Healthreformbeyondthebasics.org

The Annual Renewal Process on HealthCare.gov

WEBAnnual. Renewal. Process. on. HealthCare.gov. Updated October 2023. Each open enrollment period, people enrolled in an ACA marketplace plan have to renew their …

Actived: 5 days ago

URL: https://www.healthreformbeyondthebasics.org/key-facts-auto-renewal-of-aptc/

Marketplace Enrollment Checklist

WEBHealth Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available …

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The Summary of Benefits and Coverage

WEBThe Summary Benefits and Coverage (SBC) is a standardized document that health insurance issuers must provide for all private health plans they offer, including ACA …

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Income Definitions for Marketplace and Medicaid Coverage

WEBA dependent must file a tax return for 2023 if they received at least $13,850 in earned income; $1,250 in unearned income; or if the earned and unearned income together …

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Determining Eligibility

WEBMost people who enroll in health insurance through the marketplace are eligible for financial help. Premium tax credits lower up-front monthly premiums and cost-sharing reductions …

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Cost-Sharing Charges

WEBA cost-sharing charge is the amount an individual has to pay for a medical item or service (e.g., hospital stay, physician visit, or prescription) covered by their health insurance …

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Marketplace Appeals Process

WEBProcess. This Beyond the Basics webinar was presented in partnership with the National Health Law Program on April 28, 2022. Mara Youdelman, Managing Attorney at the …

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Consumer Assistance Coordination Hub (CACH)

WEBThe Consumer Assistance Coordination Hub (CACH) project was created to support the work of groups that provide enrollment assistance. Working with national and local …

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Transitioning from Medicaid to Employer-Sponsored Insurance

WEBEmployer-Sponsored. Insurance. Beginning in April 2023, for the first time since early 2020, states can terminate Medicaid for people they have determined are no longer eligible. …

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Plan Comparison Worksheet (Available in 8 Languages)

WEB8. Languages) This worksheet is designed to help people compare the details of up to four different plans side-by-side. It has space to record annual projected income, …

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Upcoming Webinars

WEBThe Beyond the Basics annual 9-part webinar series takes place ahead of open enrollment each fall. The webinars are presented by policy experts who provide in-depth training on …

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Helping Families That Include Immigrants Apply for Health …

WEBWhen this occurs, applicants will be instructed to upload proof of their immigration status to their HealthCare.gov accounts (see list of acceptable proof in Table 3). Applicants can …

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Premium Payments and Grace Periods

WEBInsurers must pay for medical care received during the first month of the grace period for enrollees who are receiving an APTC. However, for the second and third months of the …

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Marketplace Casework, Complaints and Appeals

WEBNHeLP | National Health Law Program January 30, 2018 Marketplace Appeals 2 Definitions & Explanations Casework: Issues that the Marketplace Call Center or CMS receives …

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Employer-Sponsored Coverage and Premium Tax Credit Eligibility

WEBEmployer-sponsored coverage is considered to be affordable to the employee if the employee’s share of the premium is less than 8.39 percent of the employee’s household …

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Premium Tax Credit

WEBThe benchmark plan costs $15,000, so the marketplace determines that they are eligible for a premium tax credit of $12,000 for the year ($15,000 – $3,000). Peter and Mary decide …

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