Additional Resources
OE9 Webinar: Part VI Plan Selection Strategies
Home // Archives for September 2021
In this Beyond the Basics webinar presented by the Center on Budget and Policy Priorities on September 30, 2021, Inna Rubin covers the ins and outs of how health insurance plans work. She also provides an overview of the different types of cost-sharing charges consumers may encounter and how subsidies on the health insurance marketplace can reduce those costs.
Elements of Qualified Health Plans (QHPs)
Overview of Cost-Sharing Charges
Home // Archives for September 2021
In this Beyond the Basics webinar presented by the Center on Budget and Policy Priorities on September 28, 2021, Tara Straw, Director of Health Insurance and Marketplace Policy, and Shelby Gonzales, Vice President for Immigration Policy, provide guidance on how to help consumers complete the Marketplace documentation requirements. They explain both how to prevent data matching issues from occurring and how to resolve them when they do occur.
Overview of Data Matching Issues
Verification of Citizenship & Immigration Status
Verification of Household Income
Verification of Other Minimum Essential Coverage
General Tips to Prevent & Resolve DMIs
Identity Proofing for HealthCare.gov
Home // Archives for September 2021
In this Beyond the Basics webinar presented by the Center on Budget and Policy Priorities on September 24, 2021, in partnership with the National Immigration Law Center, Shelby Gonzales, Vice President for Immigration Policy, and Gabrielle Lessard, Senior Policy Attorney at the National Immigration Law Center, provide an overview of immigration status-related eligibility requirements for Medicaid, the Children’s Health Insurance Program, and for enrollment in marketplace plans.
Eligibility for Marketplace Coverage Based on Immigration Status
Eligibility for Medicaid & CHIP Based on Immigration Status
Other Important Eligibility Rules for Families that Include Immigrants
Options for People Ineligible for Insurance Affordability Programs Due to Immigration Status
Navigating the Application Process
Home // Archives for September 2021
In this Beyond the Basics webinar presented by the Center on Budget and Policy Priorities on September 16, 2021, Tara Straw, Director of Health Insurance and Marketplace Policy, provides an in-depth review of eligibility rules for premium tax credits—including how offers of employer-sponsored insurance can affect eligibility—as well as how premium tax credits are calculated.
Premium Tax Credit Eligibility
Eligibility for Employer-Sponsored Insurance (ESI)
Calculation of the Premium Tax Credit
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In this Beyond the Basics webinar presented on September 14, 2021, Tara Straw, Director of Health Insurance and Marketplace Policy, and Jen Wagner, Director of Medicaid Eligibility and Enrollment, detail the rules used to determine household size and explain what counts as income when determining eligibility for premium tax credits and Medicaid.
Why Household Size & Income Matter
Determining Households for Premium Tax Credits
Determining Households for MAGI Medicaid
What Counts as Income for PTC and Medicaid
Annual vs Monthly Income Counting
Examples of Combining Household & Income Rules to Determine Eligibility
Home // Archives for September 2021
Eligibility for subsidies in the Marketplace is determined in part by using specific percentages and thresholds that are indexed and change each enrollment year.
In addition, people who received advance premium tax credits (APTC) in the prior enrollment year will need to complete a tax return for that year and will need to use percentages and thresholds applicable to that tax year.
This reference guide lists all the indexed guidelines and thresholds that change each enrollment year.
↓ View reference guide (PDF)
March 2021 (updated to reflect changes to premium tax credits in the American Rescue Plan)
↓ View reference guide (PDF)
↓ View reference guide (PDF)
↓ View reference guide (PDF)
↓ View reference guide (PDF)
Home // Archives for September 2021
This calculator provides an estimate of the amount of financial help a person may be eligible for and how much they could expect to pay for health insurance on the marketplace. The information provided is based on premiums for 2022 plans and reflects the increase to premium tax credits in the American Rescue Plan.
This tool was developed by the Kaiser Family Foundation.
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