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FAQs

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03 Affordable Care Marketplace

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Is there government assistance to help me pay for my health care insurance?

Yes. Known as “subsidies,” there are two forms of government assistance available for those who meet certain income requirements.
 
The first is the Premium Tax Credit. The government will help pay for – subsidize – your monthly insurance rate if your income is at or below 4x the Federal Poverty Line.
 
The second is the Cost Sharing Reduction when the government helps pay for your out-of-pocket costs. To qualify, you must choose a Silver plan. Your income must be at or below 2.5x the Federal Poverty Line. 
Category: 03 Affordable Care Marketplace
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How is an Affordable Care Plan subsidy calculated?

It is calculated on your current year’s approximated Adjusted Gross Income.

Category: 03 Affordable Care Marketplace
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Why would I elect to enroll in an Affordable Care Act plan?

There are two main reasons people choose the ACA:  1) These plans cover pre-existing conditions. 2) You can receive a substantial premium subsidy.

Category: 03 Affordable Care Marketplace
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If I don’t qualify for a premium Affordable Care Act subsidy, can I still get an Affordable Care Act plan?

Yes, anyone can enroll in an Affordable Care Act plan. You can enroll during Open Enrollment  which is November 1st through January 15th. You can also qualify for a Special Enrollment Period outside of Open Enrollment when you have a qualifying life event (For example, marriage, new baby, loss of insurance, etc.) All Affordable Care Act plans are HMO provider networks.

Category: 03 Affordable Care Marketplace

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