Your Source for Health Reform

Topic: Marketplace

The ACA created health insurance marketplaces where people can purchase health plans available in their state. Consumers and small businesses can purchase insurance online at or through other means, such as insurance companies or brokers.

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Explaining the Marketplace to Your Patients

This 2014 continuing education webinar for providers explains the eligibility requirements and enrollment procedures for the health insurance marketplace. Providers who serve high numbers of uninsured can apply this information to conversations with their patients.

How 21-Year-Olds Can Avoid Premium Hikes

Returning to the marketplace can mitigate cost increases due to aging. In a November 2014 blog post, Kaiser Health News explains how 21-year-olds can benefit from re-applying for coverage during the 2015 enrollment period.

Choosing Marketplace or Workplace Plans

Getting health insurance through the marketplace could be a better deal for individuals and families currently covered through their job. This October 2014 fact sheet from Families USA describes what factors to consider when making the decision. The fact sheet outlines who qualifies for marketplace plans and what types of financial assistance individuals and families could receive.

Improving Enrollment in Lake County

In a November 2014 report, Health & Disability Advocates and the Lake County Health Department review the outreach efforts of the Enroll Lake County! Initiative. The report analyzes the demographic characteristics of Lake County’s uninsured population before the 2014 enrollment period, details the number of individuals who signed up for a health plan, and provides recommendations for targeting groups who remain uninsured. The report and its recommendations can guide outreach and enrollment activities during the 2015 enrollment period and beyond.

2015 Analysis of Qualified Health Plans

The Illinois Department of Insurance examines the new options marketplace consumers can choose from for the 2015 enrollment period. The analysis includes information on the number of plans offered in geographic areas and data on rate changes.

Your Healthcare Questions Answered

For the November 15 to February 15 enrollment period, Consumer Reports is addressing common concerns that consumers may have about healthcare and applying for insurance through its “healthlawhelper.” Consumer Reports includes prompts for questions and links to resources with answers. The information addresses topics such as how to pay for health insurance, what to do if a consumer is losing health insurance, and even allows consumers to e-mail their specific questions.

Answers to Common Marketplace Enrollment Issues

These November 2014 tips from the Blog are intended to help Marketplace users address common challenges, such as how to retrieve your username, unlock your account, and reset your password. There is also a link to the Marketplace call center in case you need a customer service representative to reset your password or unlock your account.

Reasons to Avoid Auto-Enrollment

Individuals who used the health insurance marketplace to enroll in a health insurance plan for 2014 will be automatically enrolled in the same plan unless they select a different marketplace option during the 2015 enrollment period. This November 2014 issue brief from the Center on Budget and Policy Priorities explains why it may be in a person’s best interest to complete a new application for the 2015 enrollment period. Those who do not complete a new application may receive a smaller premium tax credit and re-enroll in a plan that has a higher premium. Examples are provided.

5 Steps to Stay Covered

Once you have health coverage through the marketplace, it is important to review your plan and your health care needs in order to decide whether you need to change your plan for 2015. This CMS handout is full of tips to help you decide by December 15, 2014, whether you need to change your coverage, and to make sure you get the right coverage at the best price.

Health Insurance Marketplace: Continuing Education

This June 2014 self-study guide from HHS is designed to help health professionals become more knowledgeable about enrollment options that meet their patients’ needs and refer patients to appropriate resources. It is aimed at physicians, registered nurses, social workers, and others who accept health insurance. The course is designated for up to 1.25 AMA PRA Category 1 credits.

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