Where Can I Find the Lowest Cost Bronze Plan?
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You can find the lowest cost bronze plan tax tool, used to determine affordability exemptions, at HealthCare.Gov. We have provided the link
Questions
How to Report Company to IRS for Not Complying With ACA?
Any company operating in the US has to follow ACA guidelines. The IRS requests payments for non-compliance. If you feel a company is not complying with the law you can contact the IRS
Per Visit Dollar Limits for Essential Health Benefits?
An insurer will only pay up to an allowed amount each time you receive a covered service. There is no lifetime or annual limits to the amount they will spend doing that
Gap In Coverage Due to Insurer Error?
If you have a gap in coverage due to an insurer error you may be able to claim a “general hardship” from the Marketplace.
Senior 65 plus, No Income, Not Eligible for Medicare / Medicaid?
A 65 plus senior who is not eligible for Medicare can get Marketplace subsidies through a family plan or on their own.
Do I Owe Back Tax Credits if I Lose Income?
Generally you can only owe back tax credits if you gain income, not if you lose income. So if you go from Marketplace to Medicaid and claim under 100% of the Federal Poverty level you’ll owe back nothing.
Impact of Lump Sum Settlement on Obamacare Subsidy
Lump-sum income is counted for the month for Medicaid and Medicare, but for ACA subsidies we believe it counts as annual.
Total Household Income on Form 8962
Dependent’s AGI is something to keep in mind when claiming credits on form 8962, a dependent can throw off household income and really mess with repayments and tax refunds.
Can I Retroactively Get HealthCare Subsidies?
If you have a Marketplace health plan you can retroactively get subsidies, if your income fluctuates consider taking only partial credits upfront or none at all, also if you get a Silver plan you can adjust cost sharing amounts throughout the year at no extra cost.
Can I Got to the Hospital If I Have No Insurance?
Anyone in the US can go the hospital without insurance. In an emergency anyone will be treated, but without insurance you may be billed full price.
Is Health Insurance Required For Students?
Health insurance is required for students and is based on household income. The person who files a tax return takes on the responsibility for the fee.
How to Avoid Gaps When Transferring Health Coverage?
If you have to move from one state to another enroll at least 30 days before you move so your new coverage can start when the old one ends. You’ll need to apply for a special enrollment period.
Will I Be Penalized For the Months I don’t Have Insurance?
The only months you are penalized for are FULL months you don’t have health insurance or an exemption for. If you get covered during open enrollment or have less than 3 months without coverage then you wont’ owe the fee for those months.
Paying Back Advanced Tax Credits (Subsidies)
Paying back advanced tax credits is based on household income (as a percentage of the federal poverty level). The repayment chart below is from the 8962 instructions from the IRS.
Why is There No Regulation on Health Insurance Premiums?
Health insurance premiums aren’t regulated, they are just subsidized based on income, but cost sharing and benefits are regulated by the ACA.
Is Tricare Subject to the Elimination of Cost Sharing for Preventive Services?
TRICARE is subject to the elimination of copayments for authorized preventive services for certain TRICARE beneficiaries for non-grandfathered plans.
How to Answer Form 8962 Shared Policy Allocation?
The information for policy allocation is found in the 8962 instructions Part IV Allocation of Policy Amounts. You’l need a 1095-A (which is sent to the policy holder by the marketplace).
Why Does Obamacare Suck So Much?
ObamaCare “sucks” because healthcare costs have risen faster than GDP or wages while congress has continued to fail to pass meaningful reform since the 60s.
Is There Transgender Health Coverage?
There are a number of insurers who offer transgender health coverage. The ACA helps transgender Americans due to its many patient protections.
Why Does Medicare Supplemental Have a Limited Network?
Medicare is a public Government run health plan, Advantage and other supplemental is run by private insurers. Given this your coverage is only as good as your insurer
Moving Will I Be Covered Under Current Health Insurance?
If you know your going to move, get a multi-state health plan. If you don’t have a multi-state plan moving qualifies you for special enrollment.
Can I Get Reinstated After Non-Payment of Premiums?
Non-payment is the only way, aside fraud, to get your health plan dropped. Generally you have no less than 31 days to make a payment while your plan still pays claims.
My Employer Offers a Plan, But I Have Marketplace Coverage?
If you have access to affordable employer coverage then you can’t get Marketplace cost assistance. You can’t claim a tax credit on premium tax credit form 8962
Why Is My Employer Refusing to Offer Health Benefits?
An employer can’t refuse coverage to a full-time employee, regardless of job classification, however they can credit hours in such a way that it may not qualify you.
Misplaced Form 1095A, How Can I Get Another?
If you misplaced a 1095-A you can find it online. You can also find the information on your 1095 yourself, or request another copy from the Marketplace.