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› When can I sign up for an ACA plan?
You may sign up for an ACA plan during open enrollment: November 1, 2018 – December 15, 2018.
› What if I do not sign up during open enrollment?
You may be eligible to enroll during special enrollment periods.
› Can insurers deny me coverage because I have a pre-existing medical condition?
› Are preventive services included in all ACA plans?
Yes, all ACA plans cover many preventive services without you having to pay copayments or coinsurance, or having met your yearly deductible. Find a list of preventive services now
› If I am on insurance offered through my employer may I purchase a more affordable or comprehensive ACA plan?
Yes. However, you may not be eligible for a subsidy unless the premium for your employer-provided insurance is more than 9.5% of your annual household income.
› What if I cannot afford the premiums for a new ACA plan?
The ACA does offer subsidies for many people, based on their estimated yearly income, effectively lowering their monthly premiums. Under certain circumstances you may also get help with deductibles and co-payments. In addition you may be eligible for Medicaid assistance. We recommend you contact your agent to see if you qualify. We can advise you on alternative coverage options (Short Term Insurance, Health Care Share Organizations, etc); however, these options do not qualify as Minimum Essential Coverage, and you may still be subject to a penalty fee.
› What if my income estimate for next year is incorrect?
Estimating your income from year to year can be tricky. If you do experience any income change, notify your agent or Healthcare.gov so an appropriate adjustment can be made to your subsidy. Remember, if you do not notify your agent of an income change you may be required to pay back your subsidy, or you may miss out on valuable savings on your premium.
› What if I choose not to purchase health insurance?
If you can afford to buy a health insurance plan but choose not to buy one you will be penalized. The fee for not having coverage in 2017 is the higher of these two amounts:
• 2.5% of your household income
• $695 per person ($347.50 per child under 18 years)
You will pay this penalty on the federal income tax return for the year you did not have coverage.