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The Health Insurance Marketplace and You: What You Need to Know

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The Health Insurance Marketplace and You: What You Need to Know The Health Insurance Marketplace and You: What you need to know Having health insurance is a requirement • Starting Jan. 1, 2014, almost all Americans will be required to have health insurance or pay a federal penalty. • You can get insurance through the Health Insurance Marketplace. • You need to check out the new Health Insurance Marketplace to review your options if: o You do not have health insurance o You have Medicaid insurance (such as BadgerCare in Wisconsin) now or think you might qualify for Medicaid o You feel you are under insured or your current insurance is not affordable What is the Health Insurance Marketplace? • The Health Insurance Marketplace provides a new way to buy health insurance. It will be available starting Oct. 1, 2013. • The Marketplace lets you: o See the health insurance options available to you. o Decide what fits your health needs and your budget. o Apply for coverage and determine if you qualify for a federal tax subsidy. • Visit www.healthcare.gov and check it out. Is the Health Insurance Marketplace right for me? • Are you uninsured? Then yes. • Do you have health insurance that is not provided by an employer? Then yes. • Are you currently on Medicaid? Then maybe. Check with your state Medicaid provider for details. • Do you think your insurance today is not affordable? Then maybe, the exchange may provide you more affordable coverage. • Are you a veteran? Then maybe. Call (877) 222-VETS (8387) or visit the Marketplace at www.healthcare.gov to find out. • Are you on Medicare? Then no. You already meet the requirement for health insurance. For answers to your questions and help applying • Wisconsin: Visit www.healthcare.gov or call (800) 318-2596 or TTY at (855) 889-4325 • Minnesota: Visit www.mnsure.gov or call (855) 3-MNSURE (667873) • Iowa: Visit www.healthcare.gov or call (800) 318-2596 or TTY at (855) 889-4325 IS THE NEW HEALTH INSURANCE MARKETPLACE FOR YOU? If you’re on Medicare, you don’t need to do anything on the Marketplace during open enrollment. If you’re insured by your employer, you don’t need to do anything. NO You can continue to stay on your employer group plan. If you’re on Medicaid (such as Badgercare in Wisconsin), you will receive a letter explaining your status. If you think your insurance is not affordable, the Marketplace may help. MAYBE If you are a veteran, you can explore your options at healthcare.gov. If you’re uninsured. If you’re underinsured. YES Enroll Oct. 1-March 31 at healthcare.gov. To Enroll Health Care .gov October 1 - March 31 Wisconsin What IS the Health Insurance Marketplace? www.healthcare.gov • 1-800-318-2596 TTY: 1-855-889-4325 The Health Insurance Marketplace provides a new way to buy health insurance. The Marketplace lets you: Minnesota • See available options. www.mnsure.org • (855) 366-7873 • Decide what fits your needs and budget. Iowa • Apply for coverage and determine if you qualify for a federal tax subsidy. www.healthcare.gov • 1-800-318-2596 TTY: 1-855-889-4325 What do you need to enroll? You may qualify for 1. Social Security Numbers lower premiums or (or document numbers for out-of-pocket costs, legal immigrants). based on your The Marketplace 2. Employer and income information for every member of your household income is open Oct. 1 household who needs coverage and size. through March 31 (pay stub or W-2, etc.). In 2014, an individual You can enroll in the 3. Policy numbers for current health making up to about Marketplace between insurance plans covering $45,000, or a family of 4 October 1, 2013 and members of your household. making up to about March 31, 2014. After 4. If anyone in your household is $94,000, may qualify for that you’ll need to wait for the next open enrollment eligible for a job-based insurance these lower costs. starting in October, 2014 (unless circumstances change – plan, you will need to have their marriage, divorce, a baby or a move to a new coverage area). employer complete an Employer There will be penalties if Coverage Tool (available on the you don’t enroll in a Enroll before Dec. 15 for coverage to start Jan. 1. healthcare.gov website). health plan. ?$ Gundersen Health System – A Partner in the Western Region Enrollment Network.
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