March 5, 2014
FORT ATKINSON – Despite the initial problems with the federal government’s Affordable Care Act (ACA) implementation, the website www.HealthCare.gov continues to improve and more and more individuals across the entire country are now able to sign up for new health insurance options through March 31. More than 4 million persons have successfully enrolled and are now awaiting coverage for healthcare.
Still, confusion regarding the enrollment process exists and the deadline is looming.
The Patient Protection and Affordable Care Act has four primary goals. They are:
The Health Insurance Marketplace will make the first three goals a reality, while 100 percent coverage for preventive care by insurance companies is gradually becoming the rule as the healthcare reform law becomes effective. Dozens of preventive services are now covered fully
by insurance plans, requiring no office visit co-pay. Even more fully covered preventive services will be required with the new plans available in the Health Insurance Marketplace.
The new Health Insurance Marketplace offers different types of health plans to meet a variety of budgets and coverage needs for persons seeking health insurance without the benefit of an employer sponsored plan. This is especially important to persons and families affected by changes in the 2014 State of Wisconsin BadgerCare Plus eligibility allowances.
Individuals not enrolling by March 31, 2014 will not be allowed to enroll for 2014, unless they have a major family status change. The “individual mandate” component of the health care reform law requires most uninsured individuals who can afford health insurance to purchase insurance. The penalty for not getting insurance, which applies to most people, in 2014, is one percent (1%) of yearly income or $95 per person for the year, whichever is higher. This penalty will increase in future years.
Accounts can be established on the website www.HealthCare.gov or by calling 1-800-318-2596 (TTY: 1-855-889-4325). Consumers seeking to enroll in the Health Insurance Marketplace program should be able to do so without assistance. A variety of local resources exist to assist new applicants and others to better understand the health insurance options available through the Health Insurance Marketplace where Certified Application Counselors (CACs) have been trained to offer enrollment assistance. These individuals can assist consumers in the application and enrollment process available at www.HealthCare.gov. They cannot make recommendations regarding which coverage should be selected. For more information, please contact these agencies and healthcare providers:
UW Health Partners- Watertown Regional Medical Center
Patient Financial Services
Southern Consortium, Medicaid and BadgerCare Plus
1 888-794-5780 (toll free)
1 800-362-3002 Option #7 (Español)