Post Election Update Regarding Obamacare Enrollment In 2017
This is the only time of the year that you can change or enroll in a new health insurance plan. If you want or need new health insurance for January 1st, 2017, you MUST enroll in a new plan by December 15th, 2016. If you want or need health insurance at all in 2017, you MUST enroll during the Open Enrollment Period, which ends on January 31st, 2017.
The 2016 Presidential Election season has finally come to a close and the new President-Elect is Donald Trump. Whether or not he changes the law or intends to repeal Obamacare with an alternative does not change your requirements for this year.
As of 9:00AM Eastern Standard Time on November 9th, all health insurance exchanges and insurance carriers are experiencing record-setting traffic. Millions of Americans clearly still have concerns as to whether they will still being able to obtain health insurance post-election. Let us assure you that you can, in fact, still enroll in a health insurance plan. Nothing has changed with this 2017 open enrollment period and any changes that President Elect Trump may wish to make, will not go into effect until the first half of 2017.
We highly advise anyone who is seeking to obtain health insurance to sign up immediately because call volume and online enrollment traffic is already reaching record numbers. As we get closer to December 15th, it will only get more difficult and time-consuming to enroll in a plan.
If you want health insurance coverage for you or your family, you must get that coverage during the Open Enrollment Period. Otherwise you will be personally responsible to pay for your medical bills out-of-pocket.
Please use the form below, or the ‘Enroll Here’ link above to start the process of finding out what options are available to you in your home state.E
If you are seeking information about President-lect Donald J. Trump’s upcoming healthcare reform plan, which has been coined “Trumpcare” by the press, you can find some information at the following link. Trumpcare
The 2017 Open Enrollment Period is finally here. If you are currently without insurance, need to shop around for a more affordable plan or one with better medical coverage, or your insurance carrier is leaving the market, which is effecting approximately 2.5 million Americans this year, now is the time to shop for a new Obamacare health insurance plan.
If You Want To Quickly Compare What Your Options Are For 2017 Rates, Please Use The Following Link.
2.5 Million Individuals Will Need To Find New Obamacare Plans
Open enrollment starts on November 1, 2016 and will end on January 31, 2017. If you find a plan that works for you by December 15th, the coverage can begin on the first day of the new year, January 1, 2017.
If you are already enrolled in an Obamacare healthcare plan and relying on auto-renewal this year – think again. You should still review your options this year for several different reasons:
Carriers exiting the exchange, the individual or family market, or the entire state
- New personal circumstances or events that impact your income
- Changes in reported income
- Pricing variations to the plan
- Base plan changes that effect your benefits and pricing
- Discontinuation of the plan
The first item on the list may be the most vital reason to manually review your coverage and re-enroll this year rather than accepting any changes made by automatic renewal. New developments in 2016 have created headlines about major insurance carriers pulling their plans from the Affordable Care Act exchanges for the 2017 enrollment, and yours may very likely be one of them.
It is predicted that enrollees will be affected by the withdrawal of major insurance carriers, Aetna, United Healthcare, Humana, and four government-run CO-OPs.
Many regional insurers also withdrew with a little less publicity. Among these local providers, many have a much smaller number of enrollees, but some cover thousands and they will have a substantial impact on their members.
Why are Insurance Companies Leaving the Obamacare Marketplace?
In 2013, health insurance companies were trying to estimate the financial influence of an untested risk pool in the new Affordable Care Act (ACA) marketplace. Without being able to discriminate based on health status, people who were less healthy and using more medical services were going to be covered and medical claims would dramatically increase. Insurers needed to accurately project the number of younger and healthier enrollees entering the market and use their premiums to offset the increased claims expenses. The projections fell short and premiums were set too low to create the necessary balance, and insurance companies began losing revenue.
As companies withdraw from the Obamacare market to recoup losses, the effect is reduced competition and mergers between companies that monopolize and limit coverage options in certain areas of the country. The ACA encourages marketplace transparency and competition, without it, premium rates will rise with the 2017 Open Enrollment. This problem should resolve itself when there are more accurate numbers collected over a few years of enrollment, premium, and claims history. The current consensus suggests this will happen by 2018.
Until then, consumers need to log into the marketplace and review their plan to see if they are one of the thousands in their state looking for a new company and an affordable plan. Qualifying for cost assistance can reduce the financial impact of premium increases, but you need to have plenty of time to review the medical needs for you and your family, as well as your household income, to know the actual premium cost for the plan you have chosen. Marketplace representatives are available online and by phone 24/7 to answer questions and explain your options at no cost. Health insurance agents are also able to assist you with enrollment.
Who is Most Affected By These Changes For Obamacare in 2017?
People living in the Pinal County area of Arizona currently have no carriers contracted to sell exchange plans and the residents of Alabama, Alaska, Oklahoma, and Wyoming, all have only one carrier in their exchanges in the upcoming year.
If you are insured by one of the major insurers, Aetna now only has plans available in Virginia, New York, and Nevada and backed out of previous ideas regarding expansion. United Healthcare exited 31 state exchanges and their coverage also only extends to those states. Humana left four more states including Alabama, Arizona, Colorado, and Utah.
Some companies are simultaneously exiting, partially withdrawing, and entering the market in different states. Cigna is leaving Georgia and Texas exchanges, but entering the North Carolina exchange in 2017. Blue Cross Blue Shield of Kansas is pulling out of the Kansas exchange while other BCBS entities continue with plans. Priority Health Insurance Company is pulling out of the exchange in Michigan while still offering HMO plans on the exchange through another carrier entity.
There is a detailed list of smaller regional carriersand entities that are also exiting the exchanges at the end of 2017, including ACA-created CO-OPs. They are impacting the residents of different states and areas or counties within them. Going to your marketplace will give you the details.
While the overall trend is towards a reduction in the number of carriers offering plans in the exchanges, there will be new carriers joining some exchanges in 2017.
What Should You Do Now?
You need to make sure you’re getting the best health insurance plan for your buck. Premium prices are increasing and although 85% of Americans qualified for an average subsidy savings of $290 per month, it’s important to make sure that you’re getting the best medical coverage for the cost for your family.
With nearly 2 million Americans forced to shop for health insurance in addition to the millions already uninsured, it’s important not to wait until the very end of open enrollment period or on big deadlines like December 15th to figure out your options.
If you’re ready to shop for health insurance plans in your region or speak to a licensed health insurance agent, let us help! Call our toll-free phone number or provide us some basic enrollment information and we’ll get you on your way!
Updated 9/19/2016 Many Americans have been reading the recent headlines regarding the number of insurance carriers who have or have threatened to exit the exchange. Many people have emailed in regarding receiving cancelation notices from a number of insurance carriers. Currently United Healthcare, Humana, AETNA and Oscar have announced a major withdrawal from the federal exchange in certain states. It is not yet entirely known how this will effect what coverage options are available starting on 11/1/2016 when open-enrollment begins. We will continue to update this website as more information becomes available. Right now it is still possible for both AETNA and Humana to continue to offer coverage in most of the states they are currently providing plans in. Recently the administration and HHS has been making some significant effort to help keep insurance carriers within the marketplace. The next thirty days will prove to be a critical time for the health insurance industry and for more than 15 million families who have coverage under Obamacare.
Updated 4/21/2016 We have been receiving a lot of email from individuals requesting more detailed information about short term health insurance. Short term health policies and their surge in popularity as an alternative option to on-exchange or “Obamacare” health insurance plans, has received extensive media coverage. Despite this increase in coverage from various news sources, consumers have still had a difficult time determining if short term health insurance is a viable option for them. More specifically, many people have requested that we provide some real life examples of what ones cost would be for a short term health plan, vs an Obamacare plan. So, we have now updated our site to include a detailed Obamacare VS Short Term Health Insurance analysis. Within that page is a link to an unbiased site where you can compare different short term plans.
Comparing Short Term Health Insurance And Obamacare
Updated 2/24/2016 If you missed the Obamacare, or health insurance, enrollment deadline on January 31, 2016, you may have to wait until the next open enrollment period to get an on exchange health insurance plan with subsidies to help you pay your monthly premium. However, if you experienced a “qualifying life event” (QLE) you may still be eligible to enroll in a plan for 60 days following the date that the QLE occurred. You should take note that CMS just announced new qualifying life event eligibility requirements that are being put in place to prohibit individuals from signing up for health insurance outside of the open enrollment period when they are not actually eligible. Detailed Information on the New CMS Eligibility Requirements for Enrolling in Health Insurance Outside of Open Enrollment.
Updated on 2/10/2016 We have received information detailing that there may be an extension for Obamacare plans through Healthcare.gov that runs until March 31, 2016. This extension pertains only to individuals who were unable to enroll because of taxation and tax return filing issue that may have prevented a consumer from completing enrollment. Please see the following link for more information. 2016 Obamacare Extension
If you have a Qualifying Life Event, you will still be able to enroll in health insurance through Obamacare.
We have had a large number of people email us asking for help regarding the new 1095 form requirements. There are three different forms that you have to be aware of. We have a very detailed article outline everything pertaining to the 1095-A, 1095-B and 1095-C forms. Information can be found at this link. 2015 1095 Forms
While a few state exchanges have extended their deadline by a couple days to allow those who started enrolling before midnight local time, to complete enrollment, for the vast majority of Americans, if you are uninsured on February 1st, you may face the tax penalty. The good news is that if you have a Qualifying Life Event at any point this year, you may still enroll in a health insurance plan and get subsidies to help you pay your monthly premium.
A few examples of Qualifying Life Events are:
- You got married or divorced
- You had or adopted a baby
- You lost your employer-sponsored health insurance
- You had a change in income that now allows you to get a subsidy or does not allow you to get a subsidy or you are no longer eligible for Medicaid or CHIP due to an income change
- You moved to a different location and your insurance is no longer available
- You left incarceration
- You became a legal resident or citizen of the United States
If you have one of these or another type of Qualified Life Event that allows you to enroll in health insurance outside of the regular, annual enrollment period, you will have sixty-days from the date of the event to shop and enroll in new insurance. If you do not enroll during those sixty-days, you may face the tax penalty for being uninsured.
If you find yourself without or between health insurance for only a short period of time and need to find coverage in case of an emergency, you can always look at a short term health insurance plan. Please be aware that if you have a pre-existing condition, carriers that offer short term health insurance plans may deny your coverage from the beginning or may deny to cover certain claims. Short term health insurance plans do not comply with the Affordable Care Act either and you may still face the tax penalty for being uninsured even though you have a short term health insurance plan.
Some people find short term health insurance plans valuable because having it is cheaper and safer that having no insurance at all while they are between major medical plans. You can shop and enroll in short term health insurance plans here as well.
The Federal Government has already announced that there will be no Open Enrollment Period deadline extension that will go through the tax season like last year and there’s no indication or guarantee that they will extend the deadline at all past the scheduled January 31st deadline, so do not delay enrolling in a new health insurance plan.
2016 Open Enrollment Period started on November 1, 2015 and ends on January 31, 2016. During this time, Americans are being encouraged to shop around for new rates and new health insurance plans. Even if you are happy with your health plan from last year, there may be a plan out there that is a better match for you or your family’s financial and medical needs. Updated rates are now online and available so you can quickly determine what the average 2016 Obamacare cost is right now.
Think you need a little extra help and guidance picking the right plan for your family? That is not a problem; it’s an opportunity to learn from a licensed health insurance professional. Simply call the phone number below and we’ll connect you with a knowledgeable and helpful health insurance agent that can provide you specialized advice, free of charge.
If you are seeking information about the federal poverty level for 2015, please use that link.
Prefer to shop and enroll online? Well, we’ve got you covered there too! Just fill out the enrollment form below and we’ll get you right on your way.
Update 12/15/2015: The Centers for Medicare & Medicaid announced on December 15th that any American who lives in a state that relies on the Federal Marketplace (FFM) will have until December 17th to enroll in a health insurance plan that will start on January 1st. Read more about the 2016 Obamacare Deadline
If you want health insurance coverage that begins on January 1st, make sure you enroll by December 15th, 2015; otherwise your plan will not begin until February 1st at the earliest. If you don’t enroll in a plan until the end of the 2016 Open Enrollment Period, your coverage will not begin until March 1st, 2016.
There’s no guarantee and we do not anticipate that there will be an extension for enrollment beyond January 31st, 2016 so don’t delay your enrollment. You can avoid long wait times by enrolling today.
Obamacare Deadline Information Updated
The 2015 open enrollment period finally closed on April 30th, after a brief extension was given to Americans who got their income taxes done and realized that they were assessed a penalty for being uninsured in 2014 and would certainly face the increased penalty in 2015. The Department of Health and Human Services revealed that nearly 12 million Americans enrolled in health insurance either through the Federal Marketplace or the state exchange during the enrollment period. This number exceeded the government’s projections by almost 3 million people.
If you recently lost your health coverage or are just wishing you could shop for a different plan, you either need to wait for the 2016 open enrollment period to begin November 1, 2015 or you need to wait until you experience an event that would be considered a Qualifying Life Event. Qualifying Life Events are described as circumstances that happen in people’s lives that would allow them to enroll in a new health insurance plan either on the Marketplace or through a carrier direct and to even get a subsidy if they were eligible, without having to wait for the next enrollment period. Some examples of these events are:
- You get married or divorced
- You have a child
- You lose your previous health coverage for some reason like your COBRA benefits end or you lose your employer-based health insurance
- You move to a different state or location and your previous plan is not offered in your new area
There are several other examples of Qualified Life Events that exist and whether or not you have experienced one of these events is tricky to understand. It is often best and easiest to discuss your life circumstances with a local health insurance agent as they are the best suited to listen to your situation and determine whether you meet the requirements of a Qualifying Life Event. Remember, if you do experience a Qualified Life Event, you have 60 days from the date of the event to enroll in a new health insurance plan. If you do not do it during that period of time, you may be penalized with a tax when you file your federal income taxes.
Another option for people currently without health insurance coverage is to take on a short-term health plan. Unfortunately, short-term health plans are not regulated the same way as regular, major medical plans under the Affordable Care Act and carriers that offer short-term plans can do things like consider whether you have a pre-existing condition, limit your annual payout for medical claims, and offer higher deductibles and coinsurance payments before the plan with kick in its part. The benefit of a short-term health plan is that you can have the peace-of-mind that you are covered in the event that something unexpected occurs. These types of plans also offer more flexibility in that you can sign up at any time of the year and can choose to keep the policy for as little as one month or for only six months.
The 2016 Open Enrollment Period will start on November 1, 2015. If you want your health insurance coverage to start by January 1, 2016, you must enroll by December 15, 2015. The last day to get insurance is January 31, 2016 unless the government or your individual state issues another extension.
The regular 2015 Open Enrollment Period closed out on February 15th and the results were staggering. More than 11 million Americans are able to call themselves insured individuals after enrolling in a health insurance policy on the state or federal marketplaces.
After the 2015 OEP closed out, many states and even the federal government extended deadlines to enroll because many individuals faced technical problems completing their application before the midnight deadline. The requirement for a person to enroll during this special extension in many, but not all circumstances (some states had exceptions to this rule), was that the individual must have started their application on the exchange’s website for with a representative at the federal or state exchange call center before the February 15th deadline passed.
Even though this extended enrollment period for the federal marketplace passed on February 22nd and many of the extended state exchange deadlines also passed at the end of February, but despite this, the government realized that there would be many people who would not realize that they really needed to enroll in health insurance until they got their 2014 taxes done and were told that they would face a tax penalty for being uninsured during the 2014 calendar year and would also face a penalty for not enrolling for 2015 either.
Due to this predicament, the government announced another special enrollment period, which is commonly being called the Tax Special Enrollment Period. This enrollment period started on March 15th and runs until April 30th and many of the state exchanged, the exception of only a few, have followed step and also created a Tax Special Enrollment Period for their residents.
Check out the list below to determine whether your state has a Tax Special Enrollment Period and the requirements to enroll in health insurance during this period of time.
Keep in mind that even if the Tax Special Enrollment Period, you may enroll in a new health plan if you experience a Qualifying Life Event. If you do experience one of the events below, you must enroll within sixty-days in order to avoid a tax penalty.
Examples of a Qualifying Life Event are: