Your Source for Health Reform

Topic: Financial Assistance



Financial assistance is available to lower- and middle-income people buying plans on the Marketplace in the form of tax credits and cost-sharing reductions. People with income up to four times the federal poverty level can pay reduced premiums, and those with income below 250% can have lower out-of-pocket costs, such as deductibles and copays. About 80% of people enrolling in first round qualified for assistance.


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Put Insurance on Your Back to School Shopping List

This blog post from marketplace.gov explains the health insurance options for college students.

Do You Qualify for Financial Help?

These tables from Families USA show how your income affects how much financial assistance you’ll get to pay for health insurance. The tables are updated for third Open Enrollment cycle running from November 1, 2015  to January 31, 2016.

Estimating Your Doctor Bills

The National Health Council created a calculator that helps health care consumers predict their annual out of pocket expenses.

Financial Help to Get Covered

This August 2015 fact sheet from the In the Loop explains cost-sharing reductions and what marketplace consumers are eligible for them.

Reaching the Uninsured After King v. Burwell

This June 2015 fact sheet from Health & Disability Advocates identifies the location of and demographic information for the remaining uninsured in Illinois. The fact sheet  promotes partnerships between navigators and brokers to connect the uninsured to health insurance with the marketplace.

Roundup of OE2 Q’s

The Georgetown University Centers For Children and Families and Health Insurance Reforms compiled a list of common questions raised during the second open enrollment period. The February 2015 FAQ covers tax-filing issues, counting household income and employer coverage.

Different Tax Docs

State refor(u)m updated this chart in February 2015 to outline the new forms tax-filers must fill out because of the ACA. The chart identifies the purpose of the forms and who are required to complete them.

Income Rules for Medicaid and the Marketplace

This October 2014 question and answer sheet from the Center on Policy and Budget Priorities discusses the new income measure called MAGI. The measure determines eligibility for marketplace tax credits and Medicaid.

Tax-Filing Recs Post ACA

This December 2014 tip sheet from the Centers for Medicare and Medicaid Services educates marketplace plan consumers on what changes they should expect during tax-filing season. CMS advises people who had coverage through the marketplace, those who received tax credits, and people without health insurance.

The ACA’s Changes to Tax Returns

This December 2014 question and answer from the IRS outlines changes to tax filing because of the healthcare reform law. The IRS details how individuals report minimum essential coverage on their tax forms and how to reconcile or claim premium tax credits.

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