We’ve been listening to your questions and have some answers for you. If your question isn’t below, be sure to ask us.
They indicate different levels of coverage. A Bronze level plan will cover roughly 60% of the costs of services it offers. Silver will cover roughly 70%, Gold will cover roughly 80% percent, and Platinum will cover roughly 90% of the costs of the benefits provided. A “Catastrophic Plan” will also be offered. It can help those who would not be required to purchase coverage because the premium exceeds 8% of their income.
Maybe. You may qualify for a low-cost or free plan. Tax credits (called advanced premium tax credits) are available to individuals making $43,320 or less and a family of four making $88,200 or less. The amount of assistance is based on a sliding scale, so the higher your income, the lower the amount of assistance. Use our calculator to estimate your savings and see examples of how the tax credit will work.
Accidents or sickness can happen to anybody. The average cost for a broken arm using hospital emergency services is $2,500. Who wants to be stuck with that kind of bill or other unexpected health care costs? Everybody uses the health care system at some point in his or her life. It’s a smart move to plan ahead and be prepared.
Insurers who offer plans outside MNsure will also offer plans onMNsure, and their network of doctors will likely be the similar to what’s in place today. It all depends on which plan you choose whether your doctor is part of the network. You will be able to look for your doctor in the offered plans and choose the option that works best for you.
No. You can purchase a plan outside MNsure if you’d like. Keep in mind, however, that tax credits (advanced premium tax credits) for individual and family buyers can only be obtained if you purchase your health coverage through MNsure. Many agents/brokers will also be able to offer you a plan listed with MNsure.
Yes. It is protected by state and federal laws, rules and regulations related to the storage, collection, use and dissemination of private or confidential information. Beyond the necessity to comply with applicable laws, Minnesota takes the obligation to keep personal information private very seriously. Besides putting all privacy requirements into the IT systems, we are ensuring that it is an integral part of the business operations culture. Our personnel will be able to access only the information that is necessary for them to perform their job.
We’ve put together some options for you.
Federal tax credits are available now for qualifying taxable and tax-exempt organizations to help reduce the cost of coverage for employees. Small employers with fewer than 25 employees who provide health insurance may qualify for a federal tax credit of up to 50%.
Although employers are not required to offer health insurance to employees, most who employ more than 50 employees will pay an assessment if they don’t offer affordable coverage that covers minimum essential health benefits. Help determine if you qualify using our calculator.
Visit http://www.irs.gov/uac/Small-Business-Health-Care-Tax-Credit-for-Small-Employers for more information, and consult your tax advisor.
The Navigator and Agents/Brokers Work Group has discussed options and forwarded their report to the Advisory Task Force. Their findings will inform a policy bill that will be presented to the legislature for review and action in early 2013. Agents/brokers doing business with the MNsure exchange/marketplace will not be state employees but will remain independent. They will be required to complete specialized training.
No. A continued role is envisioned for agents/brokers both through MNsure and in the outside marketplace. However, what exact role they play, what certification standards may apply, and what the terms of compensation will be, have yet to be decided. From the initial planning stage, we have been working with agents, brokers and other stakeholders to discuss options. We will continue to seek suggestions and ideas.
To determine eligibility for cost-sharing protections, the ACA allows MNsure to verify AI/AN status using documentation of citizenship and electronic data sources approved by the Secretary of HHS or documents currently accepted by Medicaid showing tribal membership. Minnesota has suggested that IHS data should be included in the planned “data hub,” that would allow exchanges to access data from a number of federal sources to assist in enrolling people into insurance plans, and also that tribal data sources be considered.
Under the ACA, plans within MNsure may require the payment of deductibles or co-pays. To increase access to care, American Indians with incomes below 300% federal poverty levels, and all Indians who obtain services from or receive a referral from I/T/U providers, will be exempt from cost-sharing requirements.
