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In the United States, health insurance marketplaces, also called health exchanges, are organizations in each state through which people can purchase health insurance. People can purchase health insurance that complies with the Patient Protection and Affordable Care Act at ACA health exchanges, where they can choose from a range of government-regulated and standardized health care plans offered by the insurers participating in the exchange.
Members of the United States population between the ages of 18 and 29 who decide that it is in their financial best interest to forgo health insurance are sometimes referred to as young invincibles by the insurance industry, a term coined to express the idea that the young demographic perceives themselves as immune to sickness and injury. The argument is that these individuals are young and in good health, so they have a low risk of experiencing substantial health issues that would lead to large amounts of spending on health care. Further, this group tends to have a mentality of “it won’t happen to me” with regards to most causes of injury. Together, these beliefs lead to the young invincibles not purchasing insurance.
The Pre-existing Condition Insurance Plan (PCIP) is a form of health insurance coverage offered to uninsured Americans who have been unable to obtain coverage because of a pre-existing condition. It will provide coverage to as many as 350,000 people and fill the gap until the Affordable Care Act goes into effect in 2014. The plan has been funded by congress through the Department of Health and Human Services to monitor and distribute. States are either individually run or administered by HHS with 23 states and the District of Columbia. The plan is open through an Association or Government Employees Health Association (GEHA). The program has since ceased in order to make certain funding would be sufficient to carry the existing approximately 100,000 members it has taken on since PCIP inception.
Cover Oregon was the health insurance marketplace for the U.S. state of Oregon, established as Oregon's implementation of the Patient Protection and Affordable Care Act. Cover Oregon was intended to enable Oregonians and small businesses to purchase health insurance at federally subsidized rates.
Covered California is the health insurance marketplace in the U.S. state of California established under the federal Patient Protection and Affordable Care Act (ACA). The exchange enables eligible individuals and small businesses to purchase private health insurance coverage at federally subsidized rates. It is administered by an independent agency of the government of California.
Washington Healthplanfinder is one of the fourteen health insurance marketplaces in the United States and was created in accordance with the Patient Protection and Affordable Care Act, commonly referred to as Obamacare.
The Affordable Care Act (ACA) is divided into 10 titles and contains provisions that became effective immediately, 90 days after enactment, and six months after enactment, as well as provisions phased in through to 2020. Below are some of the key provisions of the ACA. For simplicity, the amendments in the Health Care and Education Reconciliation Act of 2010 are integrated into this timeline.
Connect for Health Colorado is the health insurance marketplace, previously known as health insurance exchange, in the U.S. state of Colorado, created in accordance with the Patient Protection and Affordable Care Act. It is located in Denver. The marketplace operates a toll-free call center and offers 541 health plans from 18 insurance companies.
kynect, formerly and also called the Kentucky Health Benefit Exchange, is the health insurance marketplace, previously known as health insurance exchange, in the U.S. Commonwealth of Kentucky, created by then-Governor Steve Beshear in accordance with the Patient Protection and Affordable Care Act. Steve Beshear's successor as governor, Matt Bevin, ended Kynect enrollment for individuals as of 2017. From 2017 to 2020, the marketplace operated a web site for small business owners. Bevin's successor, Andy Beshear, announced on June 17, 2020, that Kentucky will reestablish a state health insurance marketplace similar to kynect, with full implementation by January 1, 2022. Kynect was officially relaunched on October 5, 2020, with full implementation in January 2022.
Access Health CT is the health insurance marketplace for the U.S. state of Connecticut. Access Health CT will enable people and small businesses to purchase health insurance at federally subsidized rates.
Your Health Idaho, sometimes known as the Idaho Health Insurance Exchange, is the health insurance marketplace for the U.S. state of Idaho. The exchange enables people and small businesses to purchase health insurance at federally subsidized rates.
MNsure is the health insurance marketplace for the U.S. state of Minnesota. The exchange enables people and small businesses to purchase health insurance at federally subsidized rates. The current CEO is Libby Caulum.
Nevada Health Link is the health insurance marketplace for the U.S. state of Nevada. The exchange enables individuals and small businesses to purchase health insurance at federally subsidized rates.
New Mexico Health Insurance Exchange, otherwise known as BeWellNM, is the health insurance marketplace for the U.S. state of New Mexico. The exchange enables people and small businesses to purchase health insurance at federally subsidized rates.
HealthSource RI is the health insurance marketplace for the U.S. state of Rhode Island. The marketplace enables people and small businesses to purchase health insurance, many at federally subsidized rates. The marketplace's web site also allows people to sign up for Medicaid, a federal and state program that helps with healthcare costs for some people with limited income and resources.
Patient navigators educate and assist United States citizens in enrolling into health benefit plans stipulated in the Patient Protection and Affordable Care Act (ACA). Patient navigators are also called "insurance navigators" or "in-person assisters" who have defined roles under the ACA. Although their roles might overlap, patient navigators are not community health workers or health advocates. "Navigators" work in states with Federally-Facilitated Exchanges (FFEs) or State Partnership Exchanges.
King v. Burwell, 576 U.S. 473 (2015), was a 6–3 decision by the Supreme Court of the United States interpreting provisions of the Patient Protection and Affordable Care Act (ACA). The Court's decision upheld, as consistent with the statute, the outlay of premium tax credits to qualifying persons in all states, both those with exchanges established directly by a state, and those otherwise established by the Department of Health and Human Services.
In the United States, essential health benefits (EHBs) are a set of ten benefits, defined under the Affordable Care Act (ACA) of 2010, that must be covered by individually-purchased health insurance and plans in small-group markets both inside and outside of health insurance marketplaces. Large-group health plans, self-insured ERISA plans, and ERISA-governed multi-employer welfare arrangements that are not subject to state insurance law are exempted from the requirement.
A private exchange, also known as a private benefits exchange or private health care exchange, is an online store or health insurance marketplace where employees or retirees purchase health insurance and other benefits, typically using funds contributed by their employer.
Pennie is the official health insurance marketplace in the U.S. state of Pennsylvania established under the federal Patient Protection and Affordable Care Act (ACA). The exchange enables eligible individuals to purchase private health insurance coverage at federally subsidized rates. Launched on September 22, 2020, it is administered by the Pennsylvania Health Insurance Exchange Authority, an independent agency of the government of Pennsylvania.
References
- ↑ "6 Years Later: How the Affordable Care Act is Working for Illinois". HHS.gov. U.S. Department of Health & Human Services. 10 June 2013. Retrieved 11 December 2016.
- 1 2 Lewis, Nicole (July 12, 2011). "HHS Proposes Health Insurance Exchange Rules". Information Week. Archived from the original on July 14, 2011. Retrieved November 16, 2012.
- ↑ Hirst, Ellen Jean Hirst, By Ellen Jean (28 October 2014). "Small business health exchange launches in Illinois". chicagotribune.com.
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