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July 15, 2020 FAQ

My employer offers a plan with very limited benefits. It only covers preventive services and a few doctor visits each year. However, this plan option is free. My employer also offers a more comprehensive plan option, but I can’t afford to sign up for that one. Can I apply for subsidies in the Marketplace instead?

The limited benefit plan you described probably does not meet the standard for “minimum value.” If that were the only plan your employer offered, you could qualify for premium tax credits to help pay for Marketplace coverage. The premium tax credits could help you afford coverage that would be more…

July 15, 2020 FAQ

I’m pretty sure my income for the coming year will be less than 400% of the FPL so I’d like to apply for premium subsidies. But what if I’m wrong and my income ends up being more than 400% FPL?

If you claim a premium tax credit during the year and your actual income for the year edges over 400% FPL, you will need to pay back the full credit amount. To avoid this result, if you estimate your annual income will be close to 400% FPL, be sure to…

July 15, 2020 FAQ

How much are the cost-sharing subsidies?

That depends on your income and where you live. To give a general idea, a typical Silver plan might have an annual deductible of $4,500, for example, and an annual out of pocket limit on all cost sharing of $8,550. But if your income is between 100% and 150% of…

September 11, 2020 News Release

Analysis Compares President Trump and Democratic Nominee Biden on COVID-19

Few issues are likely to matter as much to voters in November’s presidential election as President Trump’s response to the COVID-19 pandemic and resulting economic crisis, which have left almost 200,000 Americans dead and prompted job layoffs and furloughs affecting tens of millions of Americans. A new election brief compares…

July 15, 2020 FAQ

I filed my 2019 federal income tax return but didn’t realize I needed to include Form 8962. I received APTC in 2019 and will need premium subsidies in order to afford coverage next year. Can I still receive premium subsidies in 2021?

If you received APTC in 2019, you must file a 2019 income tax return and reconcile your tax credit amount this year in order to continue receiving APTC next year. Remember, the advanced premium tax credit you received in 2019 was based on your estimated income for that year. The…

July 15, 2020 FAQ

I tried to renew my same plan for next year, but the insurance company says I missed a payment and won’t let me continue coverage next year until I pay the back premium I owe. Can they do that?

Yes, in some circumstances. Insurers are allowed to require people who owe back-due premiums from the past 12 months to repay the premium debt before they will renew coverage for another year. However, certain restrictions on this practice apply. First, each insurer must decide whether to adopt this practice and,…

July 15, 2020 FAQ

I signed up for a Marketplace health plan this year in the summer after I lost my job. Does my coverage get renewed in January or at the anniversary date next summer?

All Marketplace health plans provide coverage based on a calendar year. Even if you signed up mid-year, coverage under your current plan continues through December. Open Enrollment is the time to renew coverage for next year. You can return to the Marketplace website or contact the Marketplace call center to…

July 15, 2020 FAQ

Is there any reason the Marketplace wouldn’t automatically adjust and continue my premium tax credit at renewal time?

Yes, in fact there are several reasons. First, in HealthCare.gov states, when you first applied for coverage, you had the opportunity to authorize the Marketplace to check online income data about you, including from your tax returns, for another 1 to 5 years. If you did not authorize this (note…

March 11, 2020 Issue Brief

The U.S. Response to Coronavirus: Summary of the Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020

The Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020, which was passed with near unanimous support in both the House and Senate, was signed into law by the President on March 6, 2020. The bill provides $8.3 billion in emergency funding for federal agencies to respond to the coronavirus outbreak. This summary provides details on funding specified in the bill.

September 15, 2020 Blog

Racial Disparities in Flu Vaccination: Implications for COVID-19 Vaccination Efforts

With planning beginning for an eventual COVID-19 vaccine, one important consideration is making sure that distribution processes and outreach and communication strategies reach people of color. Analysis of seasonal flu vaccination rates provides some insight into the potential barriers and issues to be addressed as part of COVID-19 vaccination efforts.

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I’m pretty sure my income for the coming year will be less than 400% of the FPL so I’d like to apply for premium subsidies. But what if I’m wrong and my income ends up being more than 400% FPL?

How much are the cost-sharing subsidies?

Analysis Compares President Trump and Democratic Nominee Biden on COVID-19

I filed my 2019 federal income tax return but didn’t realize I needed to include Form 8962. I received APTC in 2019 and will need premium subsidies in order to afford coverage next year. Can I still receive premium subsidies in 2021?

I tried to renew my same plan for next year, but the insurance company says I missed a payment and won’t let me continue coverage next year until I pay the back premium I owe. Can they do that?

I signed up for a Marketplace health plan this year in the summer after I lost my job. Does my coverage get renewed in January or at the anniversary date next summer?

Is there any reason the Marketplace wouldn’t automatically adjust and continue my premium tax credit at renewal time?

The U.S. Response to Coronavirus: Summary of the Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020

Racial Disparities in Flu Vaccination: Implications for COVID-19 Vaccination Efforts