The law provides subsidies to help pay for health insurance. There are many health plan options for you and your family. We can help you find the right plan for your lifestyle and budget. You may even find a better health plan than the one you currently have, but you have to apply through the Health Insurance Marketplace and enroll in a health plan. Get started today! Call 2-1-1, Choose Option #1 and ask for EnrollATX.
During the Open Enrollment Period everyone can apply for or renew their health insurance coverage. The next Open Enrollment Period is November 1, 2016 through January 31, 2017. Certain life changes can trigger a Special Enrollment Period (SEP) in which someone could apply to the Health Insurance Marketplace outside of the Open Enrollment Period. Those changes include:
- Loss of health insurance coverage
- Having or adopting a child
- Marriage or divorce
- Gaining or losing a job
- Changes in legal status
For help applying to see if your change qualifies you for a Special Enrollment Period call 2-1-1, Choose Option #1 and ask for EnrollATX.
Everyone DESERVES health insurance!
Everyone deserves the peace of mind and access to quality care that comes with having health insurance. When more people have coverage, then the entire system works better, our health care dollars go farther, and our community is healthier. The penalties for not having health insurance are real and expensive. There’s no good reason to wait. Get started today! Call 2-1-1, Choose Option #1 and ask for EnrollATX.
Getting started is easy, and there’s no cost for EnrollATX assistance. We have several locations available to help you. Call us today to schedule an appointment near you. Call 2-1-1, Choose Option #1 and ask for EnrollATX.
Click here to download a printable PDF of the Understanding Health Insurance booklet.
YOU need health insurance
Health insurance is important because it protects people from the high costs of medical care. When you buy health insurance, you are buying it alongside many other people. You then are all members of the health insurance plan. Each member pays into the plan. If you or any member needs expensive medical care, you won’t have to pay the true cost of care. The money will come from the plan that you have been paying into.
Health insurance covers the costs of medical services, medicines, hospital care, and special equipment when you are sick. Health insurance is also very important when you are not sick. Most health insurance pays for immunizations and yearly check-ups for children and adults. It may also pay for health screenings, counseling, and more.
- Private health insurance with savings based on your income. Plans cover essential health benefits, pre-existing conditions, and preventive care. Most people who apply through the Marketplace qualify for premium tax credits and savings on out-of-pocket costs based on household size and income.
- Medicaid and the Children’s Health Insurance Program (CHIP) provide free or low-cost coverage to millions of families with limited income.
Most people must have health coverage or pay a fee. If you don’t have coverage in 2017, you’ll pay a penalty of either 2.5% of your income, or $695 per adult ($347.50 per child) — whichever is higher.
You’re considered covered under the health care law if you have any job-based plan, any plan you bought yourself, Medicare, Medicaid, CHIP, and many other kinds of coverage. See a full list of plans and programs that meet the health law’s coverage requirement.
Some people qualify for an exemption from the fee-based on income or other situations.
Learn how to compare plans and choose one that’s right for you. Knowing these things will help you decide what kind of plan you should buy:
- Any medical conditions that you have now
- Any medicines that you take now
- The number of medical visits that you expect to have for the year
- Any medical procedures like surgery or therapy that you may need
- Names of providers who are signed up to work with the health insurance company
(All providers who have contracts with one insurance company are called a network)