ACA Open Enrollment: If You Shop on Private Websites Instead of HealthCare.gov October 17, 2019 Fact Sheet Marketplace plans can now be sold through private websites, sometimes described as “direct enrollment” sites or “certified enrollment partner” sites. This short fact sheet explains how these sites and the plans they offer may differ from what consumers will find on HealthCare.gov.
ACA Open Enrollment: If You Buy Health Coverage in the Individual Market October 17, 2019 Fact Sheet This short explainer provides an overview of open enrollment and the 2020 individual insurance market, including Affordable Care Act (ACA) marketplaces, for consumers who buy their own plans rather than getting insurance through an employer.
Coverage for Abortion Services in Medicaid, Marketplace Plans and Private Plans June 24, 2019 Issue Brief This brief reviews current federal and state policies on Medicaid and insurance coverage of abortion services and presents national and state estimates on the availability of abortion coverage for women enrolled in private plans, Affordable Care Act Marketplace plans, and Medicaid.
Above Federal Subsidy Threshold, Older Adults Spend Much More Income on ACA Coverage March 8, 2019 Slide For incomes too high to qualify for federal subsidies, 60-year-old adults spend significantly more of their income on the lowest premiums for ACA-compliant coverage.
Ask KFF: Karen Pollitz Answers 3 Questions on Why Insurers Deny Claims March 6, 2019 Issue Brief Karen Pollitz, senior fellow for health reform and private insurance at KFF, answers three questions about denied claims and how the federal government may change the data insurers are required to report on this issue.
How Affordable are 2019 ACA Premiums for Middle-Income People? March 5, 2019 Issue Brief This analysis finds that Affordable Care Act marketplace premiums are least affordable for older adults who earn too much to qualify for federal subsidies, especially those living in rural areas where premiums are highest. The analysis also discusses a variety of state and federal proposals that seek to lower premiums for middle-class people buying their own insurance who are ineligible for ACA subsidies.
Analysis: Marketplace Plans Denied an Average of Nearly One in Five Claims in 2017 with Wide Variations across Insurers February 25, 2019 News Release Healthcare.gov marketplace insurers denied nearly one out of every five claims (19%) submitted for in-network services in 2017, and enrollees only appeal a tiny share (0.5%) of those denied claims, a KFF analysis of recently released claims data finds. The analysis finds a huge variation across insurers, with average denial…
4.2 Million Uninsured People Could Get a Bronze Plan in the ACA Marketplace with $0 Premiums After Tax Credits December 11, 2018 News Release We have data on the number and share of uninsured in each state who have access to free bronze plans.
How Many of the Uninsured Can Purchase a Marketplace Plan for Free? December 11, 2018 Issue Brief This analysis looks at how many of the remaining uninsured are eligible for premium subsidies that are large enough to cover the entire cost of a bronze plan, which is the minimum level of coverage available on the Marketplaces. It estimates 27% of uninsured individuals who could shop on the ACA Marketplace, or 4.2 million people nationwide, are eligible to purchase a bronze plan with $0 premiums after subsidies in 2019.