Health Insurance Marketplace

Health Insurance Marketplace also is known as Health Insurance Exchange. Organizations that assist organized and cheap markets for getting health coverage. 

Health Insurance Marketplace, or "Exchange," deals consistent health insurance plans to individuals, families and small businesses. Some states control their own marketplace, while others choose for a partnership exchange where the Federal Government manages the marketplace. 

In each state, several private insurance companies succumb plans to be involved in the marketplace. Marketplace plans are parted into four primary levels: Bronze, Silver, Gold and Platinum, each grounded on the typical percentage the plan for paying health-care services.

Details about Health Insurance Marketplace

Health Insurance Marketplace was recognized as part of the Patient Protection and Affordable Care Act (ACA, known colloquially as "Obamacare"), the United States health improvement signed into law by President Barack Obama on 23 March, 2010.

All ACA health exchanges were to be fully certified and functioning by January 1, 2014, under federal law. Enrollment in the marketplaces started on October 1, 2013, and continued for six months. As of April 19, 2014,, 8.02 million people had signed up through the health insurance marketplaces. An additional 4.8 million joined Medicaid. Enrollment for 2015 began November 15, 2014, and ended December 15, 2014.

The marketplaces are planned to provide places where customers can match and purchase consistent health coverage that contains a compulsory set of covered health-care items and services known as essential health benefits.

These benefits are minimum necessities for all health plans offered to individuals or through the small business group market to firms with 50 or fewer workers. They contain ambulatory patient care services, emergency care services, hospitalization, lab services, motherhood/baby care, mental health care services and addiction treatment, rehabilitative services and devices, pediatric services, prescription drugs, preventive and wellness services, and chronic disease management.

Most individuals and families are suitable for national supports that can help lesser health insurance costs. Cost-sharing discounts can help lower out-of-pocket costs such as Deductibles, Copayments, and Coinsurance, and advanced premium tax credits can decrease the amount customers pay each month for health insurance premiums. 

Both subsidies are available only to capable individuals who meet certain income requirements and who are disqualified for public coverage (Medicaid and the Children’s Health Insurance Plan), are inept to get qualified health insurance through an employer, and who bought health coverage on the Health Insurance Marketplace.

Private non-ACA health care exchanges also exist in many states, accountable for enrolling 3 million people. These exchanges precede the Affordable Care Act and facilitate insurance plans for employees of small and medium-sized businesses.

The Marketplace is the place where eligible citizens can search for and purchase protection face to face, on the web, or by telephone. The Marketplace is controlled by the central government. The Marketplace in the United States is called Exchange additionally generally for the general population who:

• Don't have protection

• Don't have Medicare

• Aren't protected by their manager

• Have private protection, however, need to take a gander at different alternatives

• Own a private venture

• Are excluded in their life partner's manager protection

• Have previous conditions and may experience experienced issues getting protection sometime recently

Get a Marketplace Enrollment

The Affordable Care Act obliges the most Americans to sign up for health insurance or pay a penalty at income tax time. Usually, you don't need to buy insurance through the Marketplace if you are covered by Medicaid, Medicare, Tricare, or an employer-sponsored plan. The Coming open enrollment period is 1 November, 2016, to 31 January, 2017. Enroll online at HealthCare.gov or 

call 800-318-2596. You can also download an enrollment application at HealthCare.gov, or get help in person through a Navigator or insurance broker. If you have a life-changing event -- such as the birth of a child, losing your job, or moving to a new state -- you don't have to wait for the next enrollment period. You can sign up or change coverage within 60 days of the event. You can also sign up for Medicaid at any time, if you are eligible.

Ways to apply for health coverage

There are 4 ways to apply as fallow

1. Online

2. By phone

3. With in-person help

4. With a paper application

You will need to provide information about you and your family members when you apply. This is a checklist (Important) of what you’ll need:

A. Social Security number (or document number if you are a legal immigrant)

B. W-2 forms: Wage and tax statements or pay stubs for all employed members of the family. For persons who are self-employed or do not have a consistent salary, include an appraisal of household income.

C.   Policy numbers of health insurance plans covering any members of the family

D.  Immigration/citizenship status

E.  Tobacco use

Types of Marketplace insurance Plans

All insurance strategies on the Marketplace are sold by private companies or co-ops. They can offer four types of coverage: bronze, silver, gold, and platinum. These “metal level” plans all cover the similar types of benefits. The variance is how much they pay on average to the costs of healthcare services. Another type of plan is called catastrophic. These have less expensive monthly premiums, but they also suggest fewer coverage. Catastrophic plans are mostly for healthy people under 30.

Health Insurance Plan with Savings

You may qualify for a premium tax credit that drops your monthly insurance bill, and for additional savings on out-of-pocket costs like deductibles and copayments.

Health Insurance Policy

These plans are existing in private insurance companies with a variety of prices and structures. All plans cover:

·    Essential health benefits

·    Pre-existing conditions, including pregnancy

·    Preventive care

Dental care coverage plan can be added but you do not have to. You cannot buy a dental plan except you enroll in a health plan.

Medicaid and the Children’s Health Insurance Program (CHIP)

Medicaid and CHIP provide free or low-cost coverage to millions of people and families with limited income, disabilities, and some other situations.

· Many states are expanding Medicaid to cover all families below certain incomes.( See if your state is expanding and if your income is in range to qualify)

· Your children may qualify for CHIP even if you don’t qualify for Medicaid.

Do not Have Health Insurance? You May Have to Pay a Penalty Fee

The vast majority must have qualifying health coverage or pay a penalty.

·  For 2016, the penalty is whichever 2.5% of your income, or $695 per adult ($347.50 per child) — either is higher. The fee increases with inflation. Final 2017 fees will be published soon.

· Some individuals be suitable for an exemption from the health insurance requirement

Health Insurance Marketplace and Women

Catch health insurance through the Health Insurance Marketplace till the last date and study about free preventive services available to women. If you already have coverage, learn about Coverage to Care and other properties to help you route the health care system.

Women's Health Screenings and Preventive Services

Health insurance plans permit women to get care for a host of preventive services.  Marketplace plans suggest these services at no cost. Means there is no fee for copayments or coinsurance, even if you have not met your deductible for the year. You must use a provider in your plan's network to get these services for free.

Many of these services include, but are not limited to:

·   Cervical cancer screening (Pap test) for sexually active women

·  Gestational diabetes screening for women 24 to 28 weeks pregnant and those at high risk of developing gestational diabetes

·   Breast cancer screening (mammography) every 1 to 2 years for women over 40

·   Breast cancer genetic test counseling (BRCA) for women at higher risk for breast cancer

·   HIV and STD screening and counseling for sexually active women

· Osteoporosis screening (bone density) for women over age 60 depending on risk factors

·   Well-woman visits to get recommended services for women under 65

·   Contraception  

·  Domestic and interpersonal violence screening and counseling for all women

To learn more about these and other preventive services, please visit Health Care Reform: Women.

Roadmap to Health from Coverage to Care

Resource to help you navigate the healthcare system From Coverage to Care: A roadmap for using your new coverage. It delivers eight simple steps on how to understand and use your coverage. You can also get tips on primary care and preventive services. These topics covered and questions answered include:

·   Laid your health first. 

Why are prevention and health coverage important?

·  Understand your health coverage. What words should I know? How much will it cost me to get care?

·  Recognize where to go for care. Where do I go when I am sick? Primary care?

·  Find a provider. How do I find a provider that is correct for me? What if I am allocated a provider?

·  Make an appointment. What info do I need and what questions should I ask when making an appointment?

·  Be ready for the visit. What should I carry to the appointment? What questions should I ask through the visit?

·  Pick if the provider is accurate for you. Is this a provider I can trust and work with? If not, what do I do?

·  Next steps after your 1^st appointment. Now that you have found a provider and had your first visit, where do you go from here?

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