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Frequently-asked questions by tag

health insurance marketplace

My eligibility for Medicaid depends on how my income compares to the Federal Poverty Level. Can you spell out what that means in dollars?

My eligibility for Medicaid depends on how my income compares to 138 percent of the Federal Poverty Level. Can you spell out what that means in dollars?

November 16, 2017 – Q. I know that whether I qualify for expanded ­Medicaid depends on how my income compares with 138 percent of the Federal Poverty Level… Read more

Can health insurance policies still have lifetime benefit maximums? What about annual benefit maximums?

September 24, 2017 – Q.  Can health insurance policies still have lifetime benefit maximums?  What about annual benefit maximums? A.  All new individual… Read more

What are Consumer Operated and Oriented Plans (CO-OPs)? How are they different from plans in the health insurance exchanges?

September 10, 2017 – Q: What are Consumer Operated and Oriented Plans (CO-OPs)? How are they different from plans in the health insurance exchanges? A: The… Read more

How is a federal-state partnership different from a federal or state exchange?

August 15, 2017 – The partnership exchange is essentially a federally-run exchange with varying degrees of input, regulation and oversight from the state's… Read more

Man running with laptop through a background of clocks

If I don’t enroll in a plan by the open enrollment deadline, what are my options?

August 14, 2017 – Q. If I don't enroll in a health insurance plan by the end of open enrollment (December 15), what options will I have? A. In most cases,… Read more

Man with beard explaining employer-sponsored health insurance to a woman

How do the health insurance exchanges affect me if I already have insurance from my employer?

March 29, 2017 – Q: How will the health insurance exchanges affect me if I already have insurance from my employer? A: The marketplace in each state… Read more

woman with rope tied around large clock to prevent premium grace period time running out

What happens if I don’t make my premium payment by the end of the grace period?

January 11, 2017 – Q. What happens if I don’t make my premium payment by the end of the grace period?A: If you fail to pay your premiums and exhaust the… Read more

Man standing in middle of multiple roads wondering what type of health exchange his state has

What type of health insurance exchange does my state have?

December 7, 2016 – Q: What type of health insurance exchange does my state have? A: As of June 2016, there are 13 state-based marketplaces, 4 state-based… Read more

If silver plans cover the same benefits, why do premiums vary?

If all Silver plans cover the same benefits and percentage of costs, why do premiums vary by carrier?

August 10, 2016 – Q. If all of the Silver plans in an exchange must offer the same benefits, and cover 70 percent of the cost of those benefits, why do… Read more

How do the ACA’s health insurance exchanges interact with critical illness plans?

How do the ACA’s health insurance exchanges interact with critical illness plans?

July 10, 2016 – Q: How will the ACA's health insurance exchanges interact with critical illness plans? A: In recent years, critical illness plans —… Read more

Do ‘Gold’ exchange plans offer more generous coverage than Bronze or Silver plans?

Do ‘Gold’ exchange plans offer more generous coverage than Bronze or Silver plans?

June 20, 2016 – Q. I have read that the Gold plans sold in the exchanges offer more generous coverage. What exactly does a Gold plan cover that isn't… Read more

How is vision care covered under Obamacare?

How is vision care covered under Obamacare?

June 13, 2016 – Q: How is vision care covered under the Affordable Care Act? A: The Affordable Care Act requires coverage for pediatric vision care as one… Read more