Chat with Us

Affordable Care Act

In March 2010, a health reform law was passed called the Patient Protection and Affordable Care Act (ACA).  The law was created to make health insurance more accessible and affordable for Americans.  This law (also known as Obamacare) will take effect October 1, 2013. Health insurance will be mandatory for all eligible Americans; Those not covered by a qualifying insurance program by March 31, 2014 may be charged a penalty unless they have a hardship exemption. Medicaid is expanded so those who cannot afford to buy health insurance may qualify for Medicaid instead. Open enrollment starts October 1, 2013 for coverage starting as early as January 1, 2014.  Open enrollment ends March 31, 2014.

Health Insurance Marketplace

Starting October 1, 2013, you can visit Healthcare.gov (En Español: CuidadoDeSalud.gov) to fill out an application and see plan choices.  This process will help you determine if you qualify, or can get lower cost coverage throughMedicaid or the Children’s Health Insurance Program (CHIP)*.  All Marketplace plans offer the same set of comprehensive benefits. They cover things like pre-existing conditions, pregnancy, hospitalizations, prescriptions, and doctor’s visits.  Visit here for a list of what is covered.

*You can sign-up for Medicaid or CHIP at anytime.

Paper applications can also be printed out from the CMS.gov website.  The Marketplace will have paper forms and an address to mail to soon.

Questions or to enroll via phone? Call 1-800-318-2596

TTY: 1-855-889-4325

Plan and cost information will also be on the Health Insurance Marketplace soon.  For more key features about this law, visit here.

 

 

 

The Process 

 

Visit the Using the Marketplace and the Help Centerfor information on how to apply for coverage.  Below are the steps you will take to apply.

 

Create an account

The first step is to provide some basic information. Then choose a user name, password, and security questions for added protection.

Apply

Starting October 1, 2013, you’ll enter information about you and your family, including your income, household size, and more.  Use this checklist now to help you gather the information you’ll need.

Pick a plan

Next you’ll see all the plans and programs you’re eligible for and compare them side-by-side.  You’ll also find out if you can get lower costs on monthly premiums and out-of-pocket costs.

Enroll

Choose a plan that meets your needs and enroll.  Coverage starts as soon as January 1, 2014.

 

 

Marketplace Help Resources  

The Marketplace will offer several kinds of assistance to help you apply for coverage and choose a plan that meets your needs.  These resources (below) can be found in the Marketplace Help Center.

Other Useful Marketplace Links

Health Insurance Marketplace (Spanish version- CuidadoDeSalud.gov)

Dental Coverage

Get an estimate on cost and savings

How to get lower costs throught the Marketplace

Medicaid Questions

Plan Information

Sign-up for email or text updates

State by State Fact Sheet

For Illinois (individual coverage is based on your home address)

 

 

 Useful Links

Care and Coverage Information

Health Resources and Service Administration (HRSA)– http://www.hrsa.gov/index.html

An agency of the U.S. Department of Health and Human Services, the HRSA is the is the primary Federal agency for  improving access to health care services for people who are uninsured, isolated or medically vulnerable.

Insure Kids Now– www.insurekidsnow.gov

Provides answers to children’s insurance questions.

Medicaid Affordable Care Act– http://www.medicaid.gov/AffordableCareAct/Affordable-Care-Act.html

Details how the Affordable Care Act will affect Medicaid beginning in 2014.

Rural Assistance Center– http://www.raconline.org/

An online library focused on health and human services for rural America

U.S. Department of Health and Human Services– http://www.hhs.gov/healthcare/

Information about the Marketplace, Prevention and Wellness, Facts and Features and the ACA law.

VA Affordable Care Act– http://www.va.gov/health/aca/

Explains the impact of the Affordable Care Act on former troops and their families.

 

Illinois Specific Sites

Illinois.gov– http://www2.illinois.gov/gov/healthcarereform/Pages/TheAffordableCareAct.aspx

Illinois Health Matters– http://illinoishealthmatters.org/

Information for individuals, families and small businesses on how health care reform will be implemented in our state.

Illinois Department of Insurance– http://insurance.illinois.gov/

A clearinghouse of information on the ACA and how it relates to IL. Frequently updated.

Local Help– LocalHelp.healthcare.gov

(En Español: ayudalocal.cuidadodesalud.gov )

Identify local Affordable Care Act (ACA) consumer assistance destinations in your area. Local consumer assisters can provide personal help in applying for healthcare coverage through the ACA.  Please note, this site is still in the process of updating locations, so please check back for more locations to be added.

 

Fact Sheets

AARP– http://www.aarp.org/health/health-care-reform/health_reform_factsheets/

HHS– http://www.hhs.gov/healthcare/facts/factsheets/index.html

 

Financial Information

Kaiser Family Foundation– http://kff.org/

Subsidy Calculator

Independent analysis and information about the Affordable Care Act.

HHS– http://www.hhs.gov/healthcare/insurance/premiums/index.html

Provides information about Premiums.

Modified Adjusted Gross Income (MAGI)– MAGI Summary

Eligibility for Medicaid and subsidized health insurance through the Exchanges will be calculated using a
household’s Modified Adjusted Gross Income (MAGI).  This PDF contains more information about MAGI.

 

Health Information

Centers for Medicare and Medicaid Services (CMS)– http://marketplace.cms.gov/

FAQ for the Marketplace- https://questions.cms.gov/faq.php?id=5005&rtopic=1993

Medline Plus– http://medlineplus.gov

Provides information on health topics, a medical encyclopedia, interactive health tutorials and videos, drug information and more.

 

Non-for-Profits and other Independent Organization Information

Consumer Reports Free Guides to Health Care Reform- http://www.consumerreports.org/cro/2013/03/download-our-free-guides-to-health-care-reform-and-medicare/index.htm

What does the new law mean for you and your family? Download these guides for answers.

Consumer Reports

Our Consumer Reports database also includes a “Health” section that includes a “Helath Law Helper” to learn how the law affects you.  (A Three Rivers Library Card is required for use outside the library).

In-Person Assistance- http://www.enrollamerica.org/best-practices-institute/assistance-resource-center#ipa_program

Information about navigators, in-person assistance personnel, or certified application counselors from Enroll America, a nonpartisan 501(c)(3) organization.

 

Small Businesses Information

Small Business Health Care Consortium- http://cbhconline.org/smallbusiness/

A consortium is for small business owners, self employed entrepreneurs and non-profits to help them educate and advocate for health reform to meet the needs of small businesses.

Small Business Majority Health Coverage Guide- http://healthcoverageguide.org/

Provides independent, unbiased information to small business owners on everything they need to know about offering health insurance.