…for marketplace coverage. Coverage in Medicaid and CHIP is expected to decrease by 22 percent nationally, reflecting losses in coverage for an additional 15.5 million people. Federal spending on health care is expected to decline by $152 billion annually, a decrease of 35 percent compared to current spending on marketplace subsidies and Medicaid acute care for the nonelderly. Due to…
Joel Ario, Manatt Health and Sabrina Corlette, Georgetown Center on Health Insurance Reforms The start of the 2021 rate review process for the Affordable Care Act (ACA) Marketplaces coincided with the initial outbreak of COVID-19 cases, and early forecasts were ominous, with rate increases projected as high as 40 percent. There was also widespread concern about how to set rates…
…co-pays, coinsurance and out-of-pocket limits compared to regular silver plans. Once the marketplace determines you are eligible for cost-sharing reductions, you will be able to select one of these modified silver plans, based on your income level. Open Enrollment runs through December 15th in most states. Look out for more weekly FAQs from our new and improved Navigator Guide here….
…to include concepts such as cultural competency and language access. Some Things May Remain the Same There are few areas of agreement between the Trump and Biden administrations when it comes to health insurance policy. But we can think of two issues where there may be common ground. These include an interest in protecting patients from surprise out-of-network medical bills,…
By Sabrina Corlette and Jason Levitis In April 2020, the Supreme Court ruled that the federal government must restore to health insurers approximately $12.3 billion in risk corridor payments under the Affordable Care Act (ACA). On September 30, the Center for Consumer Information and Insurance Oversight (CCIIO) proposed instructions on how to allocate these risk corridor payments under the ACA’s…
…are not lawfully present status in the U.S., you are not eligible to buy a plan on the health insurance marketplace. However, you can shop for individual health insurance outside of the marketplace. To obtain coverage, contact a state-licensed health insurance company or a licensed agent or broker. Your state Department of Insurance can help you find one. (45 C.F.R….
…has repeatedly claimed to support people with preexisting conditions, there is no existing plan that would meaningfully retain these protections if the ACA is overturned. Prior to the ACA, it was largely up to states to regulate insurance companies, and most states had very limited protections in place. In response to recent efforts to repeal and invalidate the ACA, a…
Several COVID-19 vaccines could be on the market soon. State and federal officials have begun devising strategies for distributing and administering the vaccine and communicating with the public, but an equally important element will be the extent to which health care payers, including private insurers, will cover the costs for recipients. The Affordable Care Act (ACA) requires that most health…
…situation or treatment for an unforeseen diagnosis without coverage. To ensure that an insurance product provides comprehensive coverage and adequate financial protection, and to see if you qualify for premium tax credits, visit HealthCare.gov. I am looking for coverage. Where should I buy it? First, you should visit HealthCare.gov to see if you qualify for premium tax credits or Medicaid…
…center to access the opportunity. See this FAQ for more information. Retroactive Effective Dates: CMS has streamlined its rules and processes for retroactive coverage for consumers who receive a special enrollment period, a favorable appeal decision, or a processing delay. Consumers have the option to pay the premiums for all the months of retroactive coverage, or only pay the premium…
The opinions expressed here are solely those of the individual blog post authors and do not represent the views of Georgetown University, the Center on Health Insurance Reforms, any organization that the author is affiliated with, or the opinions of any other author who publishes on this blog.
