Affordable Care Act

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. If your income is above 400% of the Federal Poverty Level, you may still qualify for savings on a 2021 Marketplace health insurance plan.  
  • 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 and ends on December 15th. 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.  

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

The American Rescue Plan led to several enhancements:  

  • The amount of income you can spend on a health insurance plan is capped at 8.5%, meaning more people will qualify for Premium Tax Credits.  
  • Most people currently enrolled in a Marketplace plan will qualify for more tax credits.  
  • Health insurance premiums will go down. 

CLICK HERE to learn more. 

Need more information?  

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

SOURCE: Healthcare.gov

Last updated 4/21/2022

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