📣🎉 AND WE'RE OFF!

My official 2022 #ACA Open Enrollment Guide: Here's the most important stuff to remember when you go to #GetCovered!
acasignups.net/21/11/03/and-w…
1. MOST WILL HAVE MORE TIME BUT YOU STILL SHOULDN'T DELAY!

The final deadline has been extended by a full month in most states, but in order to have your COVERAGE START IN JANUARY you should still *ENROLL* BY DECEMBER 15th!
Here's the official enrollment deadlines for every state + DC. (Note: A few of these may change):
2. AVOID JUNK PLANS & SCAMS; MAKE SURE YOU ENROLL IN AN OFFICIAL ACA POLICY.

There's lots of questionable website selling questionable policies these days. Stick to *official* ACA exchanges or *authorized* enrollment partners only!
Here's the #ACA exchange sites for every state:
CA: CoveredCA.com
CO: C4HCO.com
CT: AccessHealthCT.com
DC: DCHealthLink.com
ID: YourHealthIdaho.org
KY: Kynect.KY.gov 🆕
ME: CoverME.gov 🆕
MD: MarylandHealthConnection.gov
For ALL OTHER STATES, use HealthCare.Gov!

(Alternately, you could also use HealthSherpa.com or W3LL.com, which are authorized #ACA enrollment partner sites)

⚠️ You're ONLY eligible for financial help if you use an official/authorized ACA site!
3. OFF-EXCHANGE ENROLLEES: THIS IS THE YEAR TO SWITCH TO ON-EXCHANGE COVERAGE!

Thanks to the #AmRescuePlan, millions who are paying full price for off-exchange plans are now eligible for enhanced #ACA subsidies...but they have to enroll ON-EXCHANGE to take advantage of this!
Between ~2.3 - 3.0 million Americans are enrolled in #ACA plans *OFF-exchange*, which means paying full price...

...but for 2022, MANY of them would be eligible to save THOUSANDS of dollars by moving ON-EXCHANGE (including 260K in California alone)!
acasignups.net/21/11/02/time-…
📣 4. MILLIONS MORE NOW QUALIFY FOR FINANCIAL HELP...AND THOSE WHO ALREADY DID QUALIFY FOR MORE!

Middle class folks used to have to pay full price, & help for many lower-income folks still wasn't generous enough. Thanks to the #ARP, #ACA plans are now affordable for *everyone*!
This table shows the % of household income your premiums were capped at under the original #ACA subsidy formula vs. the more generous #ARP formula.

Middle class households are now capped at no more than 8.5% of income, & lower-income enrollees pay far less (or even nothing)!
5. TEN STATES OFFER *ADDITIONAL* SAVINGS *ON TOP OF* EXPANDED #ARP SUBSIDIES!

In addition to the expanded/enhanced savings thanks to the #AmRescuePlan, 10 states have their own programs offering additional financial help for lower- (& sometimes middle-income) enrollees!
California, Colorado, Connecticut, Minnesota, Maryland, New Jersey, New York, Massachusetts, Vermont & Washington are all either offering additional supplemental financial help or have their own special high-quality healthcare coverage plans for low-income enrollees (or both)!
6. FOR LOWER-INCOME ENROLLEES, SILVER IS THE NEW PLATINUM!

If you earn < 200% FPL (~$26K if single; ~$52K for a family of 4), make sure to enroll in a SILVER plan to get SUBSTANTIALLY lower out of pocket costs!

"CSR Silver 94" or "CSR Silver 87" are effectively PLATINUM plans!
There's two types of federal #ACA financial help: Premium tax credits and "Cost Sharing Reductions" or CSR, which cuts down deductibles/co-pays...in most cases making these SILVER plans effectively PLATINUM!
acasignups.net/21/03/30/its-t…
7. FOR *MIDDLE CLASS* ENROLLEES, *GOLD* PLANS MAY COST LESS THAN SILVER!

It's a long, dumb story, but the bottom line is if you earn *over* 200% FPL, some Gold plans are a better value than Silver and may actually cost less in premiums...or even not have any premium cost at all!
.@bjdickmayhew has found 820 counties where at least one Gold plan costs less than the benchmark Silver plan *even at full price*...and thanks to a pricing strategy called #SilverLoading, this means many people earning > 200% FPL can get a FREE Gold plan!
acasignups.net/21/05/15/my-si…
8. FIVE STATES* STILL HAVE THEIR OWN INDIVIDUAL MANDATE!

The FEDERAL penalty may be gone, but CA, DC, MA, NJ & RI all still charge a financial penalty for residents who don't have #ACA-compliant healthcare coverage (unless they have an exemption).

*Yes, I know DC isn't a state.
Here's how much you'll have to pay in those states if you go the full year without having #ACA-compliant healthcare coverage next year (and don't receive an exemption):
9. MANY STATES/COUNTIES HAVE MORE CHOICES THAN EVER.

The days of worrying about "bare counties" are gone. Dozens of insurance carriers are expanding their coverage areas in 2022, entering new counties & states while offering more plan options.
Here's a list of carriers which are joining (or rejoining) new #ACA markets for 2022 from @LouiseNorris:
healthinsurance.org/blog/how-new-c…

Of course that many options can get confusing, which is why it's great news that...
10. THE NAVIGATOR PROGRAM IS BACK AT FULL STRENGTH, BABY!

The HHS Dept. has upped grant funding to dozens of qualified health insurance navigator programs nationally for 2022... especially for underserved communities. More help & guidance is here!
Here's the details along with a full list of 2022 #ACA navigator grantees for each state which utilizes the federal ACA exchange (state-based exchanges have their own navigator budgets & programs):
acasignups.net/21/08/27/cms-a…
⚠️ 11. ABOVE ALL ELSE: DO *NOT* LET YOURSELF BE PASSIVELY "AUTO-RENEWED!"

It's always been a good idea to *actively* shop around to see whether there's a better value available, but that's more true than ever this year! Don't leave money on the table; SHOP AROUND & save!
12. If you find this thread or my work at ACA Signups useful and want to support it, you can do so here either once or monthly, thanks!

P.S. Make sure to #GetCovered!
acasignups.net/support

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More from @charles_gaba

5 Nov
Huh. This article about Biden donors complaining includes an interesting passage… nytimes.com/2021/11/04/us/…
I find this bit kind of bemusing seeing how I personally raised $6 million for various Dem candidates last cycle (including around $70,000 for Biden, I believe) and never asked for a thank you, much less a phone call or ambassadorship… Image
Oh! Turns out I actually raise $103,000 for him! I guess I should’ve been interviewed for the article? Image
Read 4 tweets
4 Nov
The family seems very nice, but:

1. They have NINE KIDS. That's ELEVEN mouths to feed. I applaud the couple for being willing to foster/adopt so many, but I wonder how the story narrative would've differed if they'd been a Black couple w/9 kids?
2. The wife claims that "In June $1 was worth $1, now it's 70 cents"...making it sound like the inflation rate has been *43% since June*, which I find...questionable.
3. She claims a gallon of milk was $1.99 in March, and today it's $2.79.

In reality, the average price for a gallon of milk nationally appears to have been $3.55 in March vs. $3.65 in October.
ams.usda.gov/sites/default/…
Read 21 tweets
4 Nov
THREAD: Let me tell you a small story from the first #ACA Open Enrollment Period which seems relevant here. 1/
In Sept. 2013, prior to the first Open Enrollment Period starting on October 1st, the Centers for Medicare & Medicaid Services sent an internal projection of how many people they expected to enroll each month of the first 6-month OEP to the HHS Secretary: acasignups.net/sites/default/…
When the reports for each month came out, there were various news stories claiming that enrollment had dropped by 20% from January to February (1,161,862 to 942,833). DISASTER!!

HOWEVER, if you look at the actual reports, that's not what happened at all. 2/
Read 7 tweets
4 Nov
#BuildBackBetter: The Sausage-Making Continues!

Here's a bunch of changes I found in the *revised* version of the #BBB bill...since Friday!

acasignups.net/21/11/03/build…
Yes, it includes the Big Ticket items like...

--small-ball version of Medicare Part D drug negotiation!
--penalty if drugmakers increase prices more than inflation!
--$2,000 Part D out-of-pocket cost cap!
--$35/mo cap on insulin costs!

...but there's more!
A lot of these changes are just clerical/typo corrections or slight legalese tweaks to pass legal muster (think the #KingvBurwell debacle!).

Other changes are literally just bumping funding up a bit for one program or down a bit for another.
Read 11 tweets
4 Nov
I don’t think that was ever in question.
As an aside, this was precisely my point last spring when Bernie folks demanded that VP Harris fire the parliamentarian after she put the kibosh on including $15MW in the ARP bill.
If Manchinema oppose killing or even altering the filibuster they sure as hell aren’t gonna be onboard with firing the person who decides what can pass without the filibuster.
Read 4 tweets
3 Nov
Setting aside the dire status of democracy at the moment, it's kind of interesting in a wonky sort of way to compare the *smaller* text changes which *don't* make much of a difference:
rules.house.gov/sites/democrat…
For instance, this change to the extension of the #AmRescuePlan's ACA subsidy eligibility Unemployment Benefit:
Meanwhile, here's (most of) the language re. CAPPING INSULIN OUT OF POCKET COSTS at $35/month:
Read 7 tweets

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