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Understanding the Affordable Care Act

There is much confusion around the Affordable Care Act (ACA) and the Health Insurance Marketplace. 

Here is some information to help you understand it a bit better.

The ACA is a law that guarantees everyone with minimum essential health care coverage. You can’t be denied ACA health insurance coverage because of a pre-existing health condition, and you can’t be charged more for your plan because of it. 

It’s important to know what’s required under the ACA. Here’s what you need to know as you get started:

  • Open enrollment, from November 1 to December 15, is your time to buy health insurance.
  • In some instances, you can get tax credits to help you pay for your health insurance.

 

Almost everyone needs to have health insurance

When you’re looking for health care coverage, check the health plans you’re considering to be sure it says it meets “ACA minimum essential coverage.”

There are several ways to buy health insurance:

  • Your employer
  • Health insurance companies
  • Health Insurance Marketplaces 

Keep in mind:

  • Open enrollment is your time to buy health insurance.
  • Open enrollment is a yearly time period set by the ACA. It’s your time to shop for individual health insurance and purchase a plan so you won’t pay a penalty at tax time.
  • If you miss this window of time to purchase a plan, there are some exceptions called Qualifying Life Events that let you buy a plan during a Special Enrollment Period. 

In some instances, you can get tax credits to help you pay for your health insurance

Depending on your family situation and annual income, you may be able to get a tax credit to help offset your health insurance costs. You can visit Health Care to see if you qualify for a tax credit before you start buying your plan.

ACA Marketplace Plans
  • Understanding Your Health Insurance Options
  • Health Insurance Plans Available on the Marketplace
  • Essential Health Benefits
  • Summary of ACA Benefits and Coverage
  • Preventive Health Services for Adults
  • Short-Term Medical Insurance – Temporary Coverage
  • Pre-65 Health Care Insurance
  • Health Savings Accounts
  • Understanding the Affordable Care Act
  • Choosing Dental Coverage
  • Vision Insurance: Is It Right For You

Medicare Optimized

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*a non-government Agency Website

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With a dedication to client-centric service and extensive industry expertise, Medicare Optimized empowers individuals across the Pacific Northwest and beyond to navigate their Medicare options with confidence and ease. While we primarily serve the Puget Sound community, we are licensed in several states throughout the country. No matter where you're located our mission is to ensure that you receive tailored guidance and support in selecting the most suitable Medicare plan to meet your unique healthcare needs and budgetary considerations. Whether it's deciphering plan benefits, exploring supplemental coverage options, or optimizing prescription drug coverage, our team of experienced professionals is dedicated to delivering unparalleled assistance and peace of mind to every Medicare beneficiary we serve. At Medicare Optimized, we believe in fostering long-term relationships built on trust, transparency, and a commitment to enhancing the healthcare journey for all.

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We do not offer every plan available in your area. Currently we represent 16 organizations which offer 206 products. Any information provided is limited to those plans that we do offer in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all your options.

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