Financial Assistance for Health Insurance Marketplace Plans is Available – See if You Qualify

November 1, 2016

Here’s some good news:  When it comes to health insurance coverage through the Health Insurance Marketplace, millions of Americans benefit from federal financial assistance each year, and you may, too. Since its inception in 2013, the Affordable Care Act has helped approximately 20 million Americans gain affordable health insurance, 12.7 million of whom have enrolled in marketplace plans. Of those 12.7 million, approximately 85% have benefited from federal subsidies and other financial assistance. That means all of those individuals now have improved access to medical care in the form of preventive health screenings, vaccinations, wellness checks and women’s care, among other healthcare services.

While this is great news, there are still millions of Americans who do not have healthcare coverage, likely due to the monthly premiums. This year, to help you explore your options, we’ve developed an online Subsidy Calculator, which you can use to determine if you are eligible for federal financial assistance. To see if you qualify, visit www.GetEnrollmentHelp.com and click on the Subsidy Calculator.  

Understanding the Health Insurance Marketplace

For those of you new to the Health Insurance Marketplace, Pennsylvania’s is run by the federal government and is located online at www.healthcare.gov. Throughout the 2017 open enrollment window, which runs November 1, 2016 through January 31, 2017, our hope is to educate people about the opportunity to select a quality health insurance plan through the Marketplace that:

  • satisfies your current healthcare needs,
  • ensures you have access to the preventive care you need now to remain healthy later, and
  • is financially manageable.

As you compare plans, you should consider whether each plan includes any physicians and providers regularly seen by you and/or any family members who will be covered by the plan. These include primary care physicians, pediatricians, OB/GYN, ENTs, dermatologists, and other specialty care providers. For those who need help identifying a plan to meet your healthcare needs, Conemaugh Health System provides onsite Certified Application Counselors (CACs) to support you in the application process. Simply call 1-888-982-9144. Our CACs are available for phone or personal appointments, Monday-Thursday, 8 a.m. – 7 p.m.; Friday, 8 a.m. – 5 p.m.; and Saturday, 9 a.m. - 1p.m.

You also can email us to ask questions or set up an appointment at Conemaugh.CAC@conemaugh.org.redesign.in10sitybeta.net. Patients may also visit www.GetEnrollmentHelp.com for information, including a checklist of documents they will need for enrollment.