Affordable Care Act

The Health Insurance Marketplace opens new opportunities for insurance coverage.

An objective of the Affordable Care Act (ACA) is to extend affordable insurance coverage to the uninsured and make insurance coverage more affordable for families and small business owners.

What has been talked about for several years is about to start becoming a reality. Effective October 1, 2013, health insurance exchanges will launch, providing individuals and small businesses, many of whom have previously lacked insurance, the ability to obtain coverage, with many individuals being eligible for subsidies

How Does the Health Insurance Marketplace Affect Me?

Depending on your personal circumstances, the Affordable Care Act (ACA) and new Health Insurance Marketplace may affect you in three ways:

·         If you need coverage, you can use the Marketplace.

·         If you have coverage, you gain new protections.

·         If you don’t have coverage, you may have to pay a fee.

The Marketplace and what’s changing in 2014

Whether you’re uninsured, you’ve been denied coverage in the past, or you just want to explore new options, the Health Insurance Marketplace will give you more choice and control over your health coverage. Marketplaces will be operated by your state, the federal government or a partnership of the two, but each Marketplace will give you access to all of your Marketplace coverage options.

In the Marketplace, you can compare coverage options based on price, benefits, quality and other features important to you. You can choose the combination of price and benefits that fits your budget and meets your needs.

You may be eligible for lower cost coverage: The Marketplace application will tell you if you’re eligible for a new way to get lower costs on your monthly premiums or out-of-pocket costs for private insurance. You’ll also learn if you can get free or low-cost coverage through Medicaid or the Children’s Health Insurance Program (CHIP).

Essential health benefits are covered in the Marketplace: All plans must offer a comprehensive set of essential health benefits including doctor visits, preventive care, hospitalization, prescriptions, and more.

Pre-existing conditions will be covered: Plans won’t be able to deny you coverage or charge you more due to pre-existing health conditions, including a pregnancy or disability.

Fees begin: Beginning 2014, most people are required to have health coverage. People who don’t have coverage may have to pay a fee.

Open enrollment: For Marketplace plans, open enrollment begins October 1, 2013 and ends on March 31, 2014. Coverage begins as early as January 1, 2014. Find out how you can get ready now.

For more information:  Speak with your local Health Mart pharmacy staff, visit or call the Health Insurance Marketplace Call Center at 1-800-318-2596.