MA Obamacare Guide

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Last updated: 18th June 2018. The Massachusetts Obamacare open enrollment period was from Nov 1, 2015  through Jan 31st, 2016. Missing the deadline without getting coverage may cause a tax penalty. If you missed the open enrollment period you may still be able to apply and get coverage if you meet certain criterion. You can also apply for outside coverage. To get a free health insurance quote Click Here.

Massachusetts’s Obamacare provides residents of the state with a simple and easy to use solution for finding high quality health insurance. The site offers a wealth of resources, along with simple to follow instruction pages for enrolling and signing up for a plan. It is even possible to look at plans anonymously once you’ve created your account. This ensures that you are able to peruse the plans at your leisure without worrying about people contacting you to sign up for their plan or network.

Once you have a plan though, you need to make sure you are keeping up with your monthly payments so your coverage does not lapse. Fortunately, they make paying right through the site very easy.

Paying – You will have several options when it comes to paying for your plans. You can make an online payment, which is convenient and fast. To do this, you will need a number that identifies your account. This could be your billing account number, SSN, or your subscriber ID that you get when you sign up. You will also need to have all of the basic information that you used when you signed up for the account, such as your mailing address, name, birthdate, and the amount of your premium.

In addition, you will need your bank account and routing numbers. You can make a one time online payment, or you can set it up so that it takes money from your checking or savings account automatically each month. It will charge the account on the 22nd of the month after the first payment goes through processing. You could also set up automatic bill pay through your checking account.

MA Obamacare Plans & Networks

Residents of Massachusetts that use their state run exchange for their insurance will discover that the site makes it easy to sort through the various plans and options available. The site provides users with the tools and resources they need to learn more about the different types of plans that they can choose.

Plan Options – One of the first things to realize is that all of the plans will provide you with the basic services regardless of what tier you choose. Some of the basics include hospitalization, maternity care, and emergency services. They will also include preventative care, such as screenings for diabetes and obesity. The real difference between the plans comes from the amount that they will cover and the amount that you will have to pay.

The Affordable Care Act created a set of metal tiers for the various levels of health plans – bronze, silver, gold, and platinum. These tiers, as mentioned, provide the same level of care. The difference is how much they cost. The bronze plan, for example, has the lowest monthly premiums, but the out of pocket costs and the deductible is high. The platinum plan has the highest monthly premium, but the out of pocket costs are very low, as are the deductibles.

The plan that you choose will likely be dependent on how much you believe you and your family will be visiting the doctor. If you are rarely ill and don’t feel as though you will need healthcare services much through the year, then you may only need the bronze or silver plan. If you have a large number of prescriptions or you have an illness that requires frequent visits to the doctor or hospital, you may want to opt for the gold or platinum plans.

Catastrophic plans are available for certain individuals as well. They are generally reserved for those who are under 30, as they do not usually have as many health issues as older individuals.

What About Other Plans

Some plans are for lower income families and individuals. They have low deductibles and out of pocket expenses, but they offer excellent levels of care. In order to qualify for these plans though, you will need to make less than 300% of the federal poverty level. Based on the amount of money that you make, you will qualify for different levels of plans.

What Networks Are Available?

In addition to offering a number of different types of plans, you will find that Obamacare works with a large number of networks. This helps to provide the residents of Massachusetts with plenty of options when it comes to finding great care. Some of the networks include Neighborhood Health Plan, Minuteman Health, Boston Medical Center HealthNet Plan, Met Life, Blue Cross and Blue Shield of Massachusetts, Celticare Health, Health New England, Tufts Healthcare, United Healthcare, Guardian, Fallon Health, and Harvard Pilgrim HealthCare. They also work with dental networks Altus Dental and Delta Dental.

With all of the choices available through the state, it should be possible for most patients to find a network that features their doctor, or to find a new, quality provider for their needs. Even those who have a low income will now have excellent healthcare, which should help to improve the overall health of the state.

What Type of Coverage Can You Expect?

When you are eligible for a plan, you will enjoy many excellent benefits including prescription medications, emergency care, and doctor visits. The out of pocket expenses that you might normally incur through copays or prescriptions are much lower with these types of plans. Several different types of plans are available, and all are based on your income level. All of the plans have the same benefits and the same copays for the services that are covered. The only real difference is in the monthly premiums.

A number of different plans are are available from a variety of networks across the state. Networks offering the plans include Health New England, Fallon Health, Boston Medical Center, HealthNet Plan, Ambetter from CeltiCare Health, Minuteman Health, Neighborhood Health Plan, and Tufts Health Plan Direct.

Different plans could have different hospitals and doctors in their network, as is often the case with these types of plan. It is important to make sure that you check to see that the doctors you want to visit are a part of the plan before you apply.

Who Can Qualify?

As mentioned, they utilize your income to determine whether you will be eligible for some of the plans. Currently, households that have an income that is at 300% of the federal poverty level or lower could qualify for the plans. If the income is higher than this, you will not be able to get one of these plans, but you can still find ways to save money, such as through tax credits.

In addition to your income, there are certain other qualifications that you have to meet. You need to live in Massachusetts, be a US citizen or a lawful immigrant in the US. In addition, you cannot qualify to be on your employer’s health insurance plan. You can’t be in jail, and you can’t qualify for Medicare, Medicaid, or other public health programs for insurance.

You can use your income level to determine which of the Obamacare plans you might qualify for. Plan Type 1 is for those who make 0% to 100% of the federal poverty level. Plan Type 2A is for those who make 101.1% to 150% of the federal poverty level. Plan Type 2B is for households making between 150.1% and 200% of the federal poverty level. Plan Type 3A is for those making between 200.1% and 250% of the federal poverty level. With Plan Type 3B, your household could make between 250.1% and 300% of the FPL and still qualify.

With all of the options in Massachusetts to receive high quality and affordable health care, including Medicaid, the tax credits that can make getting insurance cheaper, it’s getting easier to have coverage for more and more people. No one wants to pay the penalties for not having insurance ($650 for an adult and $487.50 for a child at a minimum), so getting one of the affordable plans simply makes more sense.

Take the time to look at all of the different options available with these plans to see which one you may qualify to use. Keep in mind that the actual contents of the care will be the same. The only difference will be the prices that you pay.

Financial Assistance

For many families in Massachusetts, it can be very difficult to make ends meet. With the added cost of required health insurance, it can be downright impossible. Fortunately, you can find some good options out there that can help provide financial assistance to make paying for the health services much easier.

Medicare for Financial Assistance – Some individuals and families may be able to apply for and receive Medicaid. Your eligibility will be dependent on your income and the number of people who are in your family. This can be a good low to no cost option for low-income individuals and families unable to afford traditional health insurance through the system.

Premium Tax Credits – It may be possible to receive advance premium tax credits as well. Again, they will base your eligibility on this through your income and the number of people in your family. With this option, you will receive credits from the government, which can be applied directly to your monthly premium. This will reduce the overall cost of your monthly payments, bringing them down to a level that is more affordable.

You will need to estimate your income for the following year to determine how much you will be able to receive in tax credits. You need to make sure that you have a plan that is more than your tax credits will cover as well.

There are extremely affordable plans that you can find through the State. They have low monthly premiums and low out of pocket costs. One of the biggest benefits is that there is no deductible. This means your insurance will begin as soon as you need it.

The service and care offered through these plans is just as good as the care through other plans. They will provide all of the basic services needed and required by law, but it will cost far less than a traditional plan.

In order to qualify for these plans, you will need to meet some certain basic requirements. You need to live in Massachusetts and be a citizen, national, or lawful alien in the US and not be in jail. In addition, you can’t be eligible to have health care through your employer, and you cannot be on Medicaid, Medicare or similar programs.

They also look at your income to determine eligibility for these plans. If you make more than 300% of the federal poverty level, you will not qualify. Those who make less than this amount can qualify for one of five different plans based on the amount of money they make.

While the idea of spending money on healthcare is never anyone’s idea of a good time, it is a necessity. You have to have coverage according to the law, and thanks to the various programs available in Massachusetts, it is finally possible to get coverage that is actually affordable. Don’t try to get away with not having insurance. The penalties are very steep. Currently, it is $695 for an adult and $487.50 for a child. They may also choose to penalize you by 2.5% of your annual income, if it is higher. Take the time to see what is available to provide you with some financial assistance.

Plans for Students

In some cases, students will qualify for Medicaid, which is a low cost or no cost healthcare program. If they are 19 years old or older, and they meet all of the eligibility requirements, including the income requirement, they could qualify.

In addition, there are new tax credits, which can help to lower the cost of insurance. The eligibility for the credits will be based on income level as well. Currently a single person, including students, who make up to $46,000 per year could qualify for the credits. They can then have the credits paid directly to the insurance company each month, which will lower the overall cost of the monthly premiums.

Some of the plans have lower monthly premiums, as well as lower out of pocket expenses. One of the best benefits of these plans is the fact that there is no deductible, so the insurance coverage will start as soon as it is needed. This is the first time that students will be able to use these low and no cost plans.

Students who want to apply for health coverage can go through the State site. This will allow them to see if they are able to qualify for any of these money saving options.

More Benefits for Students

With the Affordable Care Act, there are other benefits as well. Now, they are able to stay on their parent’s insurance plan until they are 26 years old. There are no annual or lifetime limits on the amount of coverage that the plan will pay toward healthcare. In addition, there are no limits on the amount that the plan will pay for prescription medication.

Preventative care is provided through the plans as well without the addition of copay, coinsurance or deductibles. Some of the types of preventative services include physicals, depression and obesity screenings, immunizations, diabetes screenings, and contraceptives.

History of Healthcare for Students in Massachusetts

Since 1989, all full and part-time students enrolled in institutions of higher learning in the state need to be in a Student Health Insurance Program, or SHIP. In the past, this could be difficult for some students, but with the new program, finding insurance that is affordable and high quality is easier than ever before.

Why Students Need Insurance

Having insurance is beneficial for a number of reasons. First of all, it ensures that they remain healthy and that they have the proper medical care in case of injury or illness. In addition, it is now the law. Those who do not enroll in an insurance plan are subject to a fine. The current cost of the fine is $695 for an adult, or 2.5% of their income.

When choosing a plan, be sure to consider your overall health and the amount of times you visit the doctor each year. Find a plan what will work with your finances and your current state of health.

Pros of Obamacare

The Affordable Care Act made it a law for people to have health insurance, and that meant that many states were scrambling to try to get systems in place that would accommodate this. In Massachusetts, you have the state’s insurance marketplace. Since its inception, it has had some ups and downs, but it is actually doing fairly well today and has helped hundreds of thousands of people to get insurance. Of course, there is good and bad to everything, so it is important to look at both the pros and the cons.

What Are the Cons of Obamacare? – When the plan was first implemented, it suffered many of the same problems that so many of the other exchanges across the country, and the federal marketplace, suffered. The website was not entirely stable, and it had a number of glitches and issues that would make it very difficult for people to actually sort through the available plans and then sign up. It would sometimes kick people out of the system when they were trying to sign up, and this was very frustrating for thousands.

However, over the course of the last few years, the website has improved dramatically. It does not have the same glaring issues that it did in the past, and this has made it much easier for people to use the tools and resources on the site and to sign up and get the plans they need.

While some people still do not like the idea that they are being forced into buying insurance, there are many options available today, and it does help to improve overall health in the state.

The cons are minor when compared with the benefits that the system has brought to the state. Many more people have insurance coverage in Massachusetts today than ever before thanks to this system. The site has gone through a number of updates over the course of the last few years, and it is now very easy to use, and it offers a number of resources and tools that help to provide visitors with everything they need to make a decision.

They can create an account and start looking for the different plans offered through the state. It is easy to compare one plan to another, so you can be sure that you are getting the proper plan for you and your family. You do not have to fill out the application all at the same time either. You can fill out part of it, save it, and come back later when you have all of the information that you need.

When you buy through the State site, you may also find that you can get help paying for your insurance. They have tax credits available to many who apply for coverage, and this can make the monthly premiums far easier to afford. In addition, they have low cost plans available, and these are only available through the State’s site.

With more and more people getting insurance, it helps to improve the overall quality of health in the state. Because the coverage plans provide a wealth of basic treatments and preventative care, more people are going to the doctor before a small issue becomes much larger and more difficult to care for.

Tax Credit

Advance Premium Tax Credit – It is possible to get tax credits that will help you to lower the amount of money that you have to pay on your monthly premium. These are called advance premium tax credits, or APTCs. The only way that you can get this credit if you live in Massachusetts is to choose a plan through the State site.

How Can You Use the Tax Credit? – You will have three options when you are using the APTC. You can choose to use all of the tax credit, some of it, or none of it. Let’s look at what each of these options will entail.

If you decide to use all of the tax credit, it means you will pay the lowest possible amount on your monthly premiums. If you end up earning more than you stated on your application though, you will need to pay back the difference at the end of the year when you file your income tax return.

Those who choose to use some of their tax credits will have their monthly premiums lowered somewhat. However, there is a lower chance that you will have to pay money to the government at the end of the year.

Finally, you could choose to use none of the tax credit on your monthly payments. You will pay the full cost of the insurance each month, and this will eliminate the possibility of having to pay back the government at the end of the year. Since you qualified for the credits though, you can apply them at the end of the year to your taxes, which can actually help you lower the amount you pay in taxes. If you do not owe any taxes, it could increase the amount of your return.

If you apply for advance premium tax credits and are approved, the amount of tax credit you can apply to the premium needs to be less than the amount of the monthly premium. This means that your credits can’t exceed the premium cost, so you have to be careful while you are shopping for a plan. You want to choose one that is less than or equal to what your advance premium tax credit will cover.

If you have extra tax credits, you could use those toward a pediatric dental plan for those in the family who are under 19 years old.

Who Can Qualify for a Tax Credit?

To qualify for an APTC, you will need to meet certain income requirements. You can generally receive credits if your home’s income is up to 400% of the federal poverty level. A family of four could qualify for a tax credit if the household brought in up to $95,000 per year. The actual amount of the tax credit for which you could qualify will vary based on the number of people in the household and the overall income.

Keep in mind that you need to file your tax return for any year where you want to use tax credits. The only exception to this is that you can get a tax credit if you haven’t filed taxes in the past. Going forward though, you would need to file your taxes, or else you will be denied the credits.

The tax credits can do a great job of reducing the amount of money that you have to pay for your health coverage. This makes it more affordable than ever to get your insurance.

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