If you find yourself in one of the following personal or family circumstances, you are able to get an ACA plan outside the Open Enrollment period without penalty:
1. Losing Minimum Essential Health Coverage;
2. Getting Married
5. New Child
6. Change in Income
7. Losing or Gaining Medicaid or CHIP Eligibility
8. Cobra Expiration
9. Health Plan Decertified
This is a partial list. Check CMS.Gov for complete list.
4. Health Savings Account (HSA) -.A tax-advantaged account created by people with high
deductible health insurance plans where funds are set aside for medical
expenses not paid by the health plan. Contributions are limited per year,
those not spent roll over to the next year, and they are only tax favorable
if used for medical expenses.
3. Exlusive Provider Organization (EPO) - This network combines many of the best benefits of
HMO and the PPO. Like the PPO plan you don't have to name a primary
care physician and you don't need a referral to see a specialist. But, like the HMO plan you have a limited network of doctors and facilities, and you will pay all costs for services outside of the network.
1. No longer required to purchase health care.
a.) Eliminates tax penalty.
2. Insurers may charge a 30% up charge for one
year on those with preexisting conditions unless
present plan is maintained and there is less than
a 63 day lapse in insurance coverage.
3. Elimination of the income-base tax credits and
a.) Replaced by age based tax credits.
1.) Ranging from $2000 for a 20 year old to
$4000 for a 60 year old.
4. Eliminates nearly all taxes issued under the
Affordable Care Act to pay for the subsidies.
a.) Projections indicate annual fluctuation of
younger adults up and down, but a significant
increase everywhere for older adults!
5. Cuts to Medicaid funding for healthy adults who
leave the low income roll
a.) Cut to Medicaid spending of projected $880