Health Care Reform:Marketplaces and Medicaid

Health Care Reform Frequently Asked Questions

Marketplaces and Medicaid: What do they mean to you?

How much do you know about “Health Insurance Marketplaces?” What do you know about Medicaid expansion in your state? In October, state Health Insurance Marketplaces are scheduled to open for enrollment. Is medical coverage from a Marketplace an option if you’re offered health insurance through your place of employment? Starting in 2014, more people than ever will qualify for Medicaid. Could you now be eligible for health coverage through Medicaid?


What is a Health Insurance Marketplace?

Formerly called “Exchanges,” the health insurance Marketplace is a new way to find and buy health insurance in your state, primarily for employees who don’t have access to medical plan benefits. If you are a part-time or PRN/on-call employee, you may fall into this group.

What if I say no to (waive) my company’s medical coverage at Open Enrollment? Can I get the government subsidy or tax credit for a Marketplace plan?

As long as your place of employment offers you a medical plan that meets ACA requirements, you will not qualify for a subsidy or tax credit from the government, even if you are eligible but choose not to enroll in a company plan.

Is Medicaid an option I should consider?

Depending on your yearly income and family size, you could be eligible for health coverage through Medicaid or your state’s Children’s Health Insurance Program (CHIP). Even if you weren’t eligible before, many states have changed their requirements and will cover more people than ever before under Medicaid. Be sure to weigh all of your options and then choose the best fit for you and your family.

How can I find out if I qualify for Medicaid?

There are several ways you can find out if you qualify for your state’s Medicaid program. Visit www.healthcare.gov and type in “Medicaid” in the search box. You can also use the TurboTax Health Care Eligibility Calculator at http://blog.turbotax.intuit.com/2013/03/27/turbotax-health-care-eligibility-calculator/

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