Health Care Reform was signed into law in March of 2010. In January of 2014, the full impact of the Affordable Care Act "ACA" went into effect. Randy has been trained in depth on how this will affect you personally and professionally.
All plans include:
"10 ESSENTIAL HEALTH BENEFITS"
*Hospitalizations *Pediatric dental/vision care *Ambulatory services *Emergency services * Laboratory services *Prescription drugs *Mental /behavioral health *Maternity/newborn care *Prevention /wellness *Rehabilitative/habilitative services & devices.
Each year, open enrollment begins November 1st and runs through December 15th, for a start date of January 1 of the following year. This would be the time to make any changes to your health insurance coverage.
The 5 levels of plans that will be offered are:
Platinum, Gold, Silver, Bronze, and Catastrophic–(Catastrophic coverage is only for those under 30yrs old).
If you do not choose a new plan, your current carrier will be “mapping you over”
to a plan that is most
similar to what you have now; this will avoid a gap in coverage. **Plans will be available “In” & “Out” of The Exchange (i.e. The Marketplace). Only those that qualify for subsidy will be required to enroll “In” The Exchange. There will be different types of subsidy available to those that are below 400% of the federal
poverty level: Medicaid, Cost-Sharing, Healthy Kids, and Premium Tax Credits. Go to www.coveroregon.com and use the premium “calculator” (on the right) to see if you qualify for
assistance. ***For those of you enrolling in The Exchange, please contact me for assistance. When enrolling, you can select me as your agent during the application process. I can assist you
in selecting a plan that best fits your needs.
Employer Mandate – This provision of the ACA requires employers with fifty or more full-time workers (or the equivalent in part-time workers) to provide employer-sponsored health insurance to employees.
Subsidies – The ACA establishes subsidies to help individuals and families earning up to 400% of the federal poverty level purchase health insurance on their own, unless they qualify for government coverage programs like Medicaid, Medicare, CHIP, etc.
Who’s affected? Low-to-middle income earners, many of whom are uninsured today. People without employer-based health insurance who do not qualify for government-run health insurance programs may receive subsidy assistance to help them buy coverage on their own. In order to qualify for subsidies, consumers must have an income of no more than 400% of the federal poverty level (Call me for dollar amounts). The amount of subsidy assistance received by consumers will vary and is structured so that the insurance premium an individual or family will have to pay will not exceed a specific percentage of income, ranging from 2% for those with incomes up to 133% of the poverty level to 9.5% for those with incomes between 300 and 400% of the poverty level.
Online Health Insurance Exchanges – The ACA calls for the establishment of online state health insurance exchanges by 2014, websites where individual consumers and small businesses can shop for and compare health insurance plans available in their state. State-sponsored health insurance exchanges would facilitate online enrollment in health insurance plans and enable eligible persons to have federal subsidies applied toward their premiums. Private, commercial versions of health insurance exchanges with online enrollment capabilities exist today and will continue to serve consumers.
Who's affected: Individuals, families and small businesses who buy coverage on their own. Health insurance shoppers will have one more place to turn to buy coverage: state-sponsored health insurance exchanges. They’ll also be able to purchase directly from health insurance companies, local agents, or online health insurance agencies like RC Insurance LLC– just like they can today.
Please send your questions to:
RC Insurance LLC
520 SE 15th St
Gresham, OR 97080
Phone: +1 503 666-8912
Fax: +1 503 667-2592
Or use our online contact form.