St. Mary's Health: Your Partner in Navigating the Health Insurance Marketplace
Beginning November 1, 2015, individuals, families, and small businesses will be able to shop for insurance plans through the Health Insurance Marketplace.
Through this Marketplace, they will be able to:
- Compare health insurance options.
- Select a plan that meets their individual budgets and needs.
- Enroll in coverage.
Health coverage starts as early as December 1, 2015, and open enrollment ends on January 31, 2016.
We know this is a big change, and it can be confusing for many people. St. Mary's is here to help. Please review the resources below for more information. If you have additional questions, contact us at Lindsey.Johnson@stmarys.org. You may also reach us by phone at 812.485.5864.
Frequently Asked Questions:
Will I be eligible to purchase health insurance through the Marketplace?
Most will be eligible to purchase private health coverage through the Health Insurance Marketplace as long as they:
- Live in the United States
- Are a U.S. citizen or national (or are lawfully present)
- Are not currently incarcerated
What key dates do I need to remember?
I have insurance through my employer. Does this affect me?
No. If you are eligible for employer-sponsored health coverage, you will not be affected.
Whether you qualify for the Marketplace will depend on what kind of coverage your employer offers. If your job-based coverage is considered “affordable” and meets minimum value, you won't be able to get lower costs on premiums or out-of-pocket costs in the Marketplace. This is true no matter what your income and family size are. Employer coverage is considered affordable if the employee’s share of the annual premium for self-only coverage is no greater than 9.5% of annual household income.
What if I have Medicare?
Medicare isn't part of the Health Insurance Marketplace, so you don't need to do anything. You will not lose your Medicare coverage, and your benefits won't change. Click here for more information on Medicare.
What if I can't afford insurance?
Based on your income and family size, you may qualify for financial assistance. Individuals making up to $45,960 or a family of 4 making up to $94,200 may qualify for help paying their monthly premiums when they purchase health insurance through the Marketplace. Additionally, individuals making up to $28,725 or a family of 4 making up to $58,875 may qualify for additional assistance to help lower the amount they pay for out-of-pocket costs like deductibles, coinsurance, and copayments.
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Ready to get started?
Each state has a different Marketplace, so we've made it easy for our patients throughout the Tri-State to find the information they need:
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Need a physician?
Once you're enrolled, you'll need a primary care physician to guard your well-being. Click here to find a St. Mary's Physician or call 812-485-4DOC.