US Veterans, does VA Coverage Count?


VA coverage (Veteran’s health care program) is considered Minimum Essential Coverage and protects you from any fee. Thank you for your service.

What Exemption to Use for Limited Income?


You only have to file an exemptions tax form if you are filing a tax return. If your taxable income is above the tax filing threshold then you should apply to HealthCare.Gov.

Can I Keep My Doctor?


Keeping your doctor is a matter of your plans network. If your doc isn’t in your plans network, then they aren’t covered under your plan.

Retirement Before 65, Do I Qualify for ObamaCare?


Everyone who is under 65 qualifies for ObamaCare based on income, period. When you leave your job or lose your coverage you’ll be eligible for a Special Enrollment Period.

What Are the Private Insurance Requirements?


All private insurance that qualifies as Major Medical coverage must offer the cost sharing and benefits of a bronze plan.

Coverage after Voluntary Termination of Employment


Voluntary termination of employment still counts as losing your coverage and your job, thus you qualify for a Special Enrollment Period of at least 60 days.

Early Payment, Which Premium Did I Pay?


You pay your premium when you enroll in a plan, that pays for the first month of coverage, whenever it starts. Plans purchased before the 15th start the 1st of the next month, after the 15th and you’ll wait until the month after that.

What Form Do I Need to File Tax Returns For Health Insurance?


No matter what Marketplace you used, you’ll get a 1095-A form if you got cost assistance. Otherwise 1095’s are optional in 2015 and mandatory in 2016. If you didn’t get cost assistance, and don’t have a 1095, report based on the honor system. Use your 1095 to fill out the Premium Tax Credit Form 8962.

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.

How Long Can I Go Without Coverage?


A person is allowed a 3 months coverage gap each year. Those months must be in a row.

65 or Older Alien Resident, Do I Qualify for ObamaCare?


Being 65 or older you don’t qualify for Marketplace cost assistance, being a resident Alien you may not qualify for Medicare subsidies, but you can still buy Medicare.

Why Did Employer Premiums Go Up?


Smaller firms get tax credits that mean better employee benefits at better prices. However, some larger firms who had great plans going into 2014 saw rate hikes.

Maternity Care Not Covered By Employer?


Maternity care is covered under all private health plans sold in the Individual and Family market, but employer plans can include an opt-out.

Child has CHIP Insurance, Will I Owe the Fee?


If your child qualifies for CHIP then they are considered covered and you won’t owe the fee. Employer-based coverage can prevent a family member from getting Marketplace cost assistance, but it won’t necessarily affect Medicaid and CHIP.

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