If You Want to Shop in the Health Insurance Marketplace This Year, Please Read This
If you want to shop in the Health Insurance Marketplace this year, please read this....... Here are basic questions and answers you should know if you are one of the many uninsured adults interested in applying on or after October 1, 2013, for health care coverage starting January 1, 2014. Q. What is the Health Insurance Marketplace? A. The Health Insurance Marketplace is a new way for individuals and businesses to purchase health insurance. Created under the Patient and Protection and Affordable Care Act, each state is required to have an exchange operated by either the state, federal government, or state-federal partnership. West Virginia operates a state-federal partnership marketplace. Open enrollment will begin on October 1, 2013, and coverage will take effect on January 1, 2014. Q. Who qualifies? A. If you are an uninsured adult, under age 65, a citizen, and a state resident, the main qualification will be your income. Medicaid is available to anyone under 138% of federal poverty level (FPL). For women who are pregnant when applying, Medicaid is available up to 158% FPL. If your income is between 138% and 400% of the FPL you will qualify for Advanced Payment Tax Credits (APTC) and can shop for insurance in the Health Insurance Marketplace (the Marketplace). See the income chart below for which limits apply to you and/or your household. Qualifying Incomes for Medicaid and the Marketplace Medicaid Qualifies* Health Insurance Marketplace Qualifies Family 100% 138% 211% 250% 300% 400% 1 $11,670 $16,104 $24,624 $29,175 $35,010 $46,680 2 $15,730 $21,707 $33,191 $39,325 $47,190 $62,920 3 $19,790 $27,310 $41,757 $49,475 $59,370 $79,160 4 $23,850 $32,913 $50,324 $59,625 $71,550 $95,400 5 $27,910 $38,516 $58,891 $69,775 $83,730 $111,640 6 $31,970 $44,119 $67,457 $79,925 $95,910 $127,880 *Pregnant women still qualify for Medicaid up to 158% FPL with family sizes and incomes as follows: 1=$18,439 2=$24,854 3=$31,269 4=$37,683 5=$44,098 6=$50,513 1 Q.
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