Millions of Americans will be eligible for coverage through the Affordable Care Act’s new federal marketplace next year, with the federal government issuing a rule allowing states to offer health insurance plans in the marketplace.
Here’s what you need to know.
Where can I get insurance coverage?
Coverage through the ACA’s new marketplaces will be available starting Jan. 1, 2018, for those who make up to 400% of the federal poverty level.
States will also have the ability to offer plans on a sliding scale starting in 2019.
States have until April 15 to set up their own marketplace.
But, as of July 1, states will have to set their own rules for how much to charge for coverage.
The marketplaces offer plans that cover basic health care services such as mental health, maternity and newborn care, and prescription drugs.
They also offer supplemental benefits like prescription drugs, maternity care, prescription drugs for children, and mental health.2.
What will I pay if I buy coverage through a state-run marketplace?
You will pay premiums to cover basic hospital, prescription drug and prescription drug plan premiums for your health insurance coverage.
You will also pay for your out-of-pocket medical expenses, if applicable.
In addition, you will pay for out- of-pocket expenses for certain emergency care.3.
How much does it cost to buy insurance through the new marketplace?
A new policy will cost you $1,200 a year for single adults and $1.50 for families with children.
For people who make between 200% and 400% the federal income level, a new policy is $2,200 for single and $3,200 per family.
For those who earn between 400% and 600% the income level premiums will go up to $5,800 for single individuals and $6,200 and $7,600 for families.
Premiums for those with incomes between 600% and 700% will increase to $8,100 and $9,100 for single people and $10,800 and $11,300 for families, according to the Kaiser Family Foundation.4.
Will I be able to keep my current coverage through my employer?
If you are self-employed, you may be able continue to use your employer-sponsored coverage if you qualify.
The ACA will not affect the employer-provided coverage you may have for your personal health care expenses.
But if you are a business owner, you must have your employees purchase an individual or small group health insurance plan from your employer to keep your employees’ health insurance.
The new marketplace rules will not apply to employers with more than 50 employees.5.
What happens if I leave my job and don’t have a job?
If your employer does not offer insurance in the new market, your health care costs may be covered by your old employer.
If you have a family member with a medical condition that would limit your coverage, you could be eligible to keep the health insurance you have.
For more information, see Kaiser Family Foundations FAQs:How to get a health plan through the Marketplace.6.
What if I have to change jobs?
If, because of a health condition, you cannot continue to work or take care of yourself, your employer may not offer you health insurance or be able get your health benefits through the marketplace if you do not have health insurance and if you change jobs.
You may also have to pay out-patient, in-home and prescription-drug benefits to your former employer if you were employed by a health care provider.
For information about how you may get coverage through your former employers, see the Department of Labor’s website.7.
What do I do if I lose my job?
Your employer may offer you coverage through their own health plan.
The rules vary depending on your former job.
Some states have already established rules for when an employer can offer health benefits to employees.
For example, in Iowa, employers must offer workers health benefits for up to 60 days after their last shift or when they quit a job.
If an employer does offer health coverage to its workers, the benefits can’t be canceled without notice.
The Iowa law does not apply in New York, which does not have an employer-based health insurance program.
In New York state, you can change employers through the employer or workers’ compensation agency.
If a new employer wants to offer coverage to employees, it must provide notice and work with an outside company to figure out how to set things up.8.
What are the new rules for employers who want to offer benefits?
Employees in their last job will no longer have to sign up for health insurance to keep their coverage.
Employees in a full-time, part-time or contract job will be able choose from an expanded pool of health insurance options, according the Centers for Medicare and Medicaid Services.
Employees with a disability and those with certain pre-existing conditions will be allowed to keep insurance