Obamacare
Get Quotes & Compare Plans Now

Obamacare
Get Quotes &
Compare Plans Now

your birthdate
(for example: 02/01/1970)

Obamacare 101:
Understanding the Affordable Care Act

Obamacare: Everything you need to know

Post-Election Update: What do the election results mean for my healthcare choices?

With the election results now final things will likely change in the future. It’s no secret that Donald Trump campaigned on the promise of repealing Obamacare, which means there will inevitably be changes to the current system. However, those changes will not take effect until, at the earliest, next year. This means you can still qualify for health insurance subsidies and you can still enroll in an Obamacare plan if you qualify. You can learn more about the Republican's healthcare reform plan here.

The Affordable Care Act:

The Affordable Care Act (ACA), commonly referred to as Obamacare can be confusing. We're here to give you the need-to-knows and guide you to the best coverage, helping you find a plan that fits your needs.

Obamacare was passed in 2010 and created stronger consumer rights and protections, more affordable healthcare, and better access to health insurance.

Important Dates

The Next Open Enrollment Period Occurs

November 1st –
January 31st

Obamacare enrollment occurs once per year. This open enrollment period gives everyone the opportunity to sign up for affordable healthcare. Under the ACA, the Open Enrollment Period for 2017 coverage has closed.

Obamacare enrollment opens in:

November 1, 2017

Need Coverage Now?

You may be eligible for a Special Enrollment Period now or you can enroll in a Short-Term plan to cover the gap under the next Open Enrollment Period.

Check eligibility for Special Enrollment

Missed Open Enrollment?

You still have options. If you have experienced certain life events recently you may qualify for a Special Enrollment Period. Special Enrollment Periods allow you to sign up for obamacare certified plans outside of the open enrollment period. Qualifying life events include:

Qualifying life events include:

Moved to a new zip code

Changes to your income

Changes to family size (due to marriage, divorce, or a new child.)

Gaining lawful residence & citizenship

Lost or losing coverage

Change in disability status

Loss of eligibility for Medicaid and/or CHIP

Leaving incarceration

If you missed open enrollment and don’t qualify for a special enrollment period Short Term Insurance is a great option to cover any gaps in coverage. For more information see our Short Term Coverage information page.

If you do not have health insurance after the OEP AND you do not have a health coverage exemption, then you will have to pay tax penalties. See the Tax Penalties section to see how much not having insurance will cost you this year.

See all qualifying life events »

More protection and better coverage:
How Obamacare works for you.

With Obamacare everyone qualifies for affordable healthcare. Before the ACA took effect, some people couldn’t get coverage while others with health insurance were forced to deal with lifetime dollar limits. With Obamacare, those issues and so many others like them no longer apply.

No denial of coverage OR higher premiums for individuals with pre- existing health conditions.

No lifetime limits on essential coverage provided to individuals with chronic ailments.

Insurance companies can no longer drop your health insurance due to a mistake made on your application.

Insurance companies must spend at least 80% of your insurance premium on things such as medical care and quality improvements.

If insurance companies want to increase your rates by 10% or more, they have to publically provide a reason for doing so.

Health care prices are staying steadier than ever before.

If you’re not covered by your place of employment, affordable healthcare is at your fingertips.

How much is Obamacare Health Insurance?

The cost of your coverage will depend on the following factors:

Your age.

Whether or not you use tobacco

Where you live

If you can claim dependants (spouse/child)

To find out how much insurance would cost you, get a customized quote now.

Get a Quote

What do I get out of Obamacare?

Obamacare created increased protection for consumers and now each of the Obamacare approved health plans must cover the following 10 essential benefits:

1.

Ambulatory patient services – outpatient care received without being admitted to the hospital

2.

Emergency services – care received in the emergency room

3.

Hospitalization - Care received during a hospital stay

4.

Maternity and newborn care – care received before and after your child’s birth

5.

Mental health and substance use disorder services -behavioral health treatment including counseling and pyschotherapy

6.

Prescription drugs – medicines prescribed by your doctor

7.

Rehabilitative and habilitative services and devices - services and devices that help people with injuries, disabilities, and/or chronic conditions to gain or recover mental and physical skills

8.

Laboratory services –services performed by a laboratory, such as drug tests, blood tests, and urinalyses

9.

Preventive and wellness services and chronic disease management –shots and screening tests

10.

Pediatric services, including oral and vision care –services for children EXCLUDING dental care

Meet the Plans

There are four metal levels of coverage available under Obamacare. Each of these plans pay different amounts of your total healthcare costs based on the monthly premiums, deductibles, copayments, coinsurance, and out-of-pocket maximums. These metal plan levels mean it’s now easier than ever to find a plan that meets both your budget and your healthcare needs.

Your health plan pays an average: 60%

You pay about 40%

Your health plan pays an average: 70%

You pay about 30%

Your health plan pays an average: 80%

You pay about 20%

Your health plan pays an average: 90%

You pay about 10%

Catastrophic Plans are also available to people under 30 and those with a Hardship Exemption. Catastrophic plans have low monthly premiums but require you to use a lot of care services before they will cover costs. They are designed to help in worst-case scenarios such as accidents or serious illnesses.

Compare Metal Plans    

Subsidies: Making healthcare affordable for everyone.

A subsidy is financial assistance from government programs that assist people in the lower to middle income brackets with their individual health insurance costs. A subsidy is not a loan, it does not need to be paid back if your income is below the earning threshold.

To qualify for a subsidy, you must meet requirements for household size and household income. Based on the requirements, you may qualify for premium tax credits, lower out-of-pocket costs, or low-cost health care through Medicaid. If you qualify for lower out of pocket costs your quotes will reflect this. Only silver plans currently qualify for this benefit.

If you qualify for premium tax credits to help you afford the monthly health insurance premium you will be notified as part of the application process. You can use these tax credits right away, and you can apply any amount on up to the complete amount of the credits to your premium each month. Important points to remember:

If the advance credit payments received for the year are less than the tax credit due to you, then you'll receive the difference as a refundable credit when you file your federal income tax return.

If the advance credit payments received for the year are more than the tax credit due to you, then you must repay the excess advance payments with your federal income tax return.

You can check to see if you qualify for subsidy

Subsidy Calculator    

Tax Penalties: The cost of being uninsured

If you don't have health insurance in 2017, then you'll pay the higher of these two amounts:

2.5% of your annual household income - The amount of income above the tax filing threshold (about $10,150 for an individual) is used to calculate the penalty. The maximum penalty is the national average premium for a Bronze plan.

$695 per person for the year ($347.50 for each child under the age of 18) - The maximum penalty for one family using this method is $2085.

*An executive order was signed on Jan. 20, 2017, that directed federal agencies to exercise their authority and discretion to reduce potential burden. Consistent with that, the IRS decided to allow electronic and paper returns to be accepted in instances where a taxpayer doesn’t indicate their coverage status. However, legislative provisions of the ACA law are still in force and taxpayers remain required to follow the law and pay what they may owe until changes are made by Congress.

How do I buy an Obamacare plan?

Obamacare plans are available through your state’s health insurance exchange, the federal health insurance exchange or directly from an insurance company. Health Matchup works with our trusted partners to give you instant access to all of the Obamacare Health Insurance Plans in your area. By filling in our easy to use quote form we’ll match you with all of your options in one location.

Shop Plans    

Pin It on Pinterest