The Health Insurance Marketplace is now open for business in North Dakota. However, many North Dakotans are left feeling confused on how it is going to affect them. Here are a few facts to help put some of those questions to rest.
What is the Marketplace?
The Marketplace is a central hub for choosing health coverage that fits your lifestyle and budget. Filling out one streamlined application provides you with all the health coverage options you are eligible for. The Marketplace for North Dakota can be found at HealthCare.gov
What if I already have insurance through my job?
Nothing needs to be done! The Marketplace is for those who are uninsured or are currently paying out of pocket for health coverage. If you are happy with the health insurance you have through your job, you don’t have anything to worry about!
What if I have health insurance but I’m paying out of pocket and having trouble affording it?
The Marketplace would be a good option to check out! The Marketplace is a website where you can fill out an application with basic information about your household and family size. Then, the Marketplace does the rest. You will receive a message telling you which insurance plans you are eligible for with all costs and premiums laid out for you. Then, you get to choose which plan works best for you.
What if I like my insurance but just want to see what else is out there?
Creating an account in the Marketplace does not mean you have to enroll in a plan. If you want to complete an application just to see what you are eligible for, there is no obligation to enroll. If you see a plan you like, you may choose to enroll. Otherwise, if you don’t find what you’re looking for and want to stick with the plan you’ve got, that works too!
What if I don’t have insurance?
The Marketplace is the place to go! Completing an online application allows you to see what health plans you are eligible for and how much a health plan will cost you. Also, many people will be eligible for tax credits to help lower monthly costs. The Marketplace will also inform you if you are eligible for Medicaid or CHIP. Everything you are eligible for will be available to you after submitting the application. Visit HealthCare.gov to apply.
What if I have Medicare?
Individuals on Medicare are not required to apply for coverage through the Marketplace. Having Medicare means you are covered under the Affordable Care Act and will not receive a fee on your taxes. The Marketplace does NOT offer any supplemental plans for Medicare.
What about Medicaid?
If you are currently on Medicaid you can remain on it and you are covered under the ACA. Medicaid in North Dakota is expanding. This means that more individuals that were not previously eligible for Medicaid could be now. You can complete a Medicaid application at any time or fill out a Marketplace application during open enrollment. If you are eligible for Medicaid, the Marketplace will let you know and direct you to the correct Medicaid representative.
What happens if I don’t have any form of health coverage by 2017?
A fee will be added to your taxes for each year you are not insured.
- 2016 Taxes: $695 per adult and $347.50 per child OR 2.5% of income (higher value)
How can I apply for coverage?
- Completing an online application on HealthCare.gov
- Calling the Health Insurance Marketplace Help Line at 1-800-318-2596
- Completing a paper application and mailing it to the Marketplace
- Setting up an appointment with a Certified Application Counselor or Navigator in your area
When should I apply?
- The open enrollment period is from November 1st 2015 through January 31st 2016
- In order to obtain coverage by January 1st, 2016, you must enroll in a plan by December 15th, 2015.
Can I still apply if it is not during the Open Enrollment Period?
- Only if you qualify for a Special Enrollment Period. In the Marketplace, you qualify for a Special Enrollment Period 60 days following certain life events that involve a change in family status(for example, marriage or birth of a child) or loss of other health coverage.
How do I make an appointment with someone who can help?
- Contact Kara Pulver, Certified Application Counselor for Coal Country at 701-873-7788 ext. 114
or by e-mailing her at firstname.lastname@example.org
What do I need to bring to be prepared for my appointment?
- Social security numbers of all who are applying for coverage
- Yearly household income information
- Any current insurance information (id applicable)
- If you currently have job-based coverage, please fill out the employer coverage tool, which can be found by clicking here