New Mexico State-Based Healthcare Exchange: Not Ready Till Oct 2014
June 11, 2013
By Katie Banks+
The new Healthcare Exchange begins January 2014. Each state may choose to have a state-based, default to federal, or have a partnership between the state and federal government. New Mexico has chosen state-based, has conditional approval, however the state is having some time constraint issues in implementing the IT system by the Healthcare Exchange deadline. Therefore until October 2014, the New Mexico Health Insurance the federal government will help in running the individual exchange. New Mexico will maintain plan management and consumer assistance functions, while the federal government will operate the IT system. The state will run the SHOP (business) exchange.
A state-based program is one in which the state follows the guidelines set by the federal government which must offer the same set of ObamaCare essential benefits, however the state sets up their own exchange for the new Bronze Plan, Silver Plan, Gold Plan, and Platinum Plan. To learn about specific plans and premiums in your state call 800-930-7956.
To learn if your more about how the Healthcare Exchange works with your state contact Medicoverage.
How the Affordable Care Act Helps the Uninsured
May 31, 2013
By Amy De Vore+
The Affordable Care Act helps the uninsured in a few ways. For instance, in the LA Times today there was an article about a woman making $12.68 an hour, mother of one child, lives in Los Angeles, and recently choose to forego surgery because she was uninsured. As of January 1st this woman would have options for health coverage.
How the Affordable Care Act Helps Uninsured
She isn’t qualified for Medicaid, however since she works she may qualify for job-based insurance as 2015. Until then and if her employer doesn’t offer insurance she would qualify for premium subsidies and cost-sharing subsidies, and her daughter would qualify for Medi-Cal.
Costs for Lower-Income Families
The article doesn’t state how old she is, but if she is 30, her Silver plan premium could be as low as $93 a month and her deductible would be reduced from $2000 to $500, and a reduced maximum out of pocket from $6,350 to $2,250. This would apply to any single parent to one child living in the Los Angeles area, making her salary.
How do Lower-Income Families and Individuals Get Insurance?
First, it’s important to remember for anyone purchasing a plan from the Health Insurance Marketplace you need your W2 paperwork and financial information handy like child support, alimony, assets. Then you can either go directly through your state’s newly established call center’s navigators or you can go through your insurance agent. Many don’t realize that agents can help with on and off-Exchange plans.
Lower Income Seniors
Seniors do not have to do anything as of January 1st. Seniors stay on Medicare and do not apply for the new metal plans. Make sure your friends and parents are aware that there is nothing for them to do, because states are vocally expressing their concerns about seniors being tricked by scammers into giving away personal information due to the lack of awareness in regards to the ACA.
To learn if you qualify for a subsidy call 800-930-7956 or contact Medicoverage.