Every Artist Insured: Navigating the ACA. Artists Health Insurance Resource Center A program of The Actors Fund Renata Marinaro, Eastern Region Health Svcs Director 917-281-5975 , [email protected] Words to know. Co-pay Co-insurance Deductible Premium Out-of-pocket maximum
HMO & POS/PPO
Federal Poverty Level
Advanced Premium Tax Credit (aka subsidy)
to anyone, or exclude pre-
The initial open enrollment period for plans on the Marketplace is October 1, 2013 - March 31, 2014. In an open enrollment period, you’re free to sign up for a plan or switch plans. Only in limited circumstances will you be able to enroll in or switch plans outside of this period.
Circumstances that would trigger a “special enrollment period” include: losing job-based insurance, losing Medicaid coverage because of an increase in income, marriage, divorce, and the birth or adoption of a child.
Note that the catastrophic plan is only available to those who are under age 30
* For all plans except the Bronze and Catastrophic plans, the deductible does not apply to drugs
* for medical services and drugs ** for medical services only; a separate drug deductible applies
Note that the catastrophic plan is only available to those under age 30
You can also buy the Silver and Bronze plans with a Health Savings Account (HSA) if you wish. An HSA is like a savings account, but the money is used solely to pay for health care expenses. The deductibles are different than for the Bronze and Silver plans without an HSA.
* for medical services and drugs
If you were married in New York or a state that recognizes same-sex marriage, you will be eligible for Medicaid and subsidies based on household income, not single income.
As far as we know, there will be no changes to ADAP/AHIP/APIC in New York