ObamaCare Cost Assistance For 2017 Plans

Updated Cost Assistance Information for 2017 For 2017, shoppers can get three types of health insurance cost assistance under the ACA: Premium Tax Credits, Cost Sharing Reduction Subsides, and Medicaid/CHIP. Below is updated cost assistance information for 2017 plans, including all plans purchased during 2017 open enrollment Nov 1. 2016 – Jan. 31. 2017. TIP: Seniors…

Health Insurance Premium and Cost Sharing Explanation

A Quick and Simple Guide to Health Insurance Costs and Assistance Types of health insurance costs include: monthly premiums and out-of-pocket costs / cost sharing (copays, coinsurance, deductible, out-of-pocket maximum). Here the premium is what one pays for the policy, and then cost sharing is a reference to the part of the costs the plan covers…

TrumpCare Explained

What is TrumpCare? “TrumpCare” describes health care reform under Donald Trump. We explain TrumpCare and how it is different than ObamaCare. An Introduction to the Many HealthCare Bills, Regulations, and Ideas We Call “TrumpCare.” Below we explain different aspects of TrumpCare. When people say “TrumpCare” they are essentially referring to healthcare changes made, attempted to be…

Subsidios de ObamaCare

Subsidios de ObamaCare en el Mercado de Seguros Médicos de su Estado Los subsidios de ObamaCare pueden ahorrarle dinero en sus primas y pagos adicionales. Los subsidios de ObamaCare solo están disponibles a través del Mercado de seguros, veamos que son los subsidios, cómo funcionan y cómo los puede aplicar para lograr un seguro médico…

950,000 Enrolled In 2015 Special Enrollment

According to CMS nearly 950,000 Americans selected a plan through the HealthCare.gov via Special Enrollment between February 23 and June 30, 2015. What Is Special Enrollment? A Special Enrollment Period (SEP) is a time outside of open enrollment where people can get a Marketplace plan that is eligible for cost assistance and protects them from the fee. There are a number…

Health Plan Options for College Students

College students have a number of health plan options including the Marketplace, Medicaid, school health plans, catastrophic plans, and their parents plan. Below we take a look at student health options under the Affordable Care Act (ObamaCare). FACT: A university health plan counts as Minimum Essential Coverage for ObamaCare if it’s fully insured or self insured. Aside…

How Before-Tax and After-Tax Contributions Affect Subsides

How IRA’s and HSAs work with the ACA Before-tax and tax deductible contributions (like to a traditional IRA) lower MAGI and increase subsidies. After-tax contributions lower MAGI on withdrawal (like the Roth IRA). HSA’s are tax free in and tax free out, which make them especially cool. This is generally true for ObamaCare’s tax credits…

Tax Credits and Changes to Income

Tax credits are based on annual household income, not monthly income. If projected annual income changes you can adjust cost assistance to avoid repayment. Quick Facts on Cost Assistance and Changes to Income There are three important things to understand about cost assistance and changes to income: Marketplace cost assistance is based on projected annual household income,…

What is the Best Health Insurance Plan?

The best health insurance plan for an individual or family is going to depend on the income and needs of that family. With that said, many will find a marketplace plan that qualifies for cost assistance to be the best value for them. Very generally speaking the best health plan when it comes to benefits…

Vaccine Facts: Facts & Myths on Vaccination

Get the facts on vaccines. Should we vaccinate our children, should I get the flu shot, what are the risks, pros, cons, and myths? We uncover the truth. FACT: The flu vaccination and other vaccinations are covered at no out-of-pocket cost on all major medical plans under the Affordable Care Act (ObamaCare). That means if you…

What is Cost-Sharing?

Cost-sharing in health insurance is your share of costs (copays, coinsurance, deductible, out-of-pocket maximum) for covered benefits in a policy period. Typically cost-sharing does not apply to Premiums, uncovered costs, or balance billing. TIP: In simple terms, cost-sharing describes your share of the costs vs. your insurer’s share of the cost in respect to your…

Platinum Plan

ObamaCare’s Platinum Plan is a type of Metal Plan on the Health Insurance Marketplace. Platinum Plans qualify for Tax Credits and have the highest premiums. Other Metal Plans include Bronze, Silver, and Gold. Also, a Catastrophic Plan is available to young adults and to some people with hardship exemptions. Platinum plans have the highest premiums and the lowest cost-sharing. They only make…

Gold Plan

ObamaCare’s Gold Plan is a type of Metal Plan on the Health Insurance Marketplace. Gold Plans qualify for Tax Credits, have high premiums, and generous cost-sharing. Other Metal Plans include Bronze, Silver, and Platinum. Also, a Catastrophic Plan is available to young adults and to some people with hardship exemptions. Gold plans mean higher premiums, less Tax Credits, but much…

Bronze Plan

ObamaCare’s Bronze Plan is a type of Metal Plan on the Health Insurance Marketplace. Bronze Plans qualify for Tax Credits and have low premiums. Other Metal Plans include Silver, Gold, and Platinum. Also a Catastrophic Plan is available to young adults and to some people with hardship exemptions. All plans offer basic benefits and minimum cost-sharing, Bronze Plans tend…

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…

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…

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…

Should I Get Health Insurance?

Having Health Insurance means you are covered in an emergency. Not getting coverage could result in big fees for those who wait until taxes are due. Obtaining and maintaining health insurance isn’t just about avoiding a fee, it’s about taking responsibility for your health, knowing you have coverage when you need it, and avoiding the devastating…

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 Coinsurance

What is Health Insurance Coinsurance? In health insurance, coinsurance is your share of costs of the allowed amount for a covered service after you reach your deductible. Coinsurance is different from a copay which is a fixed dollar amount for services and is not typically dependent on meeting your deductible. How does Coinsurance Work? Each service or drug that is subject…