Obamacare law requires every state to open health marketplaces, also known as exchanges. States can elect to build a fully state-based exchange, state-federal partnership exchange, or default to federally- facilitated exchange. Also, Obamacare expands Medicaid coverage to 138% of the Federal Poverty Level (FPL) which is $16,243 for an individual or $33,465 for a family of four in 2015. According to a 2012 Supreme Court decision, states have the freedom whether or not to adopt Medicaid expansion. Here are Pennsylvania Health Insurance Marketplace and Medicaid Expansion choices.
Pennsylvania Health Insurance Marketplace
Pennsylvania made the decision to build neither state-based exchange, nor federal-state partnership exchange. Therefore The Affordable Care Act (Obamacare) requires the Secretary of Health and Human Services (HHS) to establish and operate a federally-facilitated exchange in Pennsylvania. HHS will perform all exchange functions. The state insurance department will maintain the traditional role of regulatory oversight of insurance rates and form filings, as well as regulate brokers and producers.
You’ll use HealthCare.gov to apply and enroll in health coverage. Enroll by the 15th of the month for coverage that starts as soon as the 1st of the next month.
Medicaid Expansion in Pennsylvania
Pennsylvania has made the decision to support Medicaid Expansion starting January 1, 2015.
- If your income is more than 138% of the federal poverty level ($16,243 a year as a single person or $33,465 for a family of four), you will be able to buy a private health insurance plan in the Marketplace and may get Premium Tax Credit and Cost-Sharing Reductions based on your household size and income.
- If you make less than $16,243 a year as a single person or $33,465 for a family of four, you will probably be eligible for Medicaid.
Essential Health Benefits in Pennsylvania
Obamacare requires that all non-grandfathered individual and small business plans, including those offered through the Marketplace, cover a certain minimum of health benefits known as Essential Health Benefits. Since Pennsylvania has not put forward a recommendation, the state benchmark Essential Health Benefits plan was default to the largest small business plan in Pennsylvania, Aetna POS.
Liberty Medicare list of Pennsylvania Obamacare Providers
Below is the list of providers represented by Liberty Medicare that offer Pennsylvania Obamacare Plans:
- Aetna Individual
- Blue Cross of Northeastern Pennsylvania
- Capital Blue Cross
- Coventry One / HealthAmerica One
- Geisinger Health Plan
- Highmark Blue Shield of Central Pennsylvania
- Highmark Blue Cross Blue Shield of Western Pennsylvania
- Independence Blue Cross
- United Health One
- UPMC Health Plan
Let Liberty Medicare help you to get coverage through the Pennsylvania Health Insurance Marketplace
Liberty Medicare is here to help you learn about Marketplaces and assist with eligibility determination for enrollment in a Qualified Health Plan (QHP) and for insurance affordability programs, which include Medicaid, CHIP, premium tax credit, and cost-sharing reductions. We will help you to compare plans, and enroll in coverage. All of our services are offered to you at no cost.
Liberty Medicare represents many well-known Pennsylvania Health Insurance Marketplace providers. Learn more about all of the benefits of working with Liberty Medicare.
If you are considering buying insurance in the Health Insurance Marketplace, let us guide you. To see real quotes from insurance providers, visit our Health Insurance Marketplace Quotes or give us a call at 877-657-7477.