Affordable Care Act

Last updated 8/4/2021

The Affordable Care Act (ACA) is a healthcare reform that makes insurance more affordable for low-to-moderate income Americans through subsidies, provides free preventative care, and protects people with pre-existing conditions. 

How do I know if I’m eligible for subsidies? 

You are eligible for the subsidies (i.e. premium tax credit) if you meet all of the following requirements: 

  • Have household income between 100% and 400% of the Federal Poverty Level. Click here to view current Federal Poverty Level numbers. 
  • Do not file a tax return using the filing status of Married Filing Separately.
  • Cannot be claimed as a dependent by another person.
  • Meet these additional requirements: In the same month, you or a family member:
    • Have health insurance coverage through a Health Insurance Marketplace.
    • Are not able to get affordable coverage through an eligible employer-sponsored plan that provides minimum value.
    • Are not eligible for coverage through a government program, like Medicaid, Medicare, CHIP or TRICARE.
    • Pay the share of premiums not covered by advance credit payments.

CLICK HERE for more information. 

How much does healthcare cost under the Affordable Care Act? 

The subsidy offered by the Affordable Care Act depends on several factors including income, marital status, and number of children. To look at estimates before applying, click here.

What type of preventative care is covered by the Affordable Care Act? 

Examples of preventative care include: 

  • Checkups 
  • Patient counseling 
  • Immunizations
  • Health screenings 

Contact Healthcare.gov to learn more.

How can I apply? 

Visit healthcare.gov to fill out an application online or call 1-800-318-2596 to speak with someone over the phone. The best time to apply is during the open enrollment period, which starts on November 1st. You may qualify for a special enrollment period if you recently lost health insurance, changed jobs, got married, had a baby, and/or other major life events. 

Are there any special considerations in 2021 due to COVID-19? 

Open enrollment has been reopened due to COVID-19. If you need to apply for a health plan, you can do so through August 15, 2021 by visiting https://www.healthcare.gov/get-coverage/ 

How did The American Rescue Plan impact the Affordable Care Act?

The American Rescue Plan led to several enhancements: 

  • People who earn between 100% and 150% of the federal poverty level will not have to pay a monthly premium. 
  • The amount of income you can spend on a health insurance plan is capped at 8.5%.
  • COBRA (Consolidated Omnibus Budget Reconciliation Act) will allow people who were laid off in 2020 to receive full subsidies to pay for their employer premiums. 

Need more information? 

Visit healthcare.gov or call 1-800-318-2596 to get more information about the Affordable Care Act.

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