Questions

If you go for three months months or more in a row without coverage, or an exemption, then you will owe the fee. You can avoid the fee by

As an employer with over 50 full-time equivalents, you have to offer coverage to full-time employees, but employee’s don’t have to take it.

Nothing anywhere, in ObamaCare or any law, bars Medicare recipients from the ICU. What ObamaCare does is improve Medicare benefits and extend Medicare solvency.

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.

An insurer doesn’t have to pay for any out-of-network treatment if the plan doesn’t provide coverage out-of-network. That only time this isn’t true is for emergency services.

If you have been denied Medicaid you qualify for an exemption from the fee and catastrophic health coverage. You also qualify for special enrollment in the Marketplace.

If you are on Medicare due to a disability you can still get a Part D drug plan or an Advantage plan with drug coverage.

When your COBRA expires it will trigger a special enrollment period allowing you to switch to a Marketplace plan.

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

When you get covered through the Marketplace that plan lasts a year. However, you can cancel at anytime. This means you can keep coverage for any length of time up to a year, each year.

To transition from OabmaCare to Medicare you’ll simply want to cancel your ObamaCare plan so it ends when your Medicare coverage starts.

If you are a resident of the Bahamas you do not need medical care that covers the US, unless you are traveling to the US. Then you should consider travelers insurance.

When you move to the US you become eligible for Marketplace coverage. Your access to cost assistance, including Medicaid, depends upon income and immigration status.

Anyone can deny employer coverage, but if you have employer coverage you can’t get cost assistance and you’ll miss out on your employer contribution.

Generally those visiting the country can’t get cost assistance, but may be eligible for a Marketplace plan. Every situation is different and eligibility depends upon a few factors.

Under ObamaCare Veterans and others receiving qualifying VA health benefits, don’t have to do anything. You are considered to have Minimum Essential Coverage and won’t owe the fee.

If you have low income, and live in Alabama, you may be in trouble. Alabama has rejected Medicaid expansion and decided to leave about 235,000 without coverage.

If you had Medicaid for each month of the year, just check the box on line 61 of your 1040. If you missed even one full month, file the 8965 exemptions form.

It doesn’t matter what months you had income or you didn’t. Cost assistance on 8962 is based off of a one year period, so income is divided by 12.

ObamaCare doesn’t include help for medical debt, although you can get an exemption from the fee for unpayable medical bills. If you need help with medical debt you should try local charities and other avenues.

If you are looking for specific Medicare reimbursement rates and authorization info, contact Medicare.