CMS is offering equitable relief to certain individuals enrolled in both Medicare Part A and coverage through the Marketplace for individuals and families to enroll in Medicare Part B without penalty. Further, CMS is offering equitable relief to certain individuals who dropped or lost their coverage through the Marketplace and are paying a late enrollment penalty from their subsequent late enrollment into Medicare Part B. These eligible individuals can have their penalty reduced. Individuals can apply for the Medicare Part B enrollment opportunity and reduction in late enrollment penalties during a limited time – it is available now and ends September 30, 2017.
the AHCA as currently drafted is flawed as well. The tax credits it provides do not vary based on either a person’s income or the cost of care where they live. There is no help with deductibles and co-pays for those with lower incomes. Millions of people, particularly older Americans, would not be able to afford health insurance or to get care when they need it. In addition, the recent amendments could return us to a time when people who were born with a birth defect or who became sick could not purchase or afford insurance, and when benefits were not there when people needed them the most.
The analysis found that Covered California health plan premiums could rise up to 49 percent if two key elements that have been in place for the past four years are changed: Cost-sharing reduction reimbursements are no longer directly funded as reimbursements to carriers, and the shared individual responsibility payment is not enforced.
The misnamed “market stabilization” rules sabotage the Affordable Care Act by significantly reducing the open enrollment time period and creating other conflicts with state laws. Like President Trump’s threats to eliminate the cost-sharing subsidies, his new regulations will destabilize, rather than strengthen, the health insurance market.
It is the policy of my Administration to seek the prompt repeal of the Patient Protection and Affordable Care Act (Public Law 111-148), as amended (the “Act”). In the meantime, pending such repeal, it is imperative for the executive branch to ensure that the law is being efficiently implemented, take all actions consistent with law to minimize the unwarranted economic and regulatory burdens of the Act, and prepare to afford the States more flexibility and control to create a more free and open healthcare market.
We conducted an analysis of the House Republican Platform released over the summer, which may serve as a starting point for legislative changes. The below chart shows how some of President-elect Trump’s campaign proposals line up with the House Republican Platform released earlier this year.
After the presidential election, it is likely that you will receive questions regarding the future of the Affordable Care Act (ACA) and how it could affect our customers. While we do not yet know the full outcome, we do know that the ACA and Covered California is working for over 21 million Americans and repealing or replacing it would not be a simple or fast process.
The IRS knows that you want to understand how the health care law may affect you when filing your taxes next year. When questions come up, IRS.gov/aca is a great place for you to begin finding the answers you need – when you need them.
Blue Shield of California has sent notices to 2,062 consumers of their grandfathered health plans notifying them they will be automatically enrolled in Obamacare plans for 2017. Blue Shield will no longer be offering 17 of their grandfathered individual and family plans in 2017. Blue Shield stated that the grandfathered plans are being withdrawn from the market place due to low enrollment.
New rules limit the circumstances in which someone may qualify for the permanent move SEP to ensure consistency with the original purpose of that SEP. An Interim Final Rule with Comment (IFC) published in the Federal Register provides that individuals requesting a “permanent move” SEP must have minimum essential coverage for one or more days in the 60 days preceding the permanent move, unless they were living outside of the United States or in a United State territory prior to the permanent move. This ensures that individuals are not moving for the sole purpose of obtaining health coverage outside of the open enrollment period.