The Affordable Care Act (ACA) provides individuals and families greater access to affordable health insurance options including medical, dental, vision, and other types of health insurance that may not otherwise be available. Under the ACA:
Visit HealthCare.gov to apply for benefits through the ACA Health Insurance Marketplace or you'll be directed to your state's health insurance marketplace website. Marketplaces, prices, subsidies, programs, and plans vary by state.
If you have questions about specific parts of your insurance plan, you must contact your insurance company to get answers. Only your insurance company can answer specific questions about doctors, medications, treatments, medical equipment, and what is and is not covered under your plan.
Businesses with 50 employees or fewer can offer Small Business Health Options Program (SHOP) plans to employees, starting any month of the year. Learn about small business tax credits to help companies with the equivalent of fewer than 25 full-time employees provide insurance coverage to their workers.
Most health insurance plans and Medicare severely limit or exclude long-term care. If you want coverage, you may need a separate long-term care insurance policy. These questions can help you evaluate long-term care insurance policies.
Medicare provides medical health insurance to people under 65 with certain disabilities and any age with end-stage renal disease (permanent kidney failure requiring dialysis or a kidney transplant). Learn about eligibility, how to apply and coverage.
The Applied Behavior Analysis (ABA) Medical Necessity Guide helps determine appropriate (medically necessary) levels and types of care for patients in need of evaluation and treatment for behavioral health conditions. The ABA Medical Necessity Guide does not constitute medical advice. Treating providers are solely responsible for medical advice and treatment of members. Members should discuss any matters related to their coverage or condition with their treating provider.
You, your employees and agents are authorized to use CPT only as contained in Aetna Clinical Policy Bulletins (CPBs) solely for your own personal use in directly participating in healthcare programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT.
HHS enforces federal civil rights laws that protect the rights of individuals and entities from unlawful discrimination on the basis of race, color, national origin, disability, age, or sex in health and human services.
Consumers can also purchase ACA-compliant coverage outside the marketplace (ie, off-exchange) nationwide, except in the District of Columbia, where individual health insurance can only be purchased through the marketplace. However, the premium subsidies and cost-sharing reductions are only available if a plan is purchased through the marketplace (this includes enrollments completed via a direct enrollment or enhanced direct enrollment entity).
Plan availability and coverage options vary considerably from one area to another. Some parts of the country have only a single insurer that sells individual health insurance, while other areas have several different insurers and dozens or even hundreds of healthcare plans from which to choose.
Finding affordable health insurance has become easier in recent years. The Affordable Care Act was designed to improve the quality of health coverage but also put a heavy emphasis on affordability. As of early 2022, nearly 13 million Americans were receiving income-based premium subsidies that offset the cost of premiums.
Limitations on telehealth services, also referred to as virtual visits or telemedicine, vary by state. These services are not a substitute for emergency care and are not intended to replace your primary care provider or other providers in your network. Any descriptions of when to use telehealth services are for informational purposes only and should not be construed as medical advice. Please refer to your evidence of coverage for additional details on what your plan may cover or other rules that may apply.
Go365 is not an insurance product and is not available with all Humana health plans. This is a general description of services which are subject to change. Product features may vary by client. Please refer to Customer Support for more information.
This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. In the event of any disagreement between this communication and the plan document, the plan document will control.
All insurance policies and group benefit plans contain exclusions and limitations. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. This website is not intended for residents of New Mexico.
If you have lost health insurance or no longer qualify for NJ FamilyCare, you may be able to get health coverage through GetCoveredNJ. Compare health plans, costs, and learn how much financial help you may qualify for now. Nine out of 10 residents enrolling qualify for financial help.
Your online account is a powerful tool for managing every aspect of your health insurance plan. Whether you need to check on a claim, pay a bill, or talk to a representative, you can easily access all your member features.
The purpose of this communication is the solicitation of insurance. Contact will be made by an insurance agent or insurance company.This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. For costs and complete details of the coverage, please contact your agent or the health plan.
This report presents statistics on health insurance coverage in the United States based on information collected in the Current Population Survey Annual Social and Economic Supplement (CPS ASEC) and the American Community Survey (ACS).
KFF is not able to provide individual advice on your insurance options. However, we do provide answers to a number of frequently asked questions below, along with more detailed questions and answers in our Health Reform FAQ page.
Subsidies are financial assistance from the Federal government to help you pay for health coverage or care. The amount of assistance you get is determined by your income and family size. There are two types of health insurance subsidies available through the Marketplace: the premium tax credit and the cost-sharing subsidy.
Medicaid is a comprehensive, free health insurance program (offered through a partnership between states and the Federal government) for people when they have limited income. Eligibility for Medicaid is based on your current income (vs eligibility for marketplace subsidies, which is based on your estimated total annual income for 2023.) Medicaid programs vary from state to state, but most health care services are covered at little or no cost and no premium is charged. If you are eligible for Medicaid, then you would not be eligible for subsidies in the Marketplace and would instead need to sign up for Medicaid.
In most states, older people will still pay more for health insurance than a younger person. The ACA requires that people aged 64 and older can be charged no more than 3 times that of a 21-year-old. Children under age 21 have slightly lower premiums and families with more than three children under the age of 21 will be charged premiums for no more than three children.
Yes. The cost of health insurance (your monthly premium) varies quite a bit by state, and even within regions of a state. This is because of several factors, such as the cost of living and cost of health care services in your area.
Under the ACA, private insurers can charge tobacco users no more than 50% more per month than those who do not use tobacco. The health law also makes clear that financial help through the Health Insurance Marketplace cannot be used to cover the portion of the premium that is due to a tobacco surcharge.
With most job-based health plans, an employer pays part of your monthly or yearly costs (premiums). In general, people who qualify for health insurance through their job are not able to get financial assistance through the Marketplaces.
States have the option to expand Medicaid coverage to everyone under 138% of the poverty level. If astate expands Medicaid, most of the costs are covered by the federal government under the healthreform law. If your state decides to expand Medicaid, your incomewill make you eligible for the program. Medicaid coverage varies from state to state, butout-of-pocket costs are generally very low. Tobacco use is not taken into account in Medicaid eligibility.
Based on the information you provided, you are likely eligible for Medicaid. Medicaid is a healthcoverage program run by states and the Federal government. Under the health law, states have theoption to expand Medicaid coverage to everyone under 138% of the poverty level. (The federalgovernment pays nearly all of the costs of Medicaid expansion).
Based on the information you provided, you or some members of your family may be eligible for Medicaid. Medicaid is a health coverage program run by states and the Federal government. Under the health reform law, states have the option to expand Medicaid coverage to everyone under 138% of the poverty level. (The federal government pays nearly all of the costs of Medicaid expansion). 041b061a72