All Open Enrollment plan selections with regular effective dates (i.e., not under an SEP) for plan year 2018 completed and received by the Marketplaces from: November 1 – December 15, 2018 can become effective on January 1, 2019 December 16, 2018 – January 15, 2019 can become effective on February 1, 2019 January 16 – January 31, 2019 can become effective …
You do not need to pay a penalty, assuming you were covered by a health plan that meets the Minimum Essential Coverage Requirements. However, if the amount of the allowed premium tax credit is less than the applied APTC, you must increase your tax liability by the amount of the excess APTC you received. However, the repayment …
If you do not file a federal tax return for the year in which APTC were paid on their behalf, the applicable Marketplace will discontinue you future eligibility for APTC and CSRs to help pay for their Marketplace health insurance coverage.
Because you is eligible for Medicaid, you may cancel you Medicaid enrollment and enroll in a QHP plan through healthcare.gov, but you would not be eligible for APTC or CSRs to help her pay for that coverage. Because off-exchange plans may have better plan options, you should enroll through a platform like ihealthagents.com that offers all plan options.
If there are inconsistencies between a consumer’s application and the information contained in the approved electronic sources, the applicable Marketplace produces an initial eligibility notice that includes a list of any inconsistencies, along with instructions for how they can be resolved. The most common types of inconsistencies are income, citizenship, and immigration status. Remember, the …
Even though you are receiving employer-sponsored coverage, you may purchase a QHP through a Marketplace as long as you meet the eligibility criteria. However, you need to keep in mind that, if you decide to go that route, you will not be eligible for financial help, such as APTC and CSRs, to help pay for …
Since she may be eligible for Medicaid/CHIP, it is likely not in your financial best interests to enroll her in a Marketplace QHP because you will not be eligible to receive either APTC or CSRs and would be required to pay the full premiums for her coverage. If you insist on having your daughter enrolled in an individual …
For coverage being effectuated under regular coverage effective dates, premium payment deadlines must be no earlier than the coverage effective date, but no later than 30 calendar days from the coverage effective date. For coverage being effectuated under special effective dates with prospective coverage, premium payment deadlines must be no earlier than the coverage effective date …
Because of the Affordable Care Act, many people who buy their own health insurance can get financial assistance that lowers your costs. This assistance is called a subsidy. There are two kinds of subsidies: the Advanced Premium Tax Credit and Cost Sharing Reduction. The Advanced Premium Tax Credit goes toward your health insurance premium—what you …
No, you may be enrolled in a Marketplace plan with APTC or CSRs OR Medicaid or CHIP that qualifies as minimum essential coverage, but not both. This is referred to as “dually enrolled consumers.” If the Marketplace sends (sometimes called “dually enrolled consumers”) you a notice that you may be enrolled in a Marketplace plan with APTC or CSRs and …
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