King V Burwell Simplified


We’ve simplified King V Burwell, the ObamaCare subsidy lawsuit. We explain the Supreme Court case, its history, ideology, and outcome in simple terms. King V Burwell Summary King V Burwell was a lawsuit heard by the Supreme Court in 2015. It challenged the legality of subsidies issued by the IRS on behalf of states that used… Read More

Is it True That I’ll Lose Coverage At 70 – 75?


No one loses coverage, for any reason, other than non-payment or fraud. Coverage is guarantee issue, and the ratio of what someone can be charged based on age is 3 to 1.

Child with Disabilities Dropped From Coverage?


In the case where a child needs immediate attention, but was dropped from their insurance plan, they should call the Marketplace and seek help at a hospital.

How Do I Know if My Insurance Plan Was Renewed?


You can log into the marketplace to see if your plan was renewed. You can also call your insurer. In general only some plans auto-renew, so you’ll want to check by December 15th each year.

What Months Can I Claim the Tax Credit on 8941?


The SHOP credit claimed on 8941 is determined by calendar year and is claimed for each month you provided qualifying coverage to employees.

Claim Denied For a Preexisting Condition?


Insurers can still use loopholes to deny claims for preexisting conditions, although all new plans have to cover you, can’t drop you for being sick, can’t charge you more, and must pay claims on covered benefits.

Small Employer, Requirements For ObamaCare?


If an employer has more than 50 full-time equivalent employees then they have to offer coverage. If they don’t, they don’t.

Out-Of-Network for a Pre-existing Condition, What do I Do?


If someone needs treatment out-of-network for a pre-existing condition they either need to pay out-of-pocket, pay their out-of-network cost sharing amount, get approval from the insurer, or switch to a multi-state plan.

Self Employed, Can’t Afford Coverage, What Do I Do?


ost assistance is based on income. As a self-employed individual you can write off 100% of your premiums (including dental and long-term care coverage) from profits.

Enrolled, But Haven’t Paid. What are My Options?


As a rule of thumb you have 31 days to pay your first months coverage. Call your insurer, if your plan hasn’t been cancelled then you simply pay your premium.

How Does Real Estate Income From Selling Home Work With ObamaCare?


When you sell a home (estate) you can deduct most of that income and won’t owe the 3.8% tax, unless you make over $500,000 in profit. Since you can deduct this income, it doesn’t count toward your MAGI, therefore it doesn’t affect tax credits.

Is the Requirement to Buy Health Insurance Constitutional?


Essentially our country was so unsure about this it was brought before the supreme court in 2012. The supreme court declared the “mandate” a “tax”. Therefore the tax (and accordingly the “requirement to have coverage”) is constitutional.

Our Family Was Saved By ObamaCare

Obama Care saved my husband and I from total ruin. Since the law first passed and the immediate changes went into effect we have benefited. We both had existing health conditions He suffered through Prostate Cancer and Lung cancer, I had 3 heart surgeries. When my company stopped furnishing health insurance we have been lost… Read More

Working as a Student, Will My Family Lose Medicaid?


Your family can lose Medicaid if they claim you as a dependent and you push your family income over the Federal Poverty Level. That level depends upon if your state expanded Medicaid.

What is the ObamaCare Tax Credit Income Limit?


ObamaCare Premium Tax Credit Subsidies are available to those making between 100%-400% of the Federal Poverty Level.  For 2014-2015, this means that if the income for a one-person household is over $46,680 you will not qualify for Premium Tax Credits.

Can I Be Denied ObamaCare?


Can you be denied Obamacare if you have not worked in 12 years and your only income is your deceased husband’s social security benefits of $1,200 per month? A family member in need of medical insurance in Florida was told she did not qualify for that reason. Is this true? Thank you.

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