Let’s face it: the Affordable Care Act can be confusing. Finding health insurance is hard enough to sort through when plans are offered by your employer. Premiums, deductibles, out-of-pocket maximums, and more make it tough to find the right plan for you and your family. So, how does the Affordable Care Act complicate this matter? On the other hand, how does it simplify shopping for health insurance? Not to worry, we can help! Finding quality health coverage can be a challenge on its own, so do not do it alone.

Affordable Care Act

Before we get going, what is the Affordable Care Act anyway? The Affordable Care Act is known by several names: Affordable Care Act, healthcare reform, or Obamacare. These are all referring to the same law. This legislation was passed and signed into law in 2010 with the goal of providing quality, affordable healthcare to as many Americans as possible.

The Affordable Care Act made healthcare available to those with preexisting conditions and allows dependents to stay on their parents’ health plans until they are 26. The aim was to get as many people covered as possible. Under the law, there used to be a requirement for all Americans to have health insurance or face a penalty, but this was since waived. However, having health insurance is still a good idea in an unpredictable world.

Private Insurance

Many Americans are presented with health insurance options from their employer. You receive plan information from your employer and select the plan that is right for you and your family. These plans are typically selected ahead of time by your employer, giving you limited options. This is how a large percentage of Americans receive their health coverage. While the options may be limited, many employees receive high-quality coverage this way.

The Affordable Care Act created a government-run marketplace for health insurance. Usually, open enrollment on the government marketplace runs from November to the middle of December. In 2021, however, there is a special enrollment period that has been extended until August 15th. This means that many Americans are still eligible to purchase insurance on the marketplace. This brings us to our next point.

Access to Health Insurance

One of the intentions of the Affordable Care Act was to expand access to health insurance. Many Americans are part-time employees, self-employed, college students, or unemployed. In these situations, most workers are not eligible for insurance provided by an employer. Many workers do not even know they can get health insurance in these situations. In addition, with no employer to pay some of the cost of the plan, health insurance is unaffordable for most.

The law aimed to increase access to coverage through an expansion of Medicaid, the creation of new insurance exchanges, removing barriers for people with pre-existing conditions, and allowing people under 26 to stay on their parent’s health plans. While the debate continues on the effectiveness of the law, we at Derby Insurance Solutions can help you find a solution that works for you.

Pre-Existing Conditions

Prior to the Affordable Care Act, health insurance companies could deny coverage if you had a pre-existing condition. They used to be able to limit the benefits they provided as well. A pre-existing condition is simply a health condition, such as diabetes or cancer, that you had prior to the start of your health coverage. Rest assured, on the marketplace, you can still find affordable health coverage even with a pre-existing condition.

Subsidies

Typically, subsidized health coverage is limited to those on Medicaid or a Child’s Health Insurance Program (CHIP). However, did you know there are subsidized health care plans on the federal marketplace? These plans are subsidized in the form of tax credits. What does this mean? Essentially, for most Americans, if your household income level is between 100% and 400% of the federal poverty level, you will qualify for subsidized health coverage. You purchase your health care plan and, come tax time, you will be offered a tax credit to help offset the cost of your health insurance. This effectively makes your health plan cheaper than the price you paid.

The Affordable Care Act and federal marketplace can seem complicated at first. If you are already feeling overwhelmed by the idea of health insurance and selecting the right plan for you, it can just add to the stress. However, it can actually make the process easier (and cheaper) for you and your family. Fortunately, we at Derby Insurance Solutions specialize in navigating the healthcare marketplace and can help you select a plan that fits your needs.

Life can be unpredictable. Accidents, illnesses, and even pandemics can come out of nowhere and catch you off guard. You do not want to be unprepared.

At Derby Insurance Solutions, we carry plans from BlueCross BlueShield, United Health Care, and more, and can help you navigate the healthcare marketplace and Affordable Care Act! Whether you need a private plan or want to explore the federal marketplace, we can help you find a quality, affordable health insurance plan that suits the needs of you, your family, or your business. Whether you are looking for a new plan or simply have questions about navigating the marketplace, we can help. Just give us a call at (918) 451-9783 or fill out our contact form and receive a free health insurance quote!

In addition to standard health insurance, we also provide life insurance, Medicare supplements, accident insurance, retirement solutions, and Native American Benefits.


For more information about life insurance, contact one of our friendly insurance agents. We can answer your questions and help you protect what matters most to you!