FAQ’s


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FREQUENTLY ASKED QUESTIONS (FAQ’s)

When do I have to get health insurance?

Under the Affordable Care Act (ACA) if you are currently uninsured, you are required to purchase health insurance
coverage beginning January 1, 2014.

What happens if I don’t get health insurance?

If you do not purchase health insurance coverage you will face the following penalties

2014 $95 per individual or 1% of income up to national average cost of Bronze Plan premium, whichever is greater,
$190 per couple or 1% of household income up to national average cost of Bronze Plan premium, whichever is
greater, and up to $285 per family or 1% of income up to national average cost of Bronze Plan premium, whichever
is greater.

2015 $325 per individual or 1% of income up to national average cost of Bronze Plan premium, whichever is
greater, $650 per couple or 1% of household income up to national average cost of Bronze Plan premium,
whichever is greater, and up to $975 per family or 1% of income up to national average cost of Bronze Plan
premium, whichever is greater.

2016 $695 per individual or 1% of income up to national average cost of Bronze Plan premium, whichever is
greater, $1,390 per couple or 1% of household income up to national average cost of Bronze Plan premium,
whichever is greater, and up to $2,085 per family or 1% of income up to national average cost of Bronze Plan
premium, whichever is greater.

Can I keep my existing health plan?

While President Obama famously stated “If you like your health care plan, you can keep your health care plan”, there
needed be a large asterisk next to this quote.  If you had a health insurance plan that you wanted to keep AS OF the
passage of the Affordable Care Act (ACA) and the plan was grandfathered, you could keep your health care plan.  If
you purchased a plan after March of 2010, then your plan will likely be terminated and you need to select from one
of the new exchange plans.

Can I keep my doctor?

With the passage of the Affordable Care Act (ACA) this question became more difficult to answer.  New health
plans mean new provider networks.  As of ? over 40% of providers had not yet decided whether or not they would
accept the new exchange plans.  You need to check with your provider to see whether or not they will accept your
new plan.  Be sure to indicate that it is an exchange plan.  Your doctor may be part of a medical network for large
group insurance, but may not participate as a provider in the medical network on an exchange plan.

I have coverage through my employer, what does that Affordable Care Act (Obamacare) mean for me?

If you have group health insurance coverage through your employer, changes to your health plan will be minimal.
The Affordable Care Act (ACA) will have the greatest impact on individuals, families and small businesses who are
not covered by their employer’s group health insurance plan.

How often can I change health plans?

The annual enrollment period for health plans will be from October 15th to December 7th, with the exception of 2014
when the enrollment period will stretch October 1st, 2013 to March 31st, 2014.  Outside of the annual enrollment
period you can only change plans during a special enrollment period that is the result of a qualifying life event
including moving to a new state, certain changes in your income or changes in your family size (for example
marriage, divorce or having a baby).

Do I pay more for working with a licensed insurance agent?

Your premiums are the same whether or not you work with a licensed agent.  Licensed agents who are certified can
provide valuable assistance in helping to select a plan, assisting you in plan enrollment and helping to answer
questions regarding your deductibles, copays and coverage.

What happens to my health insurance if I lose my job?

If you lose your job you may be eligible for continuation of coverage through COBRA or you may enroll in one of the
exchange plans offered by your state.  One of the objectives of the Affordable Care Act (ACA) was to provide
access to health insurance to everyone, regardless of their employment situation.

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