What is a health insurance market and should care?

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What is a health insurance market and should care? -

What is a Health Insurance Marketplace and Who Should Care - TaxACT

What is health insurance market ?

also known as the health insurance exchange, a health insurance market is part of the Affordable Care Act (ACA), better known as reforming health care.

market is an online store where people can buy health insurance, compare different plans and enroll in a plan.

from 1 January 2014, individuals who do not have health insurance must either join a health insurance plan or pay a fee.

fee or penalty tax will increase each year the individual is not enrolled in a health insurance plan. The tax began in 2014 to 1% of annual income or $ 95 per adult ($ 47.50 per child), whichever is greater. This penalty will be paid on your income statement in 2014, due in April 2015.

When you apply for coverage on the market, you will know if you qualify for financial assistance, including a tax credit on premiums.

Federal or State markets

many states will operate their own health insurance market.

If your chosen state not to develop a market for health insurance, you will use the health insurance exchanges federal government.

In both cases, the visit healthcare.gov to find out if your state operates a health insurance exchange or use the health insurance exchange for the federal government.

The marketplaces will allow you to shop for health insurance plans in four distinct categories :. bronze, silver, gold and platinum, each with different levels of coverage and costs

10 Essential Health Services

regardless of the health plan you buy through the exchange, it will provide 10 essential health benefits:

  1. patient care -This refers to all the care that doesn 't require a hospital stay
  2. visits to emergency rooms
  3. hospital care -all care that requires a hospital stay
  4. care during pregnancy and after your child is born
  5. mental health and addiction abuse treatment -Includes counseling, psychotherapy and treatment of behavioral health
  6. the prescription drugs
  7. Treatment-related injuries, disabilities or chronic illnesses -those refers to physical therapy, occupational therapy, psychiatric rehabilitation, -Orthophony / therapy and others.
  8. laboratory testing
  9. medical preventive care , which includes vaccines, disease screening and counseling, as well as all care needed for chronic disease management
  10. the pediatric care , including dentistry and treatment of vision for children

Enrollment Basics

registration begins October 1, 2013. If you register before December 15, 2013, your coverage usually begin on 1 January 2014.

Here is a short list of things you can do to prepare:

  • figure out if your state has a market or if you must use www.healthcare.gov. Download a checklist to get you started.
  • The federal market has a Facebook page, a Twitter account, or you can sign up for updates or to text, so you'll know when important new information comes out.
  • Think revenues, expenses of your household, and whether or not you qualify for financial assistance. Gather your tax forms and current pay stubs to help you determine how much you can afford.
  • Create a budget. Decide how much you can or can not afford.
  • Study the different types of health plans and decide which is not only affordable, but that gives you the right type of coverage for your situation.
  • If you have questions, make a list.
  • Ask your HR department if your employer offer health insurance in 2014.
  • advisers
  • If you need assistance, federal and state offer and browsers help you. A source that is www.LocalHealth.HealthCare.gov.
  • If you have any questions, get help. Call the federal health insurance market: 1-800-318-2596 any time of day or night, seven days a week. TTY users can call the: 1-855-889-4325. There is also an online chat available via www.healthcare.gov, which can be found in a blue box in the lower right corner of most pages of the site.

Is the health insurance market for you?

If you already have insurance through your employer , or are covered by Medicare or private insurance purchase, you must sign up for health insurance .

However, if you can and want to consider a different cover and / or better, you can use the market for health insurance.

If you choose a plan through the market, your employer does not contribute to your coverage.

If you do not have insurance, you must register for coverage.

The Affordable Care Act was designed to provide health insurance coverage at a reasonable price for the millions of Americans who are not covered by insurance.

The health insurance market has been set up to make it easy for people without insurance to shop, compare and join a health insurance plan that will be most appropriately meet their needs

photo credit :. Alex E. Proimos via photopin cc

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