ACA Open Enrollment: For Consumers Considering Short-Term Policies
A short fact sheet provides information about short-term health insurance policies and how they differ from ACA-compliant plans.
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ACA Open Enrollment: If You Are Low-Income
Fact SheetThis fact sheet explains 2020 health coverage options that may be available to people who have low incomes, including Medicaid coverage or individual insurance plans through Affordable Care Act (ACA) marketplaces.
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ACA Open Enrollment: If You Shop on Private Websites Instead of HealthCare.gov
Fact SheetMarketplace plans can now be sold through private websites, sometimes described as "direct enrollment” sites or “certified enrollment partner” sites. This short fact sheet explains how these sites and the plans they offer may differ from what consumers will find on HealthCare.gov.
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ACA Open Enrollment: If You Buy Health Coverage in the Individual Market
Fact SheetThis short explainer provides an overview of open enrollment and the 2020 individual insurance market, including Affordable Care Act (ACA) marketplaces, for consumers who buy their own plans rather than getting insurance through an employer.
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Above Federal Subsidy Threshold, Older Adults Spend Much More Income on ACA Coverage
FeatureFor incomes too high to qualify for federal subsidies, 60-year-old adults spend significantly more of their income on the lowest premiums for ACA-compliant coverage.
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Ask KFF: Karen Pollitz Answers 3 Questions on Why Insurers Deny Claims
Issue BriefKaren Pollitz, senior fellow for health reform and private insurance at KFF, answers three questions about denied claims and how the federal government may change the data insurers are required to report on this issue.
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How Affordable are 2019 ACA Premiums for Middle-Income People?
Issue BriefThis analysis finds that Affordable Care Act marketplace premiums are least affordable for older adults who earn too much to qualify for federal subsidies, especially those living in rural areas where premiums are highest. The analysis also discusses a variety of state and federal proposals that seek to lower premiums for middle-class people buying their own insurance who are ineligible for ACA subsidies.
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Analysis: Marketplace Plans Denied an Average of Nearly One in Five Claims in 2017 with Wide Variations across Insurers
News ReleaseHealthcare.gov marketplace insurers denied nearly one out of every five claims (19%) submitted for in-network services in 2017, and enrollees only appeal a tiny share (0.5%) of those denied claims, a KFF analysis of recently released claims data finds. The analysis finds a huge variation across insurers, with average denial rates as low as 1 percent and as high as 45 percent. Denial rates also vary across states, though individual insurers in the same state…
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How State Policies Limiting Abortion Coverage Changed Over Time
FeatureThis week, the Trump administration proposed new rules around abortion coverage in the ACA Marketplace plans. Here’s how state policies shaping access to abortion coverage in Medicaid and private insurance have changed before and after the passage of the health law.
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4.2 Million Uninsured People Could Get a Bronze Plan in the ACA Marketplace with $0 Premiums After Tax Credits
News ReleaseWe have data on the number and share of uninsured in each state who have access to free bronze plans.