Thinking about enrolling in an insurance plan under the health law? It鈥檚 not too late, but you鈥檇 better get moving fast. Open enrollment ends Sunday.
鈥淚f you or someone you know needs health insurance, now is the time to act!鈥� Sylvia M. Burwell, secretary of the Department of Health and Human Services, wrote Tuesday. 鈥淭he Open Enrollment deadline is February 15, and there is less than a week left to sign up.鈥�
(Illustration by Andrew Villegas/Kaiser Health News)
If you who don鈥檛 get coverage at work or are otherwise uninsured, you may qualify for financial assistance for coverage purchased on the exchanges, or marketplaces.听 You can compare plans and prices at the federal website, , or, if your state has its own exchange, shop there to find out which coverage .听 If your state , the federal-state program for low-income people, you might also qualify for coverage there.
And remember, if you don鈥檛 have coverage, you may pay a penalty at tax time.
Among consumers in the 37 states where the federal government is running the exchange, 8 in 10 could pick a plan with monthly premiums of $100 or less after tax credits, . Eighty-seven percent of individuals who signed up for coverage through healthcare.gov qualify for financial help, HHS said.听This year, 25 percent more insurers are offering plans in the marketplace, giving consumers have an average of 40 plans to choose from, the agency said.
For those of you who have waited until the last minute, here鈥檚 a revised version of the Kaiser Health News to keep in mind as you shop for coverage:听
鈥� I Don鈥檛 Have Much Time. How Do I Do This?:听 You鈥檒l need several documents before you start the process, such as Social Security numbers for everyone in your household, employer and income information like pay stubs or W-2 forms and your best estimate of what your household income will be in 2015. Healthcare.gov features of items you鈥檒l need.听 Also think about the particular physicians, hospitals and other health care providers you prefer so you can determine if they鈥檙e in a health plan鈥檚 network before you enroll.
While people can sign up for coverage online or over the phone, 鈥渓ast year we saw that consumers who got in-person help were nearly twice as likely to successfully complete the enrollment process,鈥� said Andrew Dupuy, regional communications director for Enroll America, a nonprofit group that is working to enroll people in the health law. 鈥淲e think it鈥檚 important that consumers know that free, local, in-person assistance is available because it can really help people navigate the process in the final week.鈥� Consumers can schedule an appointment in their community with Enroll America鈥檚 or by attending a local enrollment event.听
鈥� Do I Have To Buy Health Insurance? No but if you don鈥檛 you might have to . People who skipped coverage last year will have to pay a that is the greater of a flat $95 per adult and $47.50 per child under age 18, up to a maximum of $285 per family, or 1 percent of your family鈥檚 modified adjusted gross income over $10,150 for an individual, $13,050 for a head of household and $20,300 for a married couple filing jointly. This year, the penalty increases to $325 per adult or 2 percent of income. applies to both adults and children, but there are for certain groups of people and those who are experiencing .听
鈥� Find Out If You Qualify For Financial Help: Enter your most up-to-date income information on healthcare.gov or with your state exchange to see if you are entitled to receive a tax credit toward the cost of your health insurance. Even if you received a subsidy in 2014, to make sure you get the correct amount. This is important because if you get too much of a subsidy, you鈥檒l have to when you file your 2015 taxes.听
鈥� Know All Costs: It鈥檚 not just the monthly premium that will cost you. , things like co-pays, co-insurance and deductibles, before you enroll. The health law allows of $6,600 for an individual policy and $13,200 for a family policy in 2015 but some of your health care expenses 鈥� including out-of-network care 鈥� in that cap.听The National Health Council, made up of more than 100 health-care organizations, has put together to help consumers that includes 听that will estimate differences in costs among health plans.
鈥撎鼼et Help If You Need It: Confused? There are several ways to get help. Work with a local insurance agent or broker. one of the law鈥檚 trained navigators or assisters. Or call the federal consumer assistance center at 800-318-2596 for extra help or to find out if you eligible for a subsidy. Folks there can also help you enroll in a health plan or if you qualify, Medicaid. Federal officials have said that they expect the website and consumer phone lines to be busy this week, so be patient. They have but you may experience some delays.听 As was the case last year, consumers who have started the enrollment process and are their application when the Sunday deadline arrives will be able to complete the process, according to HHS.
For most consumers, if they don鈥檛 enroll by the deadline, they鈥檒l have to wait until the next open enrollment unless they qualify for a special enrollment period or an exemption. People can apply for coverage under Medicaid or the Children鈥檚 Health Insurance Program at any time during the year.