In general, an individual must not be eligible for minimum essential coverage (MEC) to be eligible for premium tax credits (PTC) in the marketplace, although there are a few exceptions. Being eligible for MEC means the insurance is available to the individual, even if they don’t enroll in it. Therefore,…
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 reflects the increase to premium tax credits in the American Rescue Plan and the Inflation Reduction…
Updated October 2022 Under a recent Department of Health and Human Services (HHS) rule, insurers can no longer collect any past-due premiums from the last 12 months before allowing someone to enroll in a plan with the same carrier. The following FAQ explain what happens now if a person misses…
Este novedoso seminario web en español proporciona herramientas para facilitar el acceso a cobertura de salud para consumidores hispanos, como son: conceptos básicos sobre seguro médico, comparación de planes de salud, y cómo resolver los errores más comunes de elegibilidad que afectan a inmigrantes y familias de estatus mixto. Un…
Este glosario enumera la traducción al español de palabras comunes encontradas durante el proceso de solicitud e inscripción en seguro médico. This gloasario lists the Spanish translation of common words encountered during the application and enrollment process. Additional Resources OE10 Webinar: Health Coverage Eligibility Based on Immigration Status FAQ: Helping…
Updated October 2022 Families that include immigrants may experience barriers when applying for health coverage. The following document explains issues that families may face and provides information about some concerns families that include immigrants may have when completing the application process. For more information on immigrant eligibility, please see FAQ:…
In Part VIII of this Beyond the Basics OE10 webinar series presented on October 13, 2022, Claire Heyison, Senior Policy Analyst for Health Insurance & Marketplace Policy, and Jenny Sullivan, Director of Health Coverage Access, bring together all of the policies covered in the Beyond the Basics webinar series by…
Updated October 2022 Millions of uninsured Americans are eligible for a premium tax credit to help them pay for health coverage. The premium tax credit is only available to people without another offer of affordable and adequate coverage; in most cases, this will mean that people with an offer of…
This Employer Coverage & Premium Tax Credit Eligibility Guide explains eligibility rules for individuals with offers of employer-sponsored coverage. It covers how to determine whether employer-sponsored coverage is affordable and minimum value, as well as special rules that reduce an employee’s required contribution. The guide also offers details and examples…
In Part VII of this Beyond the Basics OE10 webinar series presented on October 6, 2022, Jenny Sullivan, Director of Health Coverage Access, provides an in-depth review of the HealthCare.gov renewal process for 2023 coverage, including redetermination of premium tax credit eligibility and plan enrollment. Webinar Resources ↓ Presentation Slides (PDF)
