Some straight information about The Affordable Care Act aka Healthcare Reform aka Obamacare:
People who already have insurance should see no change, and about 50% of us have already
have insurance through our employer. Thirty-three percent have insurance through the
government (Medicare and Medicaid) and 10% have purchased their own. The affordable care
act is mainly for the remaining uninsured. Floridians will go to the Marketplace at: HealthCare.gov,
to apply for coverage, compare plans, and enroll. Marketplace can also help if you have
insurance but want to look at other options.
Some of the basics you need to know:
Specific plans and prices are available October 1, 2013, when Marketplace open
enrollment begins. Coverage can start as soon as January 1, 2014. Open enrollment will end
March 31, 2014.
Most low- and middle-income Floridians who purchase plans using the Marketplace will pay premiums
based on their income, not the actual cost of the insurance.
Starting in 2014, health insurance companies can no longer deny you coverage or charge you
more because of your health condition.
Tax credits will be available for those who qualify to help pay premiums.
Also starting 2014, if you don’t have a health plan that qualifies as minimum essential
coverage, you may have to pay a fee that increases every year: from 1% of income (or
$95 per adult, whichever is higher) in 2014 to 2.5% of income (or $695 per adult) in 2016.
The fee for children is half the adult amount. The fee is paid on your 2014 federal income
tax form, which is completed in 2015. People with very low incomes and others may be
eligible for waivers.
Some states, including Florida, are choosing not to expand their Medicaid programs. In
Florida, some people won’t qualify for either Medicaid or lower Marketplace insurance
costs. This includes: all adults with no minor children with income below the Federal
Poverty Level; and no additional working and unemployed parents under the FPL; and no
additional disabled adults under the FPL will be eligible.
Small businesses with 50 or fewer full-time equivalent (FTE) employees may get health
coverage in the Small Business Health Options Program (SHOP) Marketplace, even though
these employers are not required to offer health coverage. This applies to non-profit
organizations as well. They will be able to control the coverage offered and how much to
pay toward premium costs.
Navigators and others are being trained to assist both individuals and employers in the
enrollment process and will be located throughout Florida. They can be located at
Be informed! Please go to https://www.healthcare.gov/
for more information. What you don’t know CAN hurt you, but what you do know can HELP