1. MILLIONS NOW QUALIFY FOR #ACA TAX CREDITS IN 2021 & 2022 WHO DIDN'T IN 2020...AND THEY COULD SAVE *THOUSANDS OF DOLLARS*!
In addition, most of those *already* receiving subsidies will receive *additional* financial help!
Here's my explainer about how much various households will save on #ACA premiums at different income levels. Low-income enrollees could pay NOTHING in premiums, & for the first time ever, MIDDLE-CLASS folks will be eligible for financial help! acasignups.net/21/03/14/new-h…
2. DON'T MISS THE *NEW* DEADLINE!
Depending on what state you live in, you have until as soon as *March 31st* to as late as...well, the whole year. In most states you have until August 15th to #GetCovered
Here's a handy, updated chart with the latest start/end dates for the new #ACA COVID Enrollment Periods in every state. Note that some states have restrictions on who's eligible to enroll, usually those who are currently uninsured only:
3. MAKE SURE YOU DON'T ENROLL IN A JUNK PLAN!
Some brokers sell NON-#ACA compliant healthcare plans called things like "short-term", "sharing ministry", "farm bureau" etc. I strongly advise sticking to plans w/full ACA protections sold via authorized ACA exchange sites only.
Here's a table of the *official* #ACA exchange website for all 50 states + DC. Note that there are 3rd-party broker sites authorized to sell ACA-compliant plans as well, but some of those also sell non-compliant plans; stick to sites which *only* sell the real deal:
4. IN SOME STATES YOU STILL HAVE TO PAY A FINANCIAL PENALTY IF YOU *DON'T* #GETCOVERED!
The federal mandate may be gone, but CA, DC, MA, NJ and RI have their own penalty for residents who don't have #ACA-compliant healthcare coverage (unless you qualify for an exemption).
Here's a table summarizing the annual mandate penalty in each of these states for NOT having #ACA-compliant healthcare coverage (unless you qualify for an affordability or other exemption, which many people do):
5. RESIDENTS OF 4 STATES MAY EVEN QUALIFY FOR *ADDITIONAL* SUBSIDIES!
If you live in CA, MA, NJ or VT, you may qualify for state financial help *in addition to* federal tax credits. (Note: These may be rendered moot by the #AmRescuePlan's expanded subsidies.)
Here's the maximum household income levels which are eligible for ADDITIONAL #ACA subsidies from the state in addition to federal tax credits (not everyone in these income ranges is necessarily eligible).
(Again, the #AmRescuePlan may have rendered these state subsidies moot):
6. MILLIONS ACTUALLY QUALIFY FOR *ZERO-PREMIUM* PLANS...EVEN $0 *GOLD* PLANS IN SOME CASES!
The #AmRescuePlan offers $0 premium plans to low-income folks, but even some *middle class* enrollees qualify for FREE plans (it's a long, wonky story):
Here's an analysis by @KFF showing how many uninsured Americans were eligible for a free *Bronze* #ACA policy this year...and this was *BEFORE* the #AmRescuePlan expanded subsidies... kff.org/private-insura…
..and here's a list of 190 counties nationally (including ALL of Wyoming!) where some people were already eligible for FREE *GOLD* plans...and again, this was *BEFORE* the #AmRescuePlan was signed by President Biden: acasignups.net/21/02/28/atten…
7. This is usually only relevant during the Open Enrollment Period in the fall, but *DON'T* let yourself be "passively" auto-renewed. Always check for a better value!
RIGHT NOW, current enrollees in most states can switch plans if they wish (but the deductible may reset).
8. UNEMPLOYED "MEDICAID GAP" RESIDENTS OF NON-EXPANSION STATES ARE ELIGIBLE FOR *FREE* PLATINUM-EQUIVALENT #ACA PLANS THIS YEAR!
Thanks to the #AmRescuePlan, if you're on unemployment at any time in 2021, you'll be considered eligible for a heavily-subsidized #ACA exchange plan!
Normally, if you earn <100% FPL in a non-expansion state, you aren't eligible for #ACA subsidies either. However, the #AmRescuePlans sets the income of those w/unemployment benefits this year at 133% FPL for this purpose. They qualify for a *FREE 94CSR Silver* plan!
9. IN FACT, *ANYONE* ON UNEMPLOYMENT IN *ANY* STATE IN 2021 QUALIFIES FOR A FREE PLATINUM-EQUIVALENT #ACA PLAN!
...but you might have to wait a bit; it could take a few months for some exchanges to update their systems for this benefit: acasignups.net/21/03/23/break…
10. I hate to harsh my own buzz by ending this thread on a down note, but I do have to remind everyone that yes, it's still possible that the SCOTUS could STRIKE DOWN THE ENTIRE #ACA due to a jaw-droppingly stupid lawsuit.
Anyway, if you find my healthcare policy analysis, advocacy & education useful *and* can afford to do so, please consider supporting it here, thanks! acasignups.net/donate
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As @selenasd just noted, and @KrutikaAmin reiterated, the only *official* COVID SEP enrollment tally from HCgov is 206K as of 2/28...plus scattershot data from a handful of state-based ACA exchanges.
My estimates suggest the national total was around 260K as of 2/28...
...or an average of ~18.5K per day. *IF* that pace has held true since 2/28, the national tally would be around 684,000 as of yesterday.
HOWEVER...since 2/28, the #AmRescuePlan passed the House, the Senate, the House again & was signed by President Biden on 3/12!
Actually, since Wyoming hasn’t expanded Medicaid, the only way this claim could be true is if the family in question saw their income go over *400* FPL, making them ineligible for ACA subsidies BEFORE the ARP was signed.
If that’s what happened, then: 1. Medicaid expansion is irrelevant to them anyway; 2. They’re the opposite of poverty-stricken; 3. The ARP solves that problem as well.
(NOTE: Earlier I questioned where @mehdirhasan got his $35B figure. That's been answered reasonably, but it also creates a *different* mystery: @USCBO says $22.8B. @jctgov says $35.0B. Which is right, and why would they differ when they collaborated on the same score??)
Having said that, even w/JCT est. of $35B, @mehdirhasan still claimed it'd only cover "2M people for 6 mo" which would be $17.5K/6 mo or $35K/yr apiece.
Problem? The House version estimated *3M*, not 2, and the *Senate* version would cover FAR MORE people (thus the higher cost).
.@mehdirhasan is a great interviewer and is often dead-on target, but he (like so many others in the news media) MASSIVELY overstated the cost per enrollee of the #AmRescuePlan's COBRA subsidies last night (I'm still working on the post but this is key): acasignups.net/21/03/24/why-d…
Hasan claimed that the #ARP will spend $35B to cover "around 2 million" COBRA enrollees for 6 months.
$35B / 2.0M = $17,500 apiece. For 6 months.
If true, this would indeed be a massive waste of money, since employer policy premiums average ~$7,500 per *YEAR* per enrollee.
On the upside, claiming COBRA costs $35K/year is a lot better than claiming it costs $80K/year, I suppose. He only overstated the cost by 5.6x instead of 10.6, so I guess that's progress... acasignups.net/21/03/17/updat…
First, I'm not sure where @MehdirHasan gets $35 billion from. According to the @USCBO score of the final Senate version of the #AmRescuePlan, the gross cost of the #COBRA provision is $37.2 billion (slightly *higher*), but the *net* cost is $22.8 billion: cbo.gov/publication/57…
Second, the *net amount being spent per COBRA enrollee*, according to the CBO, was around $2,600 apiece under the *House* version *$7.84B / 3.0M) to cover 85% of their premiums. If you ignore savings (why?), the *gross* amount was around $4,800 apiece: acasignups.net/21/03/17/updat…
"At a certain point I'm guessing at least one of the state exchanges will just say "screw it" and open...enrollment up for the full year."
There's 3 main reasons to have a limited-time Open Enrollment Period in the first place:
1. To prevent Adverse Selection...that is, people who "go bare" until they're diagnosed with an illness or get injured. This is why you can't get auto insurance AFTER you crash your car.