ACA Health Insurance Special Enrollment Period

Posted on: March 16, 2021
The information provided on this post does not, and is not intended to, represent legal advice. All information available on this site is for general informational purposes only. If you need legal help, you should contact a lawyer. You may be eligible for our free legal services and can apply by calling our Covid Legal Hotline at 1-844-244-7871 or applying online here.

Do You Need Affordable Health Insurance?

New chance to enroll for reduced price, complete health insurance through the Affordable Care Act (sometimes called Obamacare)

ACA Health Insurance Enrollment
You can enroll in or change Marketplace health insurance plans
February 15, 2021 through August 15, 2021

Whether you are signing up for the first time or want to change your plan under the latest expansion, you must enroll by August 15, 2021.

Heard the Rates are Too High? Financial help lowers costs for 93% of people getting insurance in Louisiana. Financial help can pay for premiums, co-pays, and deductibles.

The American Rescue Plan passed by Congress in March makes health coverage more affordable for more people. You may now be eligible for additional savings and lower costs for “Marketplace” health insurance. Reductions are available even for people who were not eligible for coverage before. If you lost your job due to Covid and are receiving unemployment benefits, you may also be able to get help for your “COBRA” coverage.

How does the new law make healthcare coverage more affordable?
Based on your income, the new law covers more of your insurance premiums, copays, and deductibles.

Those who make up to 150% of the Federal Poverty Level can now get coverage through a “Silver Plan” without having to pay premiums. Those who are eligible for this premium-free coverage have household incomes that are at or below these amounts:

Number of People in Your Household Annual Household Income Monthly Average
1 $19,320 $1,610.00
2 $26,130 $2,177.50
3 $32,940 $2,745.00
4 $39,750 $3,312.50
5 $46,560 $3,880.00
6 $53,370 $4,447.50
7 $60,180 $5,015.00
8 $66,990 $5,582.50
For each additional person, add $6,810 $567.50

Help for premium costs also increases for everyone with incomes up to 400% of the Federal Poverty Level (or, an annual income of about $106,000 a year for a family of 4).

Are these changes permanent?
No. These changes are temporary and will be in effect during 2021 and 2022.

Are there any changes to help those receiving unemployment benefits?
Yes. People who receive unemployment benefits at any time during 2021 will be eligible for a zero-premium “Silver Plan.” This also includes reductions in copays and deductibles. These changes will only be in place for 2021, unless Congress votes to extend them.

Where do I enroll for healthcare benefits?
There are two options for enrolling on your own:

Visit www.healthcare.gov
or
Call 1-800-318-2596

What if I need help enrolling or finding a plan?
Find an assister to help you find a plan that’s best for you by visiting: https://localhelp.healthcare.gov

Frequently Asked Questions

How do I enroll?
Visit http://www.healthcare.gov or call 1-800-318-2596 by August 15, 2021.

If I don’t enroll now, can I enroll later if I get sick or hurt?
Probably not between August 15 and November 1 of 2021.  If you or a family member have to go to the hospital or have other expensive health needs during the year, you may not be able to get coverage after the August 15 deadline.  In November, you can start applying for coverage in 2022.

However, you might qualify for an exception (“special enrollment period”) if you get married, have a baby, adopt a child, or lose your current health insurance. And if your monthly income goes under 138% of the poverty line and you live in Louisiana, you can apply for Medicaid.

What documents will I need to sign up?
For each person in your household, you need social security numbers and information about income and taxes.

The information provided on this post does not, and is not intended to, represent legal advice. All information available on this site is for general informational purposes only. If you need legal help, you should contact a lawyer. You may be eligible for our free legal services and can apply by calling our Covid Legal Hotline at 1-844-244-7871 or applying at the "Get Help" section of our website.

*Please note, our services are only available for residents of the following parishes: Ascension, Assumption, East Baton Rouge Parish, East Feliciana Parish, Iberville, Jefferson, Lafourche, Livingston, Orleans, Plaquemines, Pointe Coupee, St. Bernard, St. Charles, St. Helena, St. James, St. John the Baptist, St. Tammany, Tangipahoa, Terrebonne, Washington, West Baton Rouge, West Feliciana

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