The Patient Protection and Affordable Care Act, popularly known as Obamacare ensure that all Americans have access to quality, affordable health care. According to estimate about 22 million Americans have coverage through ACA/Obamacare via exchanges and Medicaid expansion. The Affordable Care Act provides subsidies to qualifying individuals and families to help make coverage more affordable.
If you currently don't have health insurance through a job, Medicare or Medicaid, or any another source that provides qualifying health coverage, the Marketplace can help you get covered. Open Enrollment for 2021 runs Sunday, November 1–Tuesday, December 15, 2020. Plans sold during Open Enrollment Coverage starts January 1, 2021.
To be eligible to enroll in health coverage through the Marketplace, you:
When applying for coverage in the Health Insurance Marketplace, you may qualify for subsidy also known as a “premium tax credit” that lowers your monthly premium. The amount of subsidy or premium tax credit depends on the estimated household income for 2021 that you declare on your Marketplace application. Your eligibility for a premium subsidy for 2021 is based on the Federal Poverty Level number announced in 2020.
The premium tax credit is a refundable tax credit designed to help eligible individuals and families with low or moderate income afford health insurance purchased through the Health Insurance Marketplace. Those who have a lower income get a larger credit to help cover the cost of their insurance.
Have household income that falls within a certain range. Your income is no more than 400% of the federal poverty level
|Family Size||Poverty Level||400 percent of poverty level|
a. Have health insurance coverage through a Health Insurance Marketplace.
b. Are not able to get affordable coverage through an eligible employer-sponsored plan that provides minimum value.
c. Are not eligible for coverage through a government program, like Medicaid, Medicare, CHIP or TRICARE.
d. Pay the share of premiums not covered by advance credit payments.
You may qualify for cost sharing reduction if you only enroll in to a marketplace silver plan. This is an additional discount that lowers the amount you have to pay for deductibles, copayments, and coinsurance. When you reach your out-of-pocket maximum, your insurance plan covers 100% of all covered services.
How cost-sharing reductions work
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