Use our ObamaCare Questions and Answers section to get answers to all of your Affordable Care Act related questions, or to ask us an ObamaCare question.
Wondering How to use the Q&A section?
Simply click on a question
to get our answer and answers from our readers. Use the search bar
at the top of the page to search for a specific question, if you can’t find an answer go ahead and ask
Every Question You Have About ObamaCare Answered Below. On this page you will find questions about ObamaCare (the Affordable Care Act), the Health Insurance Marketplace, healthcare taxes, and health insurance, and healthcare in general.
Our ObamaCare Q&A covers every topic from Medicare to Employers, to Taxes to Tax Credits Just click on any question to get our answer, provide your own answer, or ask additional questions.
If ObamaCare is repealed people on marketplace coverage might lose tax credits, but they will almost certainly be able to continue their plan. For others, it is more complicated.
Hey, So I am in NYC and I am looking through all of these plans and there are only a few random Bronze and Silver plans that say “HSA” in the title. But the premiums are very high compared to the “Catastrophic Care Plans.” If it doesn’t say “HSA eligible” does that really mean that
Read the Answer
My son works part time and has made slightly less than the 10,350 requirement to file a return. he will file a return to get his taxes back that we with held and I still claim him as a dependent. The problem is I need his income to stay qualified with our silver 87 plan
Read the Answer
My mother currently does not have health insurance. My father’s employer offers insurance for spouses but it is to expensive for their income. Combined they make around $42,000/yearly, my father pays a $27 premium and it would cost $678 to add my mother onto his employers plan. Is there a way to get covered under
Read the Answer
Generally, persons visiting or vacationing in the US legally can use the Marketplace to shop for health insurance, but aren’t eligible for cost assistance and aren’t required to have health insurance.
Employers can only reimburse group health plans except in very specific instances (such as if they have one employee).
Every American is allowed two full months without coverage a year, so if you find yourself missing a month you can take the short coverage gap exemption on form 8965
Capital gains from the sale of your primary home under $250,000 can be excluded from tax and don’t affect subsidies. The exclusion is $500,000 for a family.
You can use a HRA to pay for health premiums, but an employer can’t fund a HRA to reimburse individual coverage.
If your health insurer refuses to pay a claim or ends your coverage, you have the right to appeal the decision and have it reviewed by a third party.
You should complete Part III of 1095-C ONLY if the employer offers employer-sponsored self-insured health coverage in which the employee or other individual enrolled.
If you sort plans by price you’ll be able to easily find HSA compatible High Deductible Health Plans.
If you work, but aren’t offered coverage through your employer, you can still get an ObamaCare Marketplace plan with cost assistance.
Federal foster care or adoption assistance income is exempted from MAGI and won’t affect Medicaid or tax credit eligibility.
All US citizens, who qualify based on income, must obtain coverage or an exemption. For someone traveling back and forth between the U.S. they can be exempt for spending 330 consecutive days in the year outside the US.
Gender based pricing rules apply to new plans in the individual and small employer markets. They do not apply to grandfathered plans, large employers, or self insured businesses.
Typically a person would only need one policy that counts as minimum essential coverage under ObamaCare, but can have more than one if they choose.
The cheapest plan is typically $200 – $400, cost assistance caps the cost between 2% – 9.5% of MAGI. It’s rare that someone would pay over $600 for individual coverage, let alone $800.
Some of the less reputable third party companies on the internet resell leads or spam phone calls when customers fill out a quote form. This is not a practice that is endorsed by any reputable entity including ObamaCareFacts.com, HealthCare.Gov, or any major insurer, broker, or advertiser.
Preventive screening, including mammograms, is covered at not cost under ObamaCare but additional exams may have cost sharing or may not be covered.
A coverage family can include any tax dependent so a grandchild can be covered, but only if the natural parent isn’t living in the same household.
A legal immigrant can buy a private plan or get cost assistance through ObamaCare (if they file taxes), but can’t get Medicaid before 5 years in most cases.
If you have Medicare you cannot use ObamaCare’s Marketplace or buy non-Medicare insurance, even if you only have Part A or Part B.
If you move to a new state you have 60 days to enroll in a plan via special enrollment in that states Marketplace. There will never be an instance where you move out of state and aren’t allowed to enroll in an individual health plan
Under ObamaCare full-time is defined as working an average of 30 hours a week or more or 130 hours a month in a measurement period between 3 and 12 months.