The Law

 

The Patient Protection and Affordable Care ACT 2010, also known as The Affordable Care Act or ObamaCare, is America’s new health care reform law.

 

The Act was signed into law by President Barack Obama on March 23, 2010.

 

The Benefits

 

The new law ensures:

 

  • Insurance companies can’t deny coverage or charge more for people with preexisting conditions.
  • Insurance companies can no longer deny you for any reason other than fraud.
  • Insurance companies can’t put lifetime or annual dollar limits on Essential Health Benefits.
  • Plans cover free wellness and preventive services.
  • Subsidies are available for those in need.

 

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.

 

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

 

 

 

The Marketplace

 

The Marketplace, also known as “Exchange,” is a state’s price comparison website for subsidized health insurance.

 

Each state has its own Marketplace. In Nevada you can access yours at NevadaHealthLink.com

 

The Health Insurance Marketplace makes it easy to compare plans, find out if you are eligible for lower costs, and enroll.

 

The Plans

 

Health Insurance plans are divided in metallic tiers.

 

  • Platinum plans have the highest premiums, but the lowest co-pays and deductibles.
  • Gold and Silver plans have lower premiums, but higher co-pays and deductibles.
  • Bronze plans have the lowest premiums, but the highest co-pays and deductibles.

 

There are also Catastrophic Plans available (plans for individuals under 30) that consist of the following:

 

  • High deductibles
  • Essential benefits
  • More affordable prices

 

Subsidies

 

What if I can’t afford coverage?

 

The Affordable Care Act provides two programs to help individuals afford coverage through the Marketplace:

 

  • Premium tax credits.
  • Cost-sharing reductions.

 

If one person in your family qualifies for a public health insurance program, such as Medicaid, Nevada Health Link will let you know and you’ll be able to sign them up for that program without filling out a separate application.

 

Subsidies are given as refundable tax credits.

 

The Tax Penalty

 

If someone can afford health insurance and decides not to have coverage in 2014, they may have to pay a fee also known as Tax Penalty. The penalty can be any of the options explained below (whichever is higher):

 

  • 1% of your yearly household income.
  • $95 per person for the year ($47.50 per child under 18).

 

*This fee increases every year.

 

*If you’re uninsured for less than 3 months, you don’t have a make a payment.

 

To avoid the fee you need insurance that qualifies as Minimum Essential Coverage.

 

You’re considered covered and don’t have to pay a penalty if you have any of the following:

 

  • A Marketplace plan.
  • An individual insurance plan.
  • Any employer plan with or without “grandfathered” status.
  • Medicare.
  • Medicaid.
  • The Children’s Health Insurance Program (CHIP).
  • TRICARE.
  • Veteran health care programs.
  • Peace Corps Volunteer plans.

 

Exemptions

 

Some people are exempted from the fee.

 

These include:

 

• Individuals whose health coverage may cost more than 8% of their household income.

 

• Individuals with incomes too low for filing taxes.

 

• Individuals with religious exemptions.

 

• Undocumented immigrants.

 

• Individuals who are incarcerated.

 

• Members of Native American tribes.

 

Affordability Hardship

 

You can apply for an affordability hardship exemption if you think you cannot afford to purchase health insurance due to your projected income in the coming year, even though you may qualify for help paying for health coverage through Nevada Health Link.

 

Only the U.S. Department of Health and Human Services can approve you for this exemption.

 

The first step in determining whether you qualify for this exemption is to apply for help paying for your health insurance.

 

  • Apply for help paying for health insurance through Nevada Health Link.
  • The cost of health insurance is considered unaffordable if your projected modified adjusted gross income, minus your bronze plan available for you to purchase on the Nevada Health Link.

 

*Modified adjusted gross income is generally your adjusted gross income plus any tax-exempt Social Security, interest, or foreign income you have.

 

* Bronze plans have the lowest premiums, but the highest co-pays and deductibles.

 

  • To get your APTC amount and the lowest cost bronze plan available to you, you must first apply on Nevada Health Link for help paying for your health insurance.
  • After you apply on Nevada Health Link you will need to print out and mail certain documentation to the U.S. Department of Health and Human Services.

 

For more information please visit the Nevada Health Link.

 

Your Options

 

Get a quote or estimate by visiting the Nevada ObamaCare website.

Apply online via the Nevada Health Link.

 

Get help:

 

  • Navigators and Enrollment Assisters:
  • Broker or agents:

 

ObamaCare By State