Support @CCActionFund’s @ThunderClapIt to spread the word about importance of affordable care #KeepAmericaCovered Assister FAQs CMS Q: How will getting married in the middle of the year affect consumers’ APTC? A: Consumers who were married during the coverage year should consult Part 5—Alternative Calculation for Year of Marriage on page 15 of the . Q: Can a consumer get an SEP to switch plans if the consumer’s provider was mistakenly listed in the plan’s directory as in-network when the consumer enrolled? A: No. Consumers cannot get an SEP if their provider was mistakenly listed in the plan’s provider directory as Consumers are strongly encouraged to verify with both the “in-network.” insurance company and the provider to confirm the provider’s status. Note that plans use various terms to describe the providers that have a contract with the insurance company to provide services at a discount. Examples include or If “in-network,” “participating,” “preferred.” a provider is incorrectly listed in the plan’s provider directory, consumers should report this error to their state regulatory agency, usually the state department of insurance. Q: Are there resources available to help consumers estimate their income before they apply, to get a sense of whether they may qualify for financial assistance to purchase a plan? A: When consumers fill out a Marketplace application, they answer detailed questions about their income and the members of their household. The Marketplace uses consumers’ answers to these questions to determine what programs and savings they qualify for based on their . It is important to remember that consumers should simply answer the application questions, and allow the Marketplace to determine their eligibility based on their answers. Consumers can only find out actual eligibility for programs when they submit a Marketplace application. However, it may be useful for consumers to make a ballpark estimate of their income before they apply to see if they may qualify for savings. . Consumers can use their estimated MAGI whenever a tool on HealthCare.gov asks for their estimated income for the year, though it is important to remember that they will not use this estimate anywhere in
Support @CCActionFund’s @ThunderClapIt to spread the word about importance of affordable care #KeepAmericaCovered Assister FAQs CMS Q: How will getting married in the middle of the year affect consumers’ APTC? A: Consumers who were married during the coverage year should consult Part 5—Alternative Calculation for Year of Marriage on page 15 of the . Q: Can a consumer get an SEP to switch plans if the consumer’s provider was mistakenly listed in the plan’s directory as in-network when the consumer enrolled? A: No. Consumers cannot get an SEP if their provider was mistakenly listed in the plan’s provider directory as “in-network.” Consumers are strongly encouraged to verify with both the insurance company and the provider to confirm the provider’s status. Note that plans use various terms to describe the providers that have a contract with the insurance company to provide services at a discount. Examples include “in-network,” “participating,” or “preferred.” If a provider is incorrectly listed in the plan’s provider directory, consumers should report this error to their state regulatory agency, usually the state department of insurance. Q: Are there resources available to help consumers estimate their income before they apply, to get a sense of whether they may qualify for financial assistance to purchase a plan? A: When consumers fill out a Marketplace application, they answer detailed questions about their income and the members of their household. The Marketplace uses consumers’ answers to these questions to determine what programs and savings they qualify for based on their . It is important to remember that consumers should simply answer the application questions, and allow the Marketplace to determine their eligibility based on their answers. Consumers can only find out actual eligibility for programs when they submit a Marketplace application. However, it may be useful for consumers to make a ballpark estimate of their income before they apply to see if they may qualify for savings. . Consumers can use their estimated MAGI whenever a tool on HealthCare.gov asks for their estimated income for the year, though it is important to remember that they will not use this estimate anywhere in
Covered-Clips-Weeks-of-April-27th-and-May-4th.docx