CSR

Tuesday, November 1st is the start of the official 2023 #ACA Open Enrollment Period (OEP) for anyone who needs quality, affordable healthcare coverage.

The 2023 OEP is the best ever for the ACA for several reasons:

  • Second, because several states are either expanding or retooling their own state-based subsidy programs to make ACA plans even more affordable for their enrollees;

There's also expanded carrier & plan offerings in many states/counties, and as always, millions of people will be eligible for zero premium comprehensive major medical policies.

If you've never enrolled in an ACA healthcare policy before, or if you looked into it a few years back but weren't impressed, please give it another shot now. Thanks to these major improvements it's a whole different ballgame.

Here's thirteen important things to know when you #GetCovered for 2023:

Yesterday I did a write-up about Covered California's 2022 Open Enrollment Period Executive Summary, which included a bunch of important data and demographic breakouts about how the largest state-based ACA exchange performed over the 2022 OEP.

However, I deliberately left out a section because I wanted to discuss it separately. If you scroll down to pages 31 & 32, you'll see a summary of two important pieces of ACA-related legislation which have been introduced in the California state legislature.

One of these is SB 967, introduced by CA State Senator Robert Hertzberg, which would do the following:

Open Enrollment 2022

IMPORTANT: The official 2022 Open Enrollment Period has now ended in most of the country, but there's 8 states where residents still have time to #GetCovered, with their new healthcare policies going into effect starting either February 1st or March 1st.

The 2022 OEP is by far the best ever for the ACA coverage, with dramatically expanded financial help for millions more people (including many who weren't eligible last year), reinvigorated expert, unbiased assistance, more choices in many states and counties, and FREE policies for more people than ever before.

If you've never enrolled in an ACA healthcare policy before, or if you looked into it years ago but weren't impressed, please give it another shot now. Thanks to the American Rescue Plan (ARP), it's a whole different ballgame.

Here's some important things to know when you #GetCovered for 2022:

Open Enrollment 2022

Monday, November 1st was the start of the official 2022 #ACA Open Enrollment Period (OEP) for anyone who needs quality, affordable healthcare coverage. The 2022 OEP is by far the best ever for the ACA coverage, with dramatically expanded financial help for millions more people (including many who weren't eligible last year), reinvigorated expert, unbiased assistance, more choices in many states and counties, and FREE policies for more people than ever before.

If you've never enrolled in an ACA healthcare policy before, or if you looked into it years ago but weren't impressed, please give it another shot now. Thanks to the American Rescue Plan (ARP), it's a whole different ballgame.

Here's some important things to know when you #GetCovered for 2022:


1. RESIDENTS OF MOST STATES HAVE MORE TIME, BUT YOU STILL SHOULDN'T DELAY!

Get Covered 2021!

As of midnight on August 15th, the Big Deadline for the 2021 "No Excuse Needed" ACA Special Enrollment Period has come and gone in most states.

HOWEVER, you can still #GetCovered for the rest of 2021 in a few states (including two of the largest ones), and there are still millions of uninsured Americans nationally who are eligible for ACA-compliant coverage for the rest of this year via other options. Let's review!

2021 ACA Special Enrollment Period (SEP): If you live in California, Connecticut, the District of Columbia, New Jersey, New York or Vermont, the deadline for the "no questions asked" SEP goes beyond 8/15. In CA, DC & NY it actually runs through the end of the year!

Platinum Blonde

Last week I gave a heads up about the imminent launch of the American Rescue Plan's "Unemployment Insurance Benefit" provision at HealthCare.Gov:

This, again, is a Big Deal for this year. Paired with the beefed-up APTC table, what it means is that if you're on unemployment this year you effectively don't have to pay anything for a benchmark Silver plan. I'm not sure if you have to be unemployed for the full year or not...the wording above sounds like even someone who's only on unemployment for one or two weeks would still be counted as having 133% FPL.

Sure enough, just about anyone who is either currently receiving unemployment benefits or who did earlier this year (or later this year, for that matter) is likely eligible for a FREE ($0* Premium) Silver CSR 94 plan...otherwise known as #SecretPlatinum:

Platinum Blonde

Back in March, I noted that one of the more interesting provisions of the American Rescue Plan is that anyone who receives unemployment benefits at any time during calendar year 2021 is eligible for maximum ACA subsidies:

Sec. 9663 – Application of premium tax credit in case of individuals receiving unemployment compensation during 2021

For 2021, provides advanced premium tax credits as if the taxpayer’s income was no higher than 133 percent of the federal poverty line (FPL) for individuals receiving unemployment compensation as defined in section 85(B) of the Internal Revenue Code.

This, again, is a Big Deal for this year. Paired with the beefed-up APTC table, what it means is that if you're on unemployment this year you effectively don't have to pay anything for a benchmark Silver plan. I'm not sure if you have to be unemployed for the full year or not...the wording above sounds like even someone who's only on unemployment for one or two weeks would still be counted as having 133% FPL.

ACA Logo

Earlier today, Greg Fann asked a fair question:

Any data on % of exchange enrollees receiving subsidies after ARP? It was ~87% pre-ARP. Also suspect many off-exchange enrollees are moving on-exchange mid-year 2021. @charles_gaba @xpostfactoid @bjdickmayhew @LouiseNorris @larry_levitt @cynthiaccox

— Greg Fann (@greg_fann) May 12, 2021

Several fellow health wonks have chimed in. I spitballed perhaps 95%. Fann puts it at 96-97%. Cynthia Cox of the Kaiser Family Foundation thinks it could be even higher:

Platinum Blonde

In the United States, major medical insurance policies for those who don't have healthcare coverage through their employer, Medicare, Medicaid, CHIP, the Veteran's Administration or some other source are available via the ACA's individual market exchanges. The individual market for residents of 36 states is HealthCare.Gov; the remaining 14 states + DC each have their own ACA exchange, such as Covered California, NY State of Health and so forth.

There are usually dozens of ACA policies available via the ACA exchanges, but they fall into five major categories: Catastrophic, Bronze, Silver, Gold and Platinum plans (other major distinctions include HMOs vs. PPOs and other variables,but those are for another day).

With rare exceptions, Catastrophic plans are only available to enrollees under 30 years old. ACA premium subsidies can't be used to help pay for Catastrophic plans either, so enrollment is rare; during the 2020 Open Enrollment Period, only 89,000 ACA exchange enrollees selected Catastrophic plans out of over 11.4 million total, or just 0.8%.

Get Covered 2021!

 

Nearly every state (+DC) has re-opened enrollment on their respective ACA exchanges in response to both the ongoing COVID-19 pandemic and the American Rescue Plan (ARP), which substantially expands and enhances premium subsidies to millions of people!

If you've never enrolled in an ACA healthcare policy before, or if you looked into it years ago but weren't impressed, please give it another shot now. Thanks to the ARP (and some other reasons), it's a whole different ballgame this spring & summer.

Here's 10 important things to understand when you #GetCovered:

Pages

Advertisement