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Washington state Affordable Care Act handout

Washington state Affordable Care Act handout

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Published by KING 5 News
KING 5 News
KING 5 News

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Published by: KING 5 News on Sep 30, 2013
Copyright:Attribution Non-commercial

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06/22/2014

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WASHINGTON STATE OFFICE OF THE INSURANCE COMMISSIONER
The Affordable Care Act
 – 
 What it means for you
Individuals and families
 
Children
can’t
 be denied healthcoverage
if they’re sick
 
 
No out-of-pocket costs for preventiveservices
 
No cap on lifetime benefits
 
Young adults can stay on their
parents’ plan up to age 26
 
 
Seniors’ prescription drug “donuthole” closing
 
 
No out-of-
pocket costs for seniors’
preventive Medicare services
 
Expanded coverage for early retirees
Coming in 2014:
 
Most people must have healthinsurance by 2014 or pay an annualfine of $95 or up to 1% of yourincome, whichever is greater
 
No one can be denied health coverage
if they’re sick
 
 
You can buy a health plan throughWashington
’s
Healthplanfinder
 
All individual and small employerhealth plans will cover essentialhealth benefits
 
There’s help if you can’t
affordcoverage:
 
Subsidies for individuals earningup to $45,960 and up to $94,200 fora family of four
 
Medicaid expansion for childlessadults who earn less than $15,856
 Small employers
(1-50 employees)
 
 
Small businesses are
not
required tooffer health insurance, but if they do,they could get a tax rebate:
 
Up to 35% today
 
Up to 50% in 2014
Large employers
(more than 50 employees)
 
 
Large employers will pay a penalty,starting in 2015,
if they don’t offer
meaningful and affordable healthinsurance to their employees
 
A plan is considered unaffordable if itcosts more than 9.5% of the
employee’s household income or if
itpays for less than 60% of coveredhealth care expenses
 
Large businesses
can’t buy
coverage
through Washington’s Health Benefi
tExchange
 
 Updated 8/21/13
How Washington state is implementing health reform
The Health Benefit Exchange
’s
Washington Healthplanfinder 
 
Washington’s
Health Benefit Exchange is creating a new online marketplace called theWashington Healthplanfinder where individuals and families can buy private healthinsurance. (www.wahealthplanfinder.org)
 
Unbiased a
dvisors, known as “
in-person-
assistors” and “
navigators
 ,”
will help youcompare and select a private health insurance
plan that’s best f
or you, for free.
 
All plans sold in the Healthplanfinder will cover 10 categories of essential health benefits
 
More than 477,000 people will qualify for subsidies to help them afford coverage
 
Medicaid expansion
 
Federal money is available to cover approximately 328,000 additional people inWashington state
 
Expanded to cover individuals between the ages of 19 up to 65 (parents, and adults withoutdependent children) with incomes up to $15,856 (138% of the Federal Poverty Level).
 
 
Learn more about health reform at
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