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ACA open enrollment starts Nov. 1, and plans and premiums are changing

October 29, 2024 - Open enrollment for Marketplace plans begins Nov. 1, giving consumers a limited window to enroll in Affordable Care Act (ACA) health plans for 2025. To help consumers find the best ...

Changes to federal rules could draw newcomers to open enrollment, which starts Nov. 1

October 1, 2024 - Open enrollment for Affordable Care Act (ACA) health plans begins Nov. 1, and several changes could help bolster enrollment. Healthinsurance.org explains what’s changing, including new eligibility for DACA recipients, state-specific ...

16.8 million U.S. workers are self-employed, often left piecing together their own health insurance coverage

August 19, 2024 - In advance of Labor Day, healthinsurance.org explains how self-employed workers can assemble a benefits package for health, dental and vision coverage when they don’t have an offer of coverage from ...

Consumers purchasing short-term health insurance plans will soon see new duration limits

August 8, 2024 - Minneapolis, MN – On Sept. 1, a new federal rule will apply a four-month limit on the duration of short-term health insurance plans – including renewals – unless a state has ...

Time for a checkup before kids head back to school

July 24, 2024 - With the beginning of the school year just around the corner, it’s time for kids to get their annual checkups. Today, healthinsurance.org explains how parents can make use of covered ...

Parents, high school grads have summer homework: finding health insurance

May 29, 2024 - Today, healthinsurance.org explains why college students shouldn’t wait until they’re on campus to consider their healthcare and choose coverage.

Shopping for health insurance can be eye-opening for college grads, young adults

May 9, 2024 - As college graduates embark on their future, they face a multitude of new decisions, and choosing the right health insurance plan may be one of their most important. Today, healthinsurance.org ...

Medicaid unwinding approaches one-year mark: Disenrolled count surpasses initial expectations, continues to climb

March 21, 2024 - Today, healthinsurance.org explains how the Medicaid disenrollments that began April 1, 2023, are affecting health coverage and the nation’s health insurance landscape.

Five tips for staying insured in the event of a layoff

March 20, 2024 - With an increase in layoff announcements, healthinsurance.org is offering several tips to help consumers stay insured if they lose their employer-sponsored coverage.

Tax Time: Some consumers will have to pay back part or all of the federal health insurance subsidy they received in 2023

March 6, 2024 - healthinsurance.org is providing information that explains why many consumers receive excess advance premium tax credits (APTC) and what determines the amount they have to repay.

Latest news from healthinsurance.org

Could supplemental coverage help lower the out-of-pocket costs of my Marketplace health insurance?

November 6, 2024 - Could supplemental insurance combined with a Marketplace health plan help cover some of your plan's out-of-pocket costs?

Fact check: Is the $6,400 subsidy real or a scam?

November 5, 2024 - Ads on social media – promising a $6,400 subsidy – have been flagged as misleading. Here's what you need to know about the $6,400 subsidy scam.

Can I buy Marketplace health insurance for someone else?

October 21, 2024 - You can generally buy Marketplace health insurance for certain other persons. The details vary, however, depending on whether you’ll also be covered by the policy.

Georgia switches to state-run health insurance Marketplace for 2025 coverage

September 17, 2024 - Starting Nov. 1, 2024, Georgia residents will use a state-run health insurance enrollment platform, Georgia Access, to shop for and enroll in Marketplace health coverage for 2025. Here’s a look ...

DACA news: 100,000 Dreamers become eligible for Marketplace health insurance

August 21, 2024 - Starting in November, DACA health insurance options will include exchange enrollment and eligibility for income-based premium subsidies. The federal government estimates that 100,000 people will be newly eligible for Marketplace ...

What is the ACA’s preventive health services coverage mandate?

October 28, 2024 - The Affordable Care Act requires nearly all health plans to cover a wide range of free preventive health services including wide-ranging preventive care for everyone, preventive care for women and ...

Affordable Care Act’s Basic Health Program

July 11, 2024 - Minnesota, New York, and Oregon have implemented a Basic Health Program – a coverage for people ineligible for Medicaid and with incomes up to 200% of FPL (250% in New ...

How Section 1557 of the Affordable Care Act protects LGBTQI+ individuals

June 20, 2024 - Learn how a new federal rule has expanded the ACA’s nondiscrimination provision, and how it might protect LGBTQI+ communities seeking healthcare and health coverage

Domestic partner health insurance: a coverage option for unmarried couples

June 20, 2024 - If you’re in a relationship deemed a domestic partnership, access to your domestic partner’s health insurance, or their access to yours, depends on where you live and your health plan’s ...

Finalized federal rule reduces total duration of short-term health plans to 4 months

September 20, 2024 - A finalized federal rule will impose new nationwide duration limits on short-term limited duration insurance (STLDI) plans. The rule – which applies to plans sold or issued on or after September ...

Where do I find my 1095 tax form?

June 4, 2024 - There are three 1095 tax forms used to report health insurance coverage to the IRS. Form 8962 reports subsidy eligibility.

How immigrants can obtain health coverage

June 3, 2024 - Immigrants can enroll in ACA-compliant individual health insurance just like any other lawfully present U.S. resident. Lawfully present immigrants are eligible for premium subsidies.

Does health insurance cover IVF and other fertility treatments?

October 23, 2024 - Health insurance coverage for IVF and other fertility treatments varies from one state to another and from one health plan to another.

What consumers need to know about unauthorized Marketplace plan changes

May 20, 2024 - In recent weeks, we’ve seen news reports of Marketplace enrollees’ coverage being switched without their knowledge. Here's what consumers need to know.

Enrollment in 2024 Marketplace health plans during open enrollment reaches record high

April 30, 2024 - During the open enrollment period for 2024 health coverage, more than 21.4 million people enrolled in private qualified health plans (QHPs) through the Marketplaces (exchanges) nationwide. This was a 31% ...

Does Marketplace health insurance cover Alzheimer’s disease?

April 29, 2024 - Marketplace health insurance plans can help offset some of the medical expenses associated with Alzheimer's when the patient is not yet eligible for Medicare coverage.

Does health insurance cover drugs used for weight loss such as Ozempic, Wegovy, Mounjaro, and Zepbound?

April 26, 2024 - Health insurance may cover drugs used for weight loss such as Ozempic, Wegovy, Mounjaro, and Zepbound if they’re prescribed for another medical condition, such as diabetes, but not if they’re ...

Health insurance for the unemployed

April 26, 2024 - When it comes to obtaining health insurance for the self employed, consumers have several coverage options to consider, including ACA Marketplace individual and family health insurance, COBRA continuation of group ...

Where Medicaid unwinding and disenrollments stand at the one-year mark

April 22, 2024 - Here’s a look at what’s been happening with disenrollments that resulted from Medicaid unwinding – and also a look at the beneficiaries who have had their Medicaid coverage renewed during ...

What happens to my Marketplace coverage if I get a job that offers health insurance?

April 19, 2024 - If you’re enrolled in Marketplace health insurance and you get a new job that offers certain kinds of health insurance, it’s important to understand how this will affect your eligibility ...

Who doesn’t need a qualifying life event to enroll in health insurance outside of open enrollment?

April 17, 2024 - Qualifying life events aren’t always necessary to trigger a special enrollment period. Enrollment continues year-round in some cases, and you don’t need a qualifying event if you’re in one of ...

Qualifying life events and why they’re part of the ACA

April 17, 2024 - Since ACA-compliant health coverage is now guaranteed issue regardless of medical history, the trade-off is that enrollment is limited to an annual open enrollment period and special enrollment periods triggered ...

How can American Indians and Alaska Natives get coverage under the ACA? Are there specific plan options for them?

March 29, 2024 - American Indians and Alaska Natives (AI/AN) benefit from the Affordable Care Act’s (ACA) expanded coverage. Most American Indians/Alaska Natives are eligible for either expanded Medicaid or premium tax credits (subsidies) ...

How might my tax deductions affect the size of my ACA premium subsidy?

March 22, 2024 - Learn how you might be missing out on deductions and tax breaks that would lower your income for ACA purposes, which could result in larger premium subsidies.

Why was your health insurance claim denied – and what can you do?

March 6, 2024 - Denial of a health insurance claim does not necessarily mean you will ultimately have to pay for everything out of pocket. There are steps you can take – including filing ...

How can I get health insurance if my employer doesn’t offer it?

February 22, 2024 - Most Americans under age 65 get their health insurance from an employer, but not all employers offer group health coverage. Here are some common scenarios in which you wouldn't have ...

What happens if I don’t make my premium payment by the end of the grace period?

February 20, 2024 - If you fail to pay your premiums and exhaust the grace period for plans offered in a health insurance marketplace, you will lose your insurance coverage.

6 lessons Mary Lou Retton’s health scare can teach us about coverage

January 23, 2024 - Mary Lou Retton’s health scare story included some important lessons for consumers, many of whom may assume that the celebrity’s health scare is a sign of barriers to affordable health ...

HMO vs PPO vs POS vs EPO: What’s the difference?

January 3, 2024 - The type of managed care your health plan falls under affects your healthcare costs and plan benefits – including access to medical providers.

Over 9 million Medicaid beneficiaries disenrolled as redeterminations continue

October 25, 2023 - Seven months after states received authorization to start Medicaid redeterminations, the process is proceeding mostly as expected, with millions already disenrolled. But it’s also had some unexpected problems.

50 populations whose lives are better thanks to the ACA

September 21, 2023 - Millions of Americans would have worse health insurance – or none at all – without Obamacare's provisions. But the law's protections extend beyond insurance benefits.

If I don’t enroll in a plan by the open enrollment deadline, what are my options?

October 16, 2024 - Your options for coverage are very limited if you don't enroll in a plan by the end of open enrollment in your state. The open enrollment period applies outside of ...

How Friday Health Plans insolvency will affect policyholders in five states

July 18, 2023 - Friday Health Plans, which offers coverage in five states, is winding down its business operations. And in at least four of those states, thousands of enrollees need to select new ...

Are you losing Medicaid eligibility? Here’s what to do next.

July 5, 2023 - If you’re among the millions of Americans notified about potentially losing Medicaid eligibility in 2023 and 2024, learn how to avoid becoming uninsured.

Guide to women’s health insurance

October 14, 2024 - Learn how individual health insurance plans cover women’s healthcare services, including maternity, contraception and abortion.

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