In America we don’t turn people away in emergencies, but you won’t be able to get care outside of an emergency unless you pay out-of-pocket or have a health plan.
he case where two coverage options are needed there is usually a standard flow for who gets the claim first. Usually employer coverage get’s the claim first.
If you are living outside of the country for more than 330 days then you don’t owe the fee. You also don’t owe the fee if you get other exemptions.
If you are over 65 you’ll get a Medicare plan, if you are low-income and your state expanded Medicaid you can enroll in Medicaid.
After creating an account and filling out your application on HealthCare.Gov or your State’s Marketplace, you will enroll in a plan through the same site. You must be signed in and your application must be approved first.
Most 1095A forms were filed by the Marketplace by Jan 31st, 2015. However in some cases forms won’t be available until the end of February.
You won’t be eligible for Medicaid or Marketplace cost assistance if you are covered under a retiree health plan. Here are the rules if you have retiree coverage
If you live in Puerto Rico you can’t use the Marketplace and won’t owe the fee. You can find your coverage options outside the Marketplace from HealthCare.Gov.
The requirement to provide coverage is based on current full-time status and length of employment, not full-time status at time of hiring.
The reason people with incomes below the Federal Poverty Level don’t qualify for tax credits is Medicaid expansion was supposed to cover those with incomes below the 100% FPL mark, but anti-ObamaCare opposition repealed the part of the law that made expanding Medicaid mandatory.
The smartest way to find out if you qualify for ObamaCare is to sign-up for HealthCare.Gov during Open Enrollment.
Medicaid eligibility is different in many states. As a rule of thumb if you don’t want Medicaid you’ll need to project your income above 138% of the Federal Poverty Level.
No matter how you feel about ObamaCare, you still need to follow the law. That means you’ll need health insurance, an exemption, or will pay the fee for each month of the year.
If you filed an application and have been deemed eligible for Medicaid, but are awaiting an official decision, then you don’t have to do anything. If Medicaid is denied that should trigger a special enrollment period that will allow you to enroll in a Marketplace plan
When you turn 26 you’ll need to get your own health plan. As long as your parents don’t claim you as a dependent you may be eligible for cost assistance on the Marketplace or Medicaid if your state expanded.
If you are getting a plan through another source shortly after open enrollment, you have two choices.
Either claim the short coverage gap exemption and pay the fee for the months you don’t have coverage or an exemption, or get a health plan for just the months you need it and then cancel it.
If employer coverage would cost more than 8% of your household income then you can claim an affordability exemption. If your employer offers a plan that costs more than 9.5% of household income then you can have them fill out an employer coverage tool and use the Marketplace.
For an F2 VISA, if you are already pregnant, you may have limited options for coverage. F1 VISA’s seem to be more flexible in terms of getting coverage through HealthCare.Gov.
Under ObamaCare, Employers count full-time equivalent hours (part-time, full-time, seasonal, etc). If the average is over 50 they must provide coverage.
If you lose employer coverage you can take COBRA, if it is offered, or enroll in a Marketplace plan. You’ll qualify for a Special Enrollment Period
If your employer offers medical, but not dental, then your best bet for dental is a standalone dental plan.
You can get a Marketplace plan with a student visa, but not Medicaid and CHIP in many states due to a “5 year ban”.
If your employer isn’t offering coverage that meets minimum benefit and minimum value guidelines, then they have to fill out a employer coverage tool on your behalf.
Usted puede ser elegible para Medicaid.
Out-of-pocket cost sharing amounts are based on policy periods and holding a specific policy. So don’t switch health plans mid-year if you have already paid a considerable amount in.