HOW IT WORKS:

Our 2 Step 2 Minute process if fast and easy:

You can view what plans are available to you along with price quotes. Quotes are presented for all of the major health insurance carriers available to you including Blue Cross, Blue Shield, Aetna, Humana, United, Assurant, Kaiser (in select states), Cigna, along with regional plan providers.

STEP 1: Applicant Information

In order to provide you with a quote, we need the following information:

- Date of Birth, Height/Weight, and   Gender.

- Whom you would like to insure?

- Basic Health information.

- Contact Information for a licensed   agent to help you

STEP 2: See Quotes

You will be presented with available plans
which fit your profile:

Depending on your location and health profile, this could include quotes from the providers above and others. You will also be given the option to work with a health insurance agent.

If you’ve been wondering where to find affordable health care plans in Colorado and are curious about the costs of Obamacare, then ObamaCare-Guide.org can help you. The Patient Protection and Affordable Care Act (PPACA), also called Obamacare, was developed in an effort to make affordable health care more accessible nationwide. Since the reform act was signed into law in 2010, we have aided thousands of Colorado residents in obtaining the best medical insurance plans available to them.

You can find out what the cost of Obamacare would be for you, your family or your small business employees by using our easy-to-use two-step process that only takes two minutes to complete. After inputting basic personal information, you’ll be able to compare health care insurance quotes from different major medical health insurance providers. Even patients with a pre-existing condition can enroll in an individual health insurance plan with Obamacare.

If you want to have the Obamacare health care plan explained in detail, you can consult with one of our licensed insurance agents. Aside from answering your questions, our agents can help you evaluate the best medical health insurance companies in CO and even discuss Obamacare health pros and cons.

Whether you currently have coverage, have had insurance in the past or are a first-time enrollee, you can benefit from using ObamaCare-Guide.org to help you select an affordable health insurance plan. Don’t hesitate – Get protection for you and those you care for. Let us help you apply for Obamacare health insurance today

Colorado affordable care act resource center

WHAT IS CONSIDERED ESSENTIAL HEALTH BENEFITS?

A set of health care service categories that must be covered by Qualified Health Plans and certain plans starting in 2014.

Essential health benefits must include items and services within at least the following 10 general categories:

  • Ambulatory patient services.
  • Emergency services.
  • Hospitalization.
  • Maternity and newborn care.
  • Mental health and substance use disorder services, including behavioral health treatment.
  • Prescription drugs.
  • Rehabilitative and habilitative services and devices.
  • Laboratory services.
  • Preventive and wellness services and chronic disease management.
  • Pediatric services, including oral and vision care.

The official ObamaCare enrollment period ended on March 31, 2014. Important Notice: Its urgent, to avoid future fines and penalties, to sign up for health insurance under the Affordable Health Care Act.

Colorado Individuals & Families: Find out the most cost efficient healthcare insurance for you.

WHAT IS A “FLEXIBLE BENEFITS PLAN”?

A benefit program that offers employees a choice between various benefits including:

  • Cash.
  • Life insurance.
  • Health insurance.
  • Vacations.
  • Retirement plans.
  • Child care.

Although a common core of benefits may be required, you can choose how your remaining benefit dollars are to be allocated for each type of benefit from the total amount promised by the employer.

Sometimes you can contribute more for additional coverage.

Flexible Benefits Plan is also known as a Cafeteria plan or IRS 125 Plan.

WHAT IS CHIP?

An insurance program jointly funded by states and the federal government that provides health insurance to low-income children and, in some states, pregnant women in families who earn too much income to qualify for Medicaid but cannot afford to purchase private health insurance coverage.

In Colorado, this program is called Child Health Plan Plus.

ARE ALL PLANS OFFERED IN THE MARKETPLACE QHPS?

Yes, all plans offered through the Marketplace are Qualified Health Plans or QHPs.

WHAT IS CONSIDERED ANNUAL INCOME?

The annual income is the Modified Adjusted Gross Income of your household. This is one of the factors that help determine your eligibility for the premium tax credits. To determine your household income, the Marketplace uses the “Modified Adjusted Gross Income” or MAGI calculation. You will need to provide your MAGI when applying for up-front financial assistance.

Connect for Health Colorado provides two forms to help you determine your MAGI for the year in which you are seeking health care coverage (currently 2014).

You can also buy health insurance without applying for financial assistance and, if eligible, claim the tax credit in 2015 when you file your federal taxes.

At tax filing, the IRS is expected to determine your eligibility and provide the tax credit as a refund or reduction on your tax liability.

HOW DOES AN FSA WORK?

A FSA is a Flexible Spending Account, which is an arrangement through an employer to pay for out-of-pocket medical expenses with tax-free dollars. These expenses include insurance copayments and deductibles, prescription drugs, insulin and medical devices. You decide how much of your pre-tax wages you want taken out of your paycheck and put into an FSA. You don’t have to pay taxes on this money. Your employer’s plan sets a limit on the amount you can put into a FSA each year.

There is no carry-over of FSA funds. This means that FSA funds you don’t spend by the end of the plan year can’t be used for expenses in the next year. An exception is if your employer’s FSA plan permits you to use unused FSA funds for expenses incurred during a grace period of up to 2.5 months after the end of the FSA plan year.

Flexible Spending Accounts are sometimes called Flexible Spending Arrangements.

WHAT DOES “ALLOWED AMOUNT” MEAN?

This is the maximum amount on which payment is based for covered health care services.

This may be called “eligible expense,” “payment allowance” or “negotiated rate.”

If your health care provider charges more than the allowed amount, you may have to pay the difference.

HOW DO TAX CREDITS WORK?

When you use Connect for Health Colorado you will be asked to provide household income estimates for the year you plan to purchase coverage. This will let you know how much financial assistance you can receive right away.

When you choose a health plan, you can use the tax credit in different ways:

  • Up front to reduce the cost of the premium.
  • You can also choose to take a portion of the tax credit up front.
  • You can use none of it up front and deduct it from your taxes later.

*The amount of your tax credit will be the same regardless of the health plan you choose in the Marketplace.

*Eligible older Americans, ages 55 to 64, will receive a larger tax credit to help offset higher premiums.

Things you should know:

  • The tax credit is only available to those people who purchase health insurance through the Marketplace.
  • An Advanced Premium Tax Credit (APTC) is financial assistance that is paid directly to your insurance carrier throughout the coverage year. You may choose not to take this tax credit in advance. If so, this money is provided to you at the end of the year as a refund or reduction in the amount of taxes you owe when you file your tax return.
  • If you do not apply for financial assistance when you enroll in a Marketplace plan, you may qualify for a tax credit at tax filing based on the information you provide to the IRS.
  • In Colorado, there are 11 rating areas, so health insurance costs vary according to where you live. It is possible, depending on the cost of health insurance in your community and the amount you are expected to contribute to pay for insurance, to not be eligible for a tax credit even if you are in the eligible income range.
  • It is also possible for people who are the same age and earn the same income to be eligible for different tax credit amounts because they live in different rating areas.

CAN I OPT OUT OF MEDICAID?

If you are currently a Medicaid enrollee or you are eligible for Medicaid, you can purchase private health insurance through Connect for Health Colorado, but you will not be eligible for financial assistance.

IF I GET INSURANCE THROUGH MY EMPLOYER, CAN I GET A TAX CREDIT?

Yes. If you are an employee and you pay more than 9.5% of your household income for your employee-only health plan, you could be eligible to use Connect for Health Colorado to find a health plan.

Connect for Health Colorado offers a tool for consumers to check if their employer sponsored plan is affordable and adequate. It is the Employer Coverage Tool and it can be downloaded.

If the coverage your employer offers does not meet the new standards of minimum essential coverage, you will be eligible to purchase a plan and see if you are eligible for the new tax credit and out of pocket reductions through our website.

FACTS

  • 591,624 (90%) of Colorado’s uninsured and eligible population may qualify for lower costs on coverage in the Marketplace, including through Medicaid.
  • Under the health care law, if your plan covers children, you can now add or keep your children on your health insurance policy until they turn 26 years old.
  • 50,000 young adults in Colorado have gained coverage already.
  • Health insurers are no longer able to charge more or deny coverage to anyone because of a pre-existing condition.
  • Colorado has received $62,685,346 in grants for research, planning, information technology development, and implementation of its Health Insurance Marketplace.
  • Health insurance companies now have to spend at least 80 cents of your premium dollar on health care or improvements to care, or provide you a refund.
  • Insurance companies are required to publicly justify their actions if they want to raise rates by 10 percent or more.
  • Since implementing the law, the fraction of requests for insurance premium increases of 10 percent or more has dropped dramatically, from 75 percent to 14 percent nationally.
  • The Affordable Care Act bans insurance companies from imposing lifetime dollar limits on health benefits.
  • 1,902,000 people in Colorado, including 696,000 women and 521,000 children, are free from worrying about lifetime limits on coverage.
  • In 2011 and 2012, 71 million Americans with private health insurance gained preventive service coverage with no cost-sharing, including 1,288,000 in Colorado.
  • In Colorado, people with Medicare saved nearly $74 million on prescription drugs because of the Affordable Care Act.
  • Preventive service coverage with no deductible or co-pay. Cost is no longer a barrier for seniors and people with disabilities who want to stay healthy by detecting and treating health problems early.
  • The health care law helps stop fraud in Medicare with tougher screening procedures, stronger penalties, and new technology.
  • From 2010 to 2012, Medicare spending per beneficiary grew at 1.7 percent annually, substantially more slowly than the per capita rate of growth in the economy.