Is There a Penalty for No Dental Coverage for Kids?

All private health plans that protect you from the fee include child dental and vision as a benefit, even if you already have it. You can reject dental or vision as a standalone, but won’t avoid the fee by having just dental or vision.

Are there Subsidies for Deductibles?

Only those with Silver marketplace plans, who make less than 250% FPL, can get cost assistance to lower deductibles. $6,600 for an individual $13,200 for a family.

Self-Employed Health Insurance

ObamaCare and Health Insurance for the Self-Employed The Affordable Care Act (ObamaCare) has some important implications for how the self-employed go about obtaining, maintaining, and paying for health coverage. If you’re self-employed, most of the healthcare provisions in the ACA apply to you.  Let’s take a look at how you’re affected by ObamaCare, how you can reduce the cost of coverage, and how…

Second Lowest Cost Silver Plan (SLCSP) and Tax Tools

Second Lowest Cost Silver Plans and Lowest Cost Bronze Plans Explained The Second Lowest Cost Silver Plan (SLCSP) is a plan on each state’s Marketplace used to determine cost assistance for ObamaCare. Likewise, the Lowest Cost Bronze Plan in each state’s marketplace is used to determine affordability. This page covers everything you need to know about Second…

What are the Options for Employee With Unaffordable Coverage?

If employer coverage would cost more than 8% of your household income then you can claim an affordability exemption. If your employer offers a plan that costs more than 9.5% of household income then you can have them fill out an employer coverage tool and use the Marketplace.

Vision Insurance

Affordable Care Act Vision Coverage Vision insurance generally isn’t covered under the Affordable Care Act (ObamaCare).  However, pediatric eye care is a required benefit included on all plans that qualify as minimum essential coverage under the ACA. Even though adult vision coverage isn’t a required benefit of ObamaCare, “vision health” is still an important aspect…

ObamaCare Replacement Plan: “CARE” Act Facts

Get the facts on the ObamaCare replacement plan by Burr, Hatch, and Upton: the Patient Choice, Affordability, Responsibility, and Empowerment (CARE) Act. Below we present a summary, some quick facts, a pros and cons chart, a complete section-by-section breakdown, and finally we compare the CARE Act proposal to ObamaCare. Keep in mind this is an older replacement…

ObamaCare: 10 Million Strong and Growing

ObamaCare sign up numbers reach 10 million after a surge in Federal Marketplace enrollments. A February 2015 HHS report shows ObamaCare is working. Enrollment numbers have surpassed 10 million between the state and federal marketplaces. It also points out some other really cool and groundbreaking facts about the uninsured rate (updated with citations on March 18 2015).…

ObamaCare Exemptions List

A list of ObamaCare’s Exemptions, including Hardship Exemptions, you can apply for in order to qualify for Special Enrollment or be exempt from the fee can be found below. This page just covers the basics, see our page on ObamaCare Exemptions for further details on exemptions and the fee (active on plans held in 2014 –…

Individual Shared Responsibility Payment

The Individual Shared Responsibility Payment is the fee for not having Minimum Essential Coverage. Follow our guide to make calculating your payment easy. UPDATE 2019: For 2019 forward there is no fee for not having health insurance in most states. In this sense, the Individual Shared Responsibility Provision has been effectively repealed as the federal…

Self Employed Premiums Unaffordable

My husband and I have not been helped but hurt and our details are below. But before I get into our details want to say that middle income people who do not qualify for subsidies, especially those who do not have health coverage via an employer (e.g. self employed or those who work for employers…

How Does ObamaCare Control Costs?

Some say ObamaCare doesn’t do enough to control health care cost. Let’s look at how ObamaCare controls healthcare spending with cost controlling provisions. TIP: To find out what coverage under the Affordable Care Act will cost you, make sure to check out the healthcare.gov marketplace and find your cost after assistance is applied. Taxpayers are benefitting as…

60 Minutes ObamaCare

Get the Facts on the 60 minutes report on ObamaCare “Dissecting ObamaCare” featuring Steven Brill author of “America’s Bitter Pill.” We fact-check the video. Watch the full of the 60 Minutes ObamaCare video. First fact-check, it’s only 13:19 minutes long, not 60:00. CBS intended each of its segments to run for approximately 15 minutes and…

Premium Tax Credit Form 8962 and Instructions

The Forms Needed if You Got Marketplace Tax Credits Under the Affordable Care Act (ObamaCare) Find out how to fill out Premium Tax Credit Form 8962, the form for reporting ObamaCare Tax Credits. We’ll review MAGI, FPL, and Adjusting credits. The form can seem daunting at first, but by understanding what all the fields mean,…

Health Insurance Quotes

Get health insurance quotes and find out if you qualify for cost assistance from CMS approved brokers and on HealthCare.Gov. Below we will discuss the best ways to get health insurance quotes (HINT: Start at ObamaCare’s Health Insurance Marketplace sometimes called “the Marketplace” AKA HealthCare.Gov). We’ll also give you lots of helpful advice to help ensure you get…

Tips for Getting the Best Health Plan

Here is a quick list of tips for getting the best health plan. No matter how you shop, this list will ensure you don’t over or under-buy health insurance. NOTE: Finding the best health plan for you and your family depends on your family size, income, needs, region, and more. The best plan for one…

Save American Workers Act Facts

The Save American Workers Act changes the definition of full-time workers so fewer employers have to comply with ObamaCare’s employer mandate. Let’s take a look at the legislation, why it was passed in the House, why it won’t pass the Presidents desk, what effects it has, data on part-time hours and job loss, and some alternatives…

Modified Adjusted Gross Income (MAGI)

What is Modified Adjusted Gross Income (MAGI), Adjusted Gross Income (AGI), Gross Income (GI), Family Income, Household Income, Etc? Modified Adjusted Gross Income (MAGI) is Gross Income (GI) Adjusted for deductions (AGI) and then Modified by adding some deductions back in (MAGI). On this page, we cover MAGI as it applies to Medicaid and the Marketplace.…

Understanding ObamaCare’s Enrollment Numbers

ObamaCare enrollments can be looked at in a few ways: current Marketplace enrollments, current insured under the ACA, and total average insured for the calendar year. Depending on how we are looking at the numbers, and what other factors we take into account, the answer to, “how many people enrolled in ObamaCare” changes. For instance…

Factors that Affect Health Insurance Costs

Let’s take a look at factors that affect health insurance costs for premiums and cost sharing under ObamaCare, including Marketplace subsidies and Medicaid. ObamaCare helps ensure fair health insurance premiums (Sec. 2701), helps curb premium growth, and provides Tax Credits to lower premium costs. The ACA also includes measures to reduce out-of-pocket spending and curb national…

Health Insurance Premium

What is a Health Insurance Premium? Your health insurance premium is the amount paid to an insurer, typically per month, for a health plan. Tax Credits are available to lower monthly premiums through the Health Insurance Marketplace. If you have coverage through work, your employer typically pays part of your premium. Let’s look a little more…

Premium Tax Credits

ObamaCare’s Premium Tax Credits can be paid to your insurer in advance to lower your monthly premium on a Marketplace plan or adjusted on your tax returns. Tax Credits are based on household income and available to folks making between 100% and 400% of the Federal Poverty Level FPL (between $12,760-$51,040 for an individual and…

Health Savings Account (HSA)

What is a Health Savings Account? A Health Savings Account (HSA) is a tax-advantaged medical savings account you can contribute to and draw money from for certain medical expenses tax-free. HSAs can be used for out-of-pocket medical, dental, and vision. HSAs can’t be used to pay health insurance premiums. HSA’s can only be used with…

File Taxes For ObamaCare

There are several reasons you may have to file taxes under ObamaCare (the Affordable Care Act). Learn how to file your ObamaCare taxes in 2019 and beyond. This section includes tips on: how to make a Shared Responsibility Payment for not having coverage, how to report health coverage known as Minimum Essential Coverage, how to…

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