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More about ACA

Affordable Care ActIf you're like many Americans, the new Affordable Care Act (ACA) may seem confusing and overwhelming. There are certainly many changes about to take place - one of the most critical being how uninsured individuals and families access health coverage under the Act.

What is the Health Insurance Marketplace?

Come November 15, 2014, individuals and families who are not covered under a health insurance plan will have the opportunity to enroll in coverage and avoid federal penalties in 2015. Individual and families who have health insurance will have the opportunity to review their plans and to make any changes to meet their needs. (Note: if you have Medicare, this does not apply to you.) The Health Insurance Marketplace, a key component of the Act, is designed to make buying health coverage easier and more affordable. It will allow individuals and small businesses to:

  • Look for and compare private health plans
  • Get answers to questions about their health coverage
  • Get a break on costs
  • Enroll in a health plan that meets their needs

As required under the Act, insurance plans in the marketplace will offer comprehensive coverage stated in plain language, making it easier to compare plans.

Ask An Expert

Andre Waddell, SJRMC's Director of Consumer Assistance Programs and Financial Services, recently appeared on WNIT's "Ask an Expert" segment on Healthcare Reform. Watch Andre as he discusses healthcare reform changes and how they affect our community, and answers consumer questions pertaining to the new laws. We remain dedicated to being a resource for individuals and families in our community.

The link to the video is:http://video.wnit.org/video/2365159919/

Frequently Asked Questions

When were individuals and families required to carry health insurance?
January 2014

Do I have to enroll for coverage if I already have health insurance through my employer, Medicare or other program?
No

Will I be able to select my doctor under the new law?
Yes

When can individuals and families begin enrolling in an insurance plan(s)?
Open Enrollment begins November 15 and ends February 15

Will the government provide assistance if I cannot afford any of the insurance plans?
Yes, depending on your household size and income.

Will I need to do anything to renew my insurance to keep my tax credit through the Marketplace? 
If you’re happy with your current plan and want to keep it--and your income or household size haven’t changed - you don’t need to do anything. The Marketplace will auto-enroll you in the same plan for 2015.

Here are 7 things to know about renewal and auto-enrollment:
https://www.healthcare.gov/blog/we-are-making-it-easy-for-you-to-keep-your-marketplace-coverage-next-year/

Contact Health Insurance Services for assistance with reviewing your coverage options.

Saint Joseph Regional Medical Center  |  5215 Holy Cross Parkway, Mishawaka, IN 46545  |  574-335-5000

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