance, Medicare, or Medicaid.

• ObamaCare doesn’t regulate your health care, it regulates health insurance and some of the worst practices of the for-profit health care industry.

• ObamaCare offers a number of new benefits, rights and protections including provisions that let young adults stay on their plan until 26, stop insurance companies from dropping you when you are sick or if you make an honest mistake on your application, prevent against gender discrimination, stop insurance companies from making unjustified rate hikes, do away with life-time and annual limits, give you the right to a rapid appeal of insurance company decisions, expand coverage to tens of millions, subsidize health insurance costs, require all insurers to cover people with pre-existing conditions, among other things.

Find Out What the Affordable Care Act Means for You:

• ObamaCare’s new benefits, rights and protections also include the requirement that most non-grandfathered health insurance plans cover preventive services and provide at least ten new essential health benefits. Learn more about grandfathered health plans.

Ten essential health benefits including emergency care, hospitalization, prescription drugs, maternity, and newborn care must be included on all non-grandfathered plans with no annual or lifetime dollar limits.

Free preventive services including yearly check-ups, immunizations, counseling, and screenings must be included on all non-grandfathered plans at no out-of-pocket costs.

• Many of ObamaCare’s numerous provisions have already been enacted. The rest of the program continues to roll out until 2022. See our Affordable Care Act timeline for more information.

• The Affordable Care Act contains ten titles that span over 1000 pages, but most of it’s key provisions are in the first Title. The first title is about 140 pages long (these pages are mostly white space with about 450 characters per page). If you would like to read the whole title, would like a summary of the title, and/or a summary of the provisions within check out our summary of the Patient Protection and Affordable Care Act.

• Over 100 million Americans have already benefited from the new health care law. This includes more than 105 million people who accessed critical preventive services for free that had previously been subject to out-of-pocket costs, billions of dollars saved for seniors from the gradual closing of the Medicare Part D “Donut Hole”, billions saved from new accountability measures for insurance companies, and much more.

The Affordable Care Act also includes new taxes. Most new taxes are on high-earners, large businesses, and the healthcare industry. However, there are some tax related provisions every American should be aware of: tax credits to subsidize costs for low-to-middle income Americans and small businesses starting 2014, an employer mandate for large employers to provide health insurance to full-time employees by 2016, an individual mandate for individuals and families obtain health insurance by 2014, and lastly new limits to medical deductions.

Obamacare Facts• In exchange for the new rights and protections most Americans must obtain health coverage by 2014, get an exemption, or pay a per-month fee. Learn more about the ObamaCare individual mandate.

ObamaCare creates state specific health insurance marketplaces (also known as exchanges) where individuals and families can shop for subsidized health insurance based on income and find out if they qualify for Medicaid, CHIP or Medicare. NOTE: If you have coverage through work, you can’t get subsidies on the marketplace. What is the health insurance marketplace?

• ObamaCare’s official health insurance marketplace is healthcare.gov. However, many states set up their own marketplace. Find your states marketplace here.

• Marketplace insurance must be obtained during open enrollment, you won’t be able to get marketplace coverage outside of open enrollment without qualifying for a special enrollment period.

Open enrollment in the health insurance marketplace for 2014 started October 1st, 2013 and ended on March 31st, 2014.

Open enrollment for 2015 starts November 15th, 2014 and ends February 15th, 2015.

• If you miss the annual open enrollment period, you may still have options. Individuals may qualify for special enrollment period outside of open enrollment if they experience certain qualifying life events. Learn what to do if you missed the ObamaCare deadline.

• Private insurance outside of the marketplace, Medicaid and CHIP don’t have open enrollment periods. The health insurance marketplaces, Medicare and employer based insurance all have unique open enrollment periods. Please be aware that although individual policies have no official open enrollment period, you won’t be able to get minimum essential coverage (major medical that protects you from the fee) in most cases as insurers have unofficially adopted the Affordable Care Act’s marketplaces enrollment periods.

If you enrolled in a health insurance plan that started by May 1st, 2014, you won’t have to make the payment for going without coverage for any month before your coverage began. For example, if you enrolled in a Marketplace plan on March 31st, 2014 your coverage begins on May 1, 2014. If you didn’t have coverage earlier in the year, you won’t have to pay a penalty for any of the previous months of 2014 due to a “short coverage gap” exemption.

Apply for the health insurance marketplace early. Applying and enrolling are not the same thing. Although for many of us the application process will only take a few minutes, the verification process can take time. Once your application is verified you have until the last day of open enrollment each year to enroll in a plan. Learn more about how to sign up for health insurance, ensure you don’t miss the annual deadlines!

• Insurance purchased by the 15th of each month starts on the 1st of the next month after you pay your premium. If you sign up during the second half of the month your coverage won’t start until the second month. Please check with your insurer for specific start dates.

Hardship Exemption Update December 20th, 2013: If you had your plan canceled in 2014 due to the Affordable Care Act you now qualify for a hardship exemption in 2014. That means you won’t have to pay the fee if you decide to go without insurance and will qualify for a low premium, high out-of-pocket catastrophic plan on your State’s health insurance marketplace. This change does not affect your ability to get subsidies or purchase other marketplace plans.

If you like your plan, you can keep it… In states that approve Americans who like their health insurance can keep it until 2017 (last renewal date is October 2016, if you renew insurance in 2016 it lasts until 2017) at which point all non-grandfathered health plans must meet the requirements of the ACA or be switched to a new plan. On November 14th, 2013 the President announced a “fix” that lets insurance companies renew plans and extend coverage of existing plans, that don’t comply with the ACA, until the start of 2015. In March 2014 another extension was made making the new deadline for renewal October 2016. Some States have rejected the fix due to it creating two risk pools which could potentially drive up the cost of new plans. Learn more about keeping your insurance under ObamaCare.

• Only certain types of major medical health insurance will protect you from the individual mandate’s shared responsibility fee (the fee for not having coverage), that type of coverage is called minimum essential coverage.

• All insurance bought on the health insurance marketplace, Medicare part A and C, Medicaid and CHIP, and most employer sponsored plans are considered minimum essential coverage.

• Most private individual and family health insurance sold outside of open enrollment (like short term health insurance) is not considered minimum essential coverage and won’t protect you from the fee.

• The only way for the IRS to collect the fee for not having health insurance is to withhold the money you would get back after filing your federal income tax returns. The IRS cannot enforce the Individual Shared Responsibility provision with jail time, liens, or any other of typical methods of collection. Please keep in mind that about 75% of Americans got a refund in 2012 and many who aren’t owed a refund will be exempt from the tax anyway.

• The CBO estimates that in 2016, after the major provisions of health care reform are implemented, 24 million people will be exempted from the Individual Mandate. In many cases if you don’t think you can afford health insurance, you may be exempt and eligible for cost assistance.

• There are three ways to save money on your health insurance through ObamaCare’s marketplaces: Advanced premium tax credits which lower your monthly premium costs, cost sharing subsidies which lower your out-of-pocket costs for copays, coinsurance and deductibles, and Medicaid which does both. Learn more about ObamaCare cost assistance.

• Americans making less than $45,960 as individual or $94,200 as a family of 4 may be eligible for free or low-cost health insurance due to cost assistance subsidies like Tax Credits that reduce premium costs and cost sharing subsidies that lower cost sharing on copays, coinsurance and deductibles.

Cost assistance is only offered through your state’s health insurance marketplace, although some private health insurance brokers and providers work with the marketplaces to assist you in getting subsidies.

• The CBO estimates the average marketplace subsidy per subsidized enrollee will be $5,290 in 2014.

• The 2013 Federal Poverty Guidelines (FPL) are used to determine cost assistance on the marketplace for 2014.

You can apply for Medicaid or CHIP, at any time of the year. If you miss open enrollment you can still sign up for Medicaid and CHIP, but you won’t be able to use the marketplace to do so. Medicaid and CHIP eligibility differs in each state due to the fact that many state did not expand Medicaid.

• There are millions of eligible Americans who simply haven’t signed up yet. Keep spreading awareness and educate yourself about which states have expanded Medicaid eligibility under Medicaid Expansion.

• Over 15 million men, women and children will be eligible for Medicaid in State’s that participate in Medicaid Expansion.

• 5.7 million people will be uninsured in 2016 because 24 States have not expanded Medicaid.

Health and Human Services (HHS), the department in charge of implementing and overseeing the Affordable Care Act, reported that over 8 million Americans enrolled in a marketplace plan during 2014 open enrollment along with over 6 million in Medicaid and CHIP.

• An April HHS report shows that 85% of the more than 8 million people who enrolled in private coverage through ObamaCare’s marketplaces received premium subsidies.

• About 2.6 million young people under 26 were able to enroll on their parents plan.

• According to an April Gallup study all about 15 million folks who didn’t have health insurance before the ACA was signed into law in 2010 are now covered bringing the total uninsured adults in the US from 18% to 13.4%. Learn more about ObamaCare enrollment numbers.

• According to a a July study by the Commonwealth Fund the uninsured rate for people ages 19 to 64 declined from 20% in the July-to-September 2013 period to 15% in the April-to-June 2014 period.

• The same Commonwealth Fund study showed uninsured rate for 19-to-34-year-olds declined from 28% to 18% during the same period, with an estimated 5.7 million fewer young adults uninsured.

• By June, 60 percent of adults with new coverage through the marketplaces or Medicaid reported they had visited a doctor or hospital or filled a prescription; of these, 62 percent said they could not have accessed or afforded this care previously.

• ObamaCare helps to cover working families who don’t have access to health insurance. Come 2015 large employers with 100 full-time equivalent employees or more will have to insurance full-time workers. Starting 2016 employers with 50-99 full-time equivalent employees will have to insure their full-time workforce. This new rule is unofficially called the employer mandate.

• Since 2010 small businesses with 25 or less employees can get tax breaks for offering coverage (tax credits are retroactive since 2010). ObamaCare and small business.

• The opening of the SHOP “Small Business Health Options Program” (the part of the marketplace small businesses use to buy employee health plans) has been pushed back to November 15th, 2014. During open enrollment small businesses can buy a SHOP plan through an agent and claim tax breaks up to 50% of their share of employee premiums (this was true in 2014, even though they couldn’t officially use the marketplace).

• Even though the SHOP doesn’t open until November, small businesses can use a paper application to apply for employee health coverage through the SHOP marketplace at anytime.

• The small business health care tax credit may be carried back and applied retroactively to previous tax years, or carried forward to future tax years. Learn more about the ObamaCare SHOP Small Business Health Options Program.

• The greater availability of health insurance and the looming employer mandate have contributed to both a net reduction in full-time equivalent hours and helped to eliminate “job-lock”. Learn more about ObamaCare and jobs.

• There are 4 types of Qualified Health Plans (sometimes called metal plans) available on the marketplace. Each one has the same benefits, rights and protections, but different networks and cost-sharing. As a rule of thumb the more “valuable” the metal the higher the premium and lower the out-of-pocket costs. Don’t buy health insurance without understanding actuarial value and deductibles, the cheapest option won’t always be the best one for you and your family. Learn about the Types of health plans sold on the marketplace.

• Aside from the 4 basic “metal” health plan types, a “catastrophic” health plan is available through the health insurance marketplace for people under 30 and people with hardship exemptions. Catastrophic health plans tend to have a low premium but very high out-of-pocket costs.

• Wondering how health insurance works? You pay a premium for every month you have coverage. The higher the premium the less out-of-pocket expenses you are responsible for and the larger network of doctors and providers you can utilize. All plans starting after 2014 are required to offer the same benefits, rights and protections but difference out-of-pocket costs. Learn more about how health insurance works and how to buy health insurance for 2014.

• You don’t have coverage officially until your premium is paid! Remember to follow up with your insurance company if you don’t receive your welcome packet and make sure your first premium is paid on time.

• Aside from the “key provisions” of the Affordable Care Act (ObamaCare) there are hundreds of little talked about provisions that are very effective, but rarely talked about. For example, section 3022 of the PPACA includes guidelines for the establishment of accountable care organizations (ACOs) under the Medicare Shared Savings Program. ACOs are doctors who band together and get paid based on their patients’ medical outcomes rather than on how many tests and procedures they perform.

• Medicare isn’t part of the Health Insurance Marketplace. If you have Medicare, keep it.

• ObamaCare gives seniors access to cheaper drugs, free preventive care, reforms Medicare Advantage, and closes the Medicare Part D ‘donut hole. The fact is the Affordable Care Act focuses heavily on ensuring better care for seniors and keeping Medicare strong for years to come. Learn about how the Affordable Care Act affects Medicare.

• Want to get a better idea of how the Affordable Care Act affects Medicare, Medicare Advantage, Part D, or Medigap policies? Or perhaps you just have questions about how Medicare works or how Medicare enrollment works. Check out our section on ObamaCare and Medicare for the Facts on ObamaCare and Medicare reform.

benefits of the Affordable Care Act

According to a Kaiser Health Tracking Poll from March 2014 61% of the currently uninsured were unaware of the March 31 deadline, yet…

…6 in 10 Americans without coverage could get covered for $100 a month or less if they sign up before March 31st. Millions went without assistance (and thus proper healthcare) this year because they were unaware of how the Affordable Care Act worked.

• Remember the official ObamaCare website, healthcare.gov, is the place you can sign up for subsidized health insurance. As of December 1st, 2013 the ObamaCare website has been working well with many of it’s initial technical issues ironed out.

• By December 24th, 2013 over a million people had enrolled in marketplace insurance and over 800,000 have enrolled in Medicaid. As of January 24th over 3 million Americans had enrolled. As of February 26th 4 million Americans in private health plans through the State and Federal marketplaces. As of March 17th 5 million had signed up. As of March 28th 6 million have enrolled in a plan. As of April 1st 7.1 million have enrolled. As of April 17th 8 million had enrolled. These figures don’t include sign ups outside of the marketplace or Medicaid, Medicare, etc. The CBO had projected 7 million sign ups through the marketplace by the end of open enrollment March 31st, 2014. Get the latest ObamaCare website updates.

• The Fact is ObamaCare gives 47 million women access to preventive health services and makes it illegal to charge women different rates than men. Get more ObamaCare women’s health services facts.

• Up to 82% of nearly 16 million uninsured young U.S. adults will qualify for cost assistance or Medicaid through ObamaCare’s marketplaces.

• The amount of young people who sign up for insurance will greatly impact the effectiveness of the program, as healthy young adults are the least likely to use costly health care services. Find out how ObamaCare affects young people.

• 1 in 2 Americans have a “pre-existing” condition that they could be denied health insurance for. ObamaCare chips Away at pre-existing conditions until 2014 when there are no more pre-existing conditions for anyone, including high-risk customers. This means you can no longer be denied coverage or treatment or charged more for health status. Find out more about pre-existing conditions.

• 54 million Americans with private health insurance now have access to preventive services with no cost sharing due to the new minimum standards of ObamaCare.

• ObamaCare doesn’t ration health care; it protects consumers from the health care rationing that insurance companies have been doing for ages.

• ObamaCare reduces the growth in healthcare spending. The current $2.8 trillion U.S. healthcare system costs almost $9k a year for every man, woman, and child.

• The new law affects everyone differently. Find out, “How the Affordable Care Act Will affect me?:

After you get done reading the ObamaCare facts, check out our detailed summary of Obama Care to get the facts on how Obama’s health care reform really works: health care reform summary

Listen to the President discuss where the Affordable Care Act stands post open enrollment 2014:

• You may have heard about the ObamaCare website glitches. The official healthcare.gov website had been having some technical issues at launch, but is up and running fine now. Aside from the website you can also sign up for the marketplace by mailing in an online application (read these instructions first), get in person help, or call the 24/7 helpline (800) 318-2596. Learn more about other ways to sign up for health insurance.

UPDATE: as of December 20th, 2014 the health insurance marketplaces have been running smoothly today over 8 million Americans have enrolled in marketplace plans.

How to get health insurance

• Some people in some states who bought insurance outside of the marketplace due to technical issues with their states website, despite qualifying for subsidies, can retroactively sign up for a marketplace plan and receive federal subsidies. Contact your insurance company for further details. ObamaCare subsidies.

• The Defund ObamaCare movement led to a Government Shutdown on October 1st, 2013 as House Republicans refused to pass a budget unless it included repealing, removing, delaying, or defunding parts of the Affordable Care Act such as the medical device tax and employer mandate. The shutdown lasted until October 18th. Get the facts on the Government shutdown and the repeal ObamaCare Movement.

• We’ve created a detailed ObamaCare Facts Health care reform timeline of every protection, benefit, and tax laid out by the Affordable Care Act from 2010 to 2022.

• ObamaCare is a hot button political issue and both sides of the aisle will try to persuade you to be for or against it. Get THE FACTS on ObamaCare and American Health Care Reform.

• Before ObamaCare’s 1st open enrollment period, 15% of Americans were uninsured, which is a little less than 50 million men, women and children.

• Before the ACA about 38 million Americans had inadequate health insurance

• Studies have shown anywhere from 20,000 to 44,000 Americans die each year from lack of health insurance.

• Given the above nearly one-third of Americans face each day without the security of knowing that, if and when they need it, medical care is available to them and their families before the Affordable Care Act.

• An April Gallup poll shows the current uninsured rate dropped to 13.4%, the lowest in decades, under open enrollment in the health insurance marketplace.

• The primary reasons for Americans being uninsured are cost and job loss.

• Both the individual mandate and the health insurance marketplace only affect uninsured Americans.

• For the 85% of Americans with health coverage almost all of ObamaCare’s changes are already in place.

• 7 million Americans are projected to purchase private insurance on the marketplace this year.

• 9 million Americans are projected to enroll in Medicaid or CHIP (you can apply for Medicaid and CHIP through the marketplace).

• The number of uninsured has dropped every year since the Affordable Care Act was signed into law.

• The Congressional Budget Office is projecting the rate of uninsured will drop by 14 million people in 2014.

• The 101.5 million already enrolled in government health programs like Medicaid, Medicare, CHIP won’t need to use the marketplace.

• The 170.9 million already covered by employer insurance won’t need to use the marketplace.

• In 2010 16% of uninsured were full-time workers or their dependents.

• In 2010 only 53.8% of private sector firms offered health insurance.

• Poor working families are the most likely to be uninsured.

• In 2013, the average annual total cost of employer-sponsored family coverage was $16,351, and the share of the premium paid by workers was 29%. Between 2003 and 2013, premiums have increased by 80%.

• The “employer mandate” means come 2016 larger employers will have to insure their full-time employees and their families or pay a per employee fee. Learn more about the Employer Mandate.

• Today all small businesses with less than 25 full-time equivalent employees can now get better benefits, big tax breaks, and better buying power to provide employee health insurance via the SHOP (part of their State’s Health Insurance Marketplace). Learn more about ObamaCare and small business.

• Under the Affordable Care Act tens of millions got health coverage through the marketplaces, Medicaid and CHIP, and outside of the marketplace through private providers.

• A May 2014 Gallup poll shows under ObamaCare (the Affordable Care Act) the uninsured rate is the lowest it’s been since 2008 when Gallup started polling the uninsured rate. Data from HHS on the uninsured in 2007 shows that this could actually the lowest uninsured rate since before 1998. The uninsured rate for U.S. adults in April was 13.4%, down from 15.0% in March.

• States that moved forward with Medicaid expansion and establishing their own marketplaces saw the biggest reduction in uninsured under the ACA, states that rejected both saw the lowest reduction to their uninsured. Learn more about how ObamaCare affects uninsured rates.

• States that moved forward with Medicaid expansion and establishing their own marketplaces saw the biggest reduction in uninsured under the ACA, states that rejected both saw the lowest reduction to their uninsured. Learn more about how ObamaCare affects uninsured rates.

• Want more facts about uninsured Americans? Learn more about uninsured Americans from the Kaiser Family Foundation (one of the best resources on health care reform) and how ObamaCare helps.

The video below will tell you everything You Need to Know About ObamaCare in under 7 minutes.

Most Americans had to obtain qualifying health insurance that started by May 1st, 2014, get an exemption or pay a fee for every month they are without insurance. The fee is paid on your federal income tax return. This fee is commonly referred to as an Individual Mandate and is part of the shared responsibility provision. Learn more about the ObamaCare individual mandate.

According to the CBO: Almost 90% of the 30 plus million Americans without insurance will not pay the penalty for not having insurance in 2016, mostly due to exemptions.

• Most Americans will have the option to stay on their current healthcare plans. No one who can afford it or who have access to a subsidized plan, including seniors, will be forced not to have healthcare. That’s an ObamaCare fact.

• If you like your doctor, and your health insurance provider includes your doctor in your insurer network, you can keep your doctor. Nothing in the ACA prevents you from keeping your doctor. Learn more about ObamaCare and doctors.

• If you don’t have coverage, you can use your State’s new Health Insurance Marketplace to buy a private insurance plan. Many Americans will qualify for lower costs on monthly premiums and out-of-pocket costs through the marketplace. Please note that if you have access to employer based insurance you cannot get cost assistance through the marketplace.

Your State’s Health Insurance Marketplace Opened Oct 1st, 2013 and closed March 31st, 2014. Insurance companies compete to be your healthcare provider via your State’s Health Insurance Marketplace, which is sometimes called a Health Insurance Exchange.

• Americans earning below 400% of the Federal Poverty Level may be eligible for cost assistance on the marketplace.

• Read our complete guide to the health insurance exchange marketplaces and find out how you can get reduced premiums and lowered out-of-pocket costs for copays, coinsurance and deductibles.

• 6 in 10 Americans without health insurance can get health insurance for under $100 through their State’s Health Insurance Marketplace. Many low income Americans will have an option for free health insurance when applying through the marketplace.

Should I buy insurance through the health insurance marketplace? Your options for obtaining coverage are changing. For some of us buying private insurance through the health insurance marketplace will be our best option, for others buying health insurance through a private broker will be the smarter move. Find out which option is right for you and your family. ObamaCare and health insurance plans.

HealthCare.gov is the official site on the Affordable Care Act and the Health Insurance Marketplace. Ready to sign up for health insurance? Find your state’s health insurance marketplace now.

• Any insurance plan that starts after 2014 must follow new health insurance rules and include Ten Essential Benefits. All health plans sold through the health insurance marketplace adheres to these rules.

• Policies issued before 2010 (“grandfathered” health plans) don’t have to adhere to all the new rights and protections offered by the Affordable Care Act.

• ObamaCare takes measures to prevent all types of discrimination in regards to your right to health care. Factors such as pre-existing conditions, health status, claims history, duration of coverage, gender, occupation, and small employer size and industry can no longer be used by insurance companies to increase health insurance premiums.

• The only factors that can affect premiums of new insurance plans starting in 2014 are your income, age, tobacco use, family size, geography and the type of plan you buy.  This applies to all plans sold through your State’s health insurance marketplace.

• The amount of out-of-pocket costs your health plan covers can affect your rates. Plans that cover more out-of-pocket costs like deductibles, coinsurance, and copayments also have higher premiums.

• Starting 2015 in some States smokers can expect to pay up to 50% more than non-smokers for the same health plans. Subsidies are given before being charged a “tobacco surcharge” meaning that smokers could find affordable insurance being unaffordable. Get the facts on ObamaCare and smokers.

• According to the CDC, 75 percent of all healthcare expenditures go toward treating chronic diseases, many of which are preventable.

• Chronic diseases cause 7 in 10 deaths each year in the United States.

• The Affordable Care Act includes a major focus on wellness including funding for programs that educate the public on health and wellness and new rules for employer wellness programs.

• Employers can use the SHOP marketplace or Small Business Health Options Program, a part of the health insurance exchange, to purchase affordable coverage for their workers saving employers up to 50% of low to moderate earning workers premiums in the form of tax credits.

Did your health insurance premium go up? The fact is ObamaCare enacted a number of consumer protections, including a rate review provision, where insurance companies have to justify rate hikes above 10% to your State and post details online immediately. Yet, many Americans are still seeing their premiums rise at alarming rates. Learn more about ObamaCare insurance premiums

• ObamaCare is the first step toward true health care reform in the US. The fact is about 60 percent of all personal bankruptcies in the US are related to medical bills. The health care law helps protect you from medical bankruptcy by ending annual & lifetime limits. Find out more Health Care Facts.

• Other insurance reforms to curb the cost of premiums are already in effect as well. These include a Medical Loss Ratio policy and other accountability measures. Many more protections go into effect in 2014. So far, the average insurance premium has gone down. Americans saved $2.1 billion due to the new ObamaCare consumer protection provisions in 2012 alone.

• ObamaCare means 21 new taxes. Get the facts on how they will affect you, your family and your business. Get the ObamaCare taxes facts.

• ObamaCare states that “affordable insurance” means paying no more than 8% of your annual income on or 9.5% of family income if insurance is obtained through an employer. Please note ObamaCare does not guarantee “affordable insurance”.

• ObamaCare provides lower prescription drug costs for people on Medicare.

• ObamaCare provides free preventive women’s services, including mammograms, as one of the 10 essential benefits covered under every new insurance plan.

• Young, healthy Americans and those making above 400% of the FPL are projected to pay more for insurance while many others are projected to pay significantly less.

• ObamaCare ensures that there are no out-of-pocket costs on patients receiving mammograms and colonoscopies which are two of the most widely used forms of preventive health care.

• ObamaCare reforms and expands Medicaid to over 15 million of our nation’s poorest. That’s 6.1 million less than the last estimate due to States opting-out out of providing coverage, despite 100% federal funding for the first 3 years and 90% thereafter. Learn more about ObamaCare’s Medicaid expansion.

• States will have to spend millions on Medicaid over the next ten years regardless of whether they implement Medicaid Expansion. However, states that do implement ObamaCare’s Medicaid Expansion will reap billions in additional federal dollars.

• As a direct cause of Texas opting-out of Medicaid expansion over a million Texans will go without health insurance in 2014. This includes In 2010 25% of Texans didn’t have access to health insurance this includes 1,247,300 children. Many of the State’s who opted out have the highest uninsured rates in America.

• ObamaCare’s new Medicare Value-Based Purchasing Program means hospitals can lose or gain up to 1% of Medicare funding based on a quality v. quantity system. Hospitals are graded on a number of quality measures related to treatment of patients with heart attacks, heart failures, pneumonia, certain surgical issues, re-admittance rate, as well as patient satisfaction. Learn more about ObamaCare and Medicare.

• ObamaCare’s insurance reform helps to insure millions of Americans each year. 48.6 million Americans went without insurance during all of 2011, compared to 49.9 million in 2010. The rate of uninsured decreased from 16.3% to 15.7%, the biggest percentage drop since 1999 due to the Affordable Care Act.

• ObamaCare mandates that Medicaid payments be raised to the same level Medicare pays doctors. While it varies from state to state, primary care physicians will see an average 73% pay increase. This will make it easier for new Medicaid recipients to find doctors willing to take Medicaid.

• 25 States have opted out of setting up a State Run Health Insurance Exchange. This leaves the federal tax payer responsible for providing care for their constituents. 19 are running State Exchanges, while 7 have set up Joint State / Federal Exchanges. Find out more about ObamaCare’s state run Exchanges.

• ObamaCare makes it illegal for health insurance companies to terminate coverage for any reason other than customer fraud.

• ObamaCare provides $20 billion in tax credits for as many as 4 million Small Businesses to offset the cost of purchasing insurance on the Health Insurance Exchanges.

• Medicare and Medicaid both help to prevent “price gouging” by hospitals. ObamaCare’s reforms strengthen these protections.

• Only the top 3% of small businesses will have to pay the additional 0.9% ObamaCare Medicare tax increase.

• Only 0.2% of businesses have over 50 full-time equivalent employees and don’t already offer insurance to full-time workers. Providing these folks with insurance is the only “employer mandate” in ObamaCare.

• Over half uninsured Americans are small business owners, employees or their dependents. Learn the truth behind the ObamaCare small business taxes and how they affect America’s biggest job creators.

• Want single payer? By 2017, states will be able to get a waiver to set up their own approved health care solution, as long as it meets the standards of ObamaCare.

• The CBO estimates 19 million Americans (of the 23 million estimated to use the exchange) will receive Tax Credits to Purchase Insurance on the Exchanges.

• Due to Tax Credits and up-front assistance, Americans making less than 400% of the Federal Poverty Level (roughly $88k for a family of 4) could see up to a 60% reduction in the cost of health insurance premiums.

• Uninsured Americans cost the American healthcare system an additional $49 billion each year. Only 12% of uninsured families pay their hospital bills in full, this includes families making over $88k a year. These costs affect the rising cost of insurance premiums; ObamaCare helps to reduce this spending drastically by eliminating dollar limits.

• The cost of insurance premiums must be 8% or less of your modified adjusted gross income, when insurance goes on sale via the health insurance exchanges in 2014, to be considered affordable.

• ObamaCare allows newly insured Americans to choose any available participating primary care provider, OB-GYN, or pediatrician in their health plan’s network, or emergency care outside of the plan’s network, without a referral.

• ObamaCare prevents insurance companies from limiting the number of benefits a customer can receive in their lifetime.

• Members of Congress will purchase their health care through the health exchange like the rest of us (who chose not to opt-out and pay a tax, are covered by Medicaid or choose to stay on their existing insurance) Get more facts about the ObamaCare insurance exchange.

• In 2011, ObamaCare helped around 86 million Americans use free preventive services that had previously been subject to co-pays or deductibles.

• ObamaCare aims to improve community health care centers in an effort improve health care for those who cannot afford private health care.

• ObamaCare doesn’t increase the deficit. It is projected to cut the deficit by over a trillion dollars over the next two decades.

• ObamaCare offers countless benefits and protections that have been rolling out since 2010 and continue into 2022. Find out more about the benefits of ObamaCare.

• In 2013, American employers with 25 or less full-time employees may receive tax breaks of up to 35% (25% non-profits) of the cost of their employees’ insurance premiums. In 2014, it increases to 50% (35%).

• Employers with more than 50 full-time equivalent employees must insure their full-time workers or pay a tax (like the current state run unemployment and workers compensation programs).

• ObamaCare won’t cause 650,000 jobs to be lost as some of its detractors say (the number isn’t even in the CBO report on The Affordable Care Act). The often misrepresented quote stated that part of the job loss ObamaCare creates is from employees who cut back their hours, since they will no longer have to rely solely on their jobs for their family’s health care. In fact, ObamaCare’s effect on job growth in Government jobs and Health Care rivals job loss in other markets.

• Although ObamaCare hasn’t resulted in job loss, the “employer mandate” has resulted in a number of full-time workers at large firms having their hours cut back to part time in order for employers to avoid providing their full-timers with health insurance. On the same note, many larger firms have moved workers from part-time to full-time to provide them will benefits.

• If an you or your family chooses not to purchase healthcare through the Online Health Insurance Exchange, they can still buy private insurance, get insurance through their employer, Medicare, or Medicaid. Those who chose to not purchase insurance will pay an income “penalty” tax to help cover the rest of us. In other words, it is a tax, not a mandate; no one is actually forcing you to have health insurance.

• ObamaCare cuts $716 billion of waste from Medicare and reimbursements to private Medicare Advantage plans and reinvests it into Obama’s health care reform. In other words $716 billion is saved and then $716 billion is reinvested back into ObamaCare and Medicare. Doctors and hospitals almost universally agree on this reform.

• 19 million Americans making under 400% of the Federal Poverty Level are estimated to receive tax credits to help pay for the cost of health insurance premiums.

• ObamaCare reduces costs of premiums to millions of families and small businesses and provides billions dollars in tax relief.

• The healthcare industry, specifically doctors, will be rewarded for quality over quantity.

• The Affordable Care Act allows religious institutions to choose to be exempt from providing controversial contraception and reproductive health services to women. Multiple businesses have also received an exemption after taking the ruling to court.

• Although some businesses have won injunctions allowing them to avoid the “contraception mandate”, there have been a number who have lost their cases including Hobby Lobby.

• The Affordable Health Care Act doesn’t just focus on insurance, it also reforms the parts of the healthcare system that aren’t working, or are costing the tax payer money. For example, by focusing on preventive measures instead of just treatment, ObamaCare will save tens of billions of dollars and tens of thousands of lives.

• The ObamaCare fact is the average American will save money under ObamaCare. In fact, many Americans are already paying less for health care services.

• ObamaCare cuts the national deficit by over two hundred billion dollars during its first 10 years.

• ObamaCare aims to make it easier for small businesses to provide coverage to workers by offering Tax Credits to employers who enroll their workers in private healthcare plans.

• The Affordable Care Act (ObamaCare) is more than just a website. The ACA contains over a thousand pages of provisions that increase the affordability, quality, and availability of health insurance through consumer protections, regulations, subsidies, taxes, exchanges, reforms, and the expansion of Government programs.

MOST IMPORTANTLY: ObamaCare “the law of the land”. There are many people who would like to see ObamaCare repealed. If ObamaCare is repealed, tens of millions of Americans will be without proper health coverage, and insurance companies will continue to be able to deny coverage for pre-existing conditions. Without healthcare reform America will continue to suffer the consequences of a health care system controlled by private for-profit companies, whose bottom line is money and not health. Help ObamaCare Facts to spread the truth about President Obama’s health care reform under the Affordable Care Act.

ObamaCare Facts 2014: It Actually Helps Your Grandmother
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