If you are self-employed, working for a company that does not provide health insurance, or working for a company that offers health insurance coverage, but you can not afford it, then the best option for you is Affordable Care Act, or better known as, Obamacare. Obamacare is the law in the United States which is meant to provide this coverage for you and your family.
How Obamacare Works :
Obamacare plans can only be bought most of the time during the end of the year, typically between November 01st to December 15th, of every year. This is the only time in the year you can sign up for Obamacare plans. Your Obamacare insurance plan will start as of January 01 of the following year. Once December 15th is gone, you can not change the plan unless for a special reason.
If your family total income is as follows, you may qualify for a subsidy. This subsidy is provided by the government and insurance companies, that as long as you pay taxes, then they give you this benefit to buy health insurance. When you receive this subsidy, you will qualify for a lower premium (payment you make every month) and might even get better benefits.
2021 Total Household Income for Minimum ACA Subsidy
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However, if you are not able to obtain this subsidy, there are plans that are available which are still reasonable in cost and will be able to suit your health insurance needs. You would have to pay full costs for the plans; however, you may also be able to get plans “off-exchange” as well.
To Qualify for a Special Enrollment Period :
There are special reasons why you can change your plan after December 15th. Those reasons are :
Check this video to see everything explained, just one more time :
Obamacare Insurance Companies: (For the State of Texas)
Healthcare Marketplace : This is the official Government website about Obamacare. Here, you can more information including their FAQs, detailed information on how one can get Obamacare, etc.
- Does the Affordable Care Act require everyone to have insurance?
When the Affordable Care Act was initially passed, it required everyone to have insurance or pay the penalty for it. This is along with the existing health insurance system that guarantees health insurance for everyone irrespective of their present health condition. If a person satisfies some of the mentioned conditions, there is no penalty for being without health insurance.
However, on December 22, 2017, President Donald Trump signed the Tax Cuts and Jobs Act of 2017, which eliminated the federal tax penalty for violating the individual mandate, starting in 2019. Some states, like California, Connecticut, Hawaii, Maryland, Minnesota, Rhode Island, and Washington, still require everyone to have health insurance.
- What do Affordable Care Act plans have to cover?
Under the Affordable Care Act, the health insurance companies must cover 10 sets of categories which include doctors’ services, inpatient and outpatient hospital care, prescription drug coverage, pregnancy and childbirth, mental health services, dental coverage for children and some more. Some plans cover more services and that can be found out by comparing various plans. Also, Dental benefits for adults are optional.
- How do Affordable Care Act plans work?
ACA plans came into effect in March 2010 started by former President Barack Obama which was previously named as Patient Protection and Affordable Care Act. It is a comprehensive plan that aims to bring millions of uninsured Americans to being health insured to protect their savings in future.
- What are the 10 mandated benefits under the Affordable Care Act?
There are a total of 10 mandatory benefits under the ACA that it covers which are ambulatory patient services, emergency services hospitalization, maternity and newborn care, mental health and substance use disorder services including behavioral health treatment, prescription drugs, rehabilitative and habilitative services and devices, laboratory services, preventive and wellness services and chronic disease management and pediatric services, including oral and vision care.
- Who benefits from the Affordable Care Act?
- People who can not afford health insurance through their current employer.
- People who are self-employed or work at a job that does not provide health insurance.
- People who need to have private health insurance but have medical conditions like high blood pressure, diabetes, high cholesterol.
- Are immigrants eligible for the Affordable Care Act or Obamacare?
Although the Marketplace does not differentiate between its own citizens and the immigrants, when it comes to Obamacare, as long as you are legal in this country, you can qualify for ACA. Legality in this country can range from being a US Citizen to having H1B visa, to F1 visa.
- Can the Affordable Care Act plan (Obamacare) be used out of state?
No, Obamacare cannot be used out of state to see a doctor in their office, get lab work, etc. While in other states, you can only obtain life-threatening emergency services by going to the local hospital. Examples of life-threatening emergencies can be chest pain, shortness of breath, car accident, numbness of the arm. However, if you are out on vacation, and it is not a life threatening emergency, like low grade fever, you can always do telehealth and get treatment.
- How do I transfer my Affordable Care Act plan (Obamacare) to another state?
By going to Healthcare Marketplace, www.healthcare.gov,, there is an option to move your state and if you want to be insured even if you move out of your state, you need to report it to the marketplace by updating your details on the website. This has to be done on an immediate basis.
- What happens to my Affordable Care Act plan (Obamacare) if I move?
Your Obamacare will not be active if you move out of your home state. In order to make sure that you are still insured even after moving out of state, you need to update your details in the marketplace by visiting www.healthcare.gov.
- Does Affordable Care Act (Obama Care) cover travel out of the country?
Obamacare does not cover you if you are out of the network, which means you will not be covered if you are travelling outside the country and not even emergency services will be provided. For that, you need to take travel medical insurance which is separate insurance altogether.
- Does the Affordable Care Act (Obamacare) cover telehealth?
Yes, ACA covers telehealth.
- What insurances cover telemedicine?
Twenty-six states in the US have laws that require all the private health insurance providers to provide telemedicine services as well and ten more states are considering bringing this law into effect. This precisely means almost all the health insurance providers in most of the states provide telemedicine services.