WHAT IS THE AFFORDABLE CARE ACT (ACA) AND CAN IT HELP ME?

WHAT IS THE AFFORDABLE CARE ACT (ACA) AND CAN IT HELP ME?

The Affordable Care Act (ACA), is a healthcare reform law that was signed into law in the United States in 2010. Its goal is to make healthcare more affordable and accessible to all Americans, especially those who were previously uninsured.

The ACA includes several provisions that can help individuals and families get the healthcare coverage they need. Here are a few ways the ACA may be able to help you:

  • Health insurance marketplace: The ACA created a marketplace where individuals and small businesses can shop for and purchase health insurance plans. These plans must cover essential health benefits, such as doctor visits, hospital stays, and prescription drugs.
  • Subsidies to lower costs: Depending on your income level, you may be eligible for subsidies to help reduce the cost of your health insurance premiums. These subsidies are based on your income and are designed to make health insurance more affordable for people who may not be able to afford it otherwise.
  • Medicaid expansion: The ACA also expanded Medicaid, a government-run health insurance program for low-income individuals and families. If you live in a state with expanded Medicaid, you may be eligible to enroll in the program and receive free or low-cost healthcare.
  • Preventive care: The ACA requires health insurance plans to cover certain preventive services, such as annual checkups, vaccinations, and cancer screenings, at no cost to the patient. This can help you stay healthy and catch health problems early before they become more severe and expensive.
    How do the Affordable Care Act tax credits work?

The Affordable Care Act (ACA) offers tax credits to help make health insurance more affordable for individuals and families who meet specific income requirements. Here’s how the tax credits work:

  • Eligibility: To be eligible for the tax credit, purchase your health insurance through the Health Insurance Marketplace, also known as the Exchange. You must also meet specific income requirements, which vary based on your household size and income level
  • Advance payments: If you qualify for the tax credit, you can choose to have it paid in advance directly to your health insurance company. This means that the government will send the tax credit amount to your insurance company on your behalf, which will lower your monthly insurance premiums.
  • Reconciliation: At the end of the year, when you file your federal income taxes, you will need to reconcile the amount of tax credit you received in advance with the actual amount you were eligible for based on your income. If you received too much in advance payments, you may need to pay back some or all of the excess amount. If you received too little, you may be eligible for a refund.
  • Calculation: The amount of the tax credit is calculated based on your income and the cost of health insurance in your area. The lower your income, the higher your tax credit will be. The tax credit is also adjusted based on the cost of the second-lowest-cost Silver plan in your area. The idea is that the tax credit will cover a certain percentage of the cost of the second-lowest-cost Silver plan, and you can use the tax credit to purchase a plan at a lower cost.

Overall, the ACA is designed to make healthcare more affordable and accessible for all Americans. If you are uninsured or struggling to afford health insurance, you may be able to benefit from the provisions of the ACA. It’s worth exploring your options to see if you qualify for subsidies, Medicaid, or other types of assistance. If you have more questions about the Affordable Care Act or Health Insurance in general, feel free to call me anytime, I’d love to be a resource for you.
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About Steve Turner

Steve Turner is a longstanding member of the National Association of Benefits and Insurance Professionals® and holds the prestigious designation of Registered Employee Benefits Consultant® NABIP® is the preeminent organization for health insurance and employee benefits professionals and works diligently to ensure all Americans have access to high-quality affordable Healthcare and related services.

Steve Turner is a licensed agent appointed by Florida Blue.

Medicare Annual Enrollment Period is Oct. 15th – Dec. 7th. Steve Turner is not connected with or endorsed by the United States Government or the Federal Medicare Program. Some plans may not be available in your area. Any information I provide is limited to plans offered in your area. Please get in touch with Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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