ObamaCare Under 26: Rules for Children and Young Adults

Children can stay on their parent’s plan until 26; when they turn 26, they qualify for special enrollment. Dependent coverage is also offered by employers. Below is everything you need to know about the Affordable Care Act and young adults under 26. What the ACA Does for Young Adults and Children Under 26 Young adults… Read More

Fewer Young Adults Rely on the Emergency Department for Routine Care

A recent HHS blog post helps to illustrate one of the many small, but noticeable, ways ObamaCare has helped to curb healthcare costs across the nation. A new study, in the Annals of Emergency Medicine, shows that, following the implementation of the Affordable Care Act, the annual rate of emergency department visits by young adults age 19 to 25 decreased by 1.4 percent in 2011.

The Wrong Amount of Poor

My income is lower than average, so we watch every penny carefully and live within our means. I used to have a Healthcare plan that fit my budget and worked well for my family of 6. It cost less than $300 per month, and the deductible was $4000. I felt good about being able to… Read More

Who Provides Coverage for the Child?

Whomever claims the dependent for the month in question is responsible for their health coverage. Options are based, at least partially, on income.

Obamacare for those in a State that Hasn’t Signed On?

In all states, those making between 100% of the Federal Poverty Level and 400% can get some sort of assistance through the Health Insurance Marketplace. In states that didn’t expand Medicaid those who make less than 100% of the poverty level may not have any options

Will I Be Penalized for a Coverage Gap?

You can go less than three months in a row without coverage without owing the fee each year. This is due to a short coverage gap exemption, this allows for things like changing jobs or being between coverage options.

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… Read More

How is MAGI Adjusted for Child Support for ObamaCare Subsidies?

Good morning. I currently make $3250 a month NET. After withholdings like Taxes, SS, Medicare etc, I receive $2632.08. Of that amount child support is automatically taken out in the amount of $1311.54 which is 50% of my current salary. I get the burden of paying taxes on the child support. I get that. What… Read More

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 –… Read More

Employer Tax Credit Form 8941 and Instructions

Employers can get a Tax Credit for up to 50% of their contribution to employee premiums by filing Form 8941, Credit for Small Employer Health Insurance Premiums. Get detailed HTML based instructions on Form 8941 from the IRS, simplified instructions ObamaCare’s employer tax credit form can be found below. What is Form 8941, Credit for Small Employer Health Insurance Premiums?… Read More

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… Read More

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… Read More

Marketplace #GetCovered Story

Alicia, 39, and Rusk, 37, have been married for 14 years, and have two sons, 11 and 7. Alicia, a former teacher, and Rusk, who owns an auto repair shop, did not have health insurance until the Health Insurance Marketplace opened last year. The 2015 premium for Rusk and Alicia is $373 a month, much… Read More

Silver Plan

ObamaCare’s Silver Plan is a type of Metal Plan on the Health Insurance Marketplace. Silver Plans qualify for both Tax Credits and Cost-Sharing subsidies. Other Metal Plans include Bronze, Gold, and Platinum. Also, a Catastrophic Plan is available to young adults and to some people with hardship exemptions. HealthCare.Gov, or your state’s Marketplace in states that don’t… Read More

Summary of Benefits and Coverage (SBC)

Your health plan’s Summary of Benefits and Coverage (SBC) is a summary of what your plan covers in terms of benefits and cost sharing, and explanations of how everything works. We suggest opening up a Summary of Benefits and Coverage sheet as you follow along. The Summary of Benefits and Coverage PDF can be found… Read More

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… Read More

Open Enrollment Week 7: December 27, 2014 – January 2, 2015

The original HHS report can be found here. Below is the contents of that report. “Since Open Enrollment began on November 15, nearly 6.6 million consumers selected a plan or were automatically re-enrolled in the Federally Facilitated Marketplace (FFM). The Week 7 snapshot includes the New Year’s holiday; consumers continued to shop and select the… Read 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 are available to folks making between 100% and 500% of the Federal Poverty Level FPL. Expanded Premium Tax Credit Cap:… Read More

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