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Health Care Reform:

Health Insurance & Affordable Care Act

Covered California

Financial Aid and Medicaid continued...

Premium Subsidies (also known as Tax Credits ): You may qualify for a federal subsidy to help lower your monthly premium. The subsidy is available only if you buy your insurance in the Marketplace. In general, you'll be eligible if you're single and make between $11,670 and $46,680 a year, or if you have a family of four and make between $23,850 and $95,400 a year. Subsidies are based on your estimated household income for 2015. You can use your 2014 tax return to estimate your 2015 income. When you file taxes for 2015, the IRS will adjust your subsidy based on your actual income.

You also may be eligible for cost-sharing subsidies that will lower your costs when you get medical care. Cost-sharing subsidies are available only if you buy a silver-level plan.

Medicaid Expansion : Some states expanded their Medicaid programs so more people can get health insurance coverage. Because California is one of them (called Medi-Cal), you may be eligible if your annual income is no more than about $16,000 for one person and about $33,000 for a family of four.

CHIP: The Children's Health Insurance Program, called the Healthy Families Program in California, provides coverage for children of some families who have a low income but are not eligible for Medicaid.

Check with CoveredCa.com to see if you are eligible for these programs.

Available Resources

In addition to CoveredCa.com, there are several ways you can get help with your insurance decisions:

  • Call Center: You can call the state government's help line, 800-300-1506 from 8 a.m. to 8 p.m. Mon-Fri and from 8 a.m. to 6 p.m. Sat for information, help, and to buy insurance.
  • Navigators  and Certified Enrollment Counselors: They can teach you about the Marketplace and guide you through your insurance decisions. For assistance with your enrollment application, go to CoveredCa.com
  • Local and State Organizations: Many health and community organizations, public libraries, and hospitals are offering help. Find a list at CoveredCa.com.

 

WebMD Medical Reference

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