Skip to content

Health Care Reform:

Health Insurance & Affordable Care Act

Health Care Reform: Questions and Answers

WebMD's Health Insurance Navigator Answers Your Questions

Will procedures for seniors be limited? Is it up to a panel? Will they limit some procedures for those over 65?

No. There is absolutely nothing written into the law that aims to limit medical care for seniors. In fact, the law expands services to people over the age of 65 who have Medicare coverage.

Since the law first took effect in 2010, more than 5 million seniors who entered the gap in Part D prescription drug coverage known as the "donut hole" have saved $3.7 million on prescription drugs. The donut hole is scheduled to close completely by 2020 as a result of the law.

In addition, the law has given millions of people on Medicare access to preventive medical services, such as annual wellness visits, cholesterol, and other heart disease screenings, as well as cancer screenings including mammography and colonoscopies with no annual deductibles, co-pays, or coinsurance for these services.

How does the "tax" on the uninsured work?

Beginning in 2014, you'll have to indicate on your tax forms whether you have health insurance (and your coverage will need to meet minimal essential benefit standards).

So, if you make more than 133% of the federal poverty limit -- and right now that's $14,856 a year for an individual and $30,657 for a family of four -- the law says you must buy health insurance or pay a penalty on your taxes.

You also won't face a penalty for not buying health insurance if you are a member of a religion that's opposed to health care, like the Christian Scientists, for example; you're a member of an Indian tribe; you're an illegal immigrant; or you're in jail.

There's also no penalty to pay if you don't make enough money to file a tax return, or if buying health insurance would cost more than 8% of your income, after taking into account any employer contributions or tax credits.

Some people will be exempt from having to buy insurance or pay the tax on the basis of financial hardship, including people making just $9,500 a year.

If you don't fall into one of those groups, you'll need to buy insurance.

And remember that many people with low incomes will for the first time get health insurance through Medicaid (meaning they won't pay a premium).

What if I Still Don't Want to Buy Insurance?

If you choose not to buy health insurance, you'll owe an additional amount on your taxes.

In 2014, the fee will be $95 per adult and $47.50 per child up to $285 per family, or 1% of family income, whichever is greater. Those fees more than triple in 2015; and by 2016, adults who don't buy insurance will owe $695 and $347.50 per child, up to $2,085 per family, or 2.5% of family income, whichever is greater.

Your Costs

See insurance premium
costs and financial aid.

Start Here

Health Insurance

Find a plan that's right
for you.

Start Here

Your State's Insurance Marketplace

Get informed about plans, benefits and costs.

From WebMD
Loading …
URAC: Accredited Health Web Site TRUSTe online privacy certification HONcode Seal AdChoices