Open enrollment for consumers to buy health insurance through the Access Health CT marketplace begins Sunday, and 2016 will bring considerably steeper fines for consumers who lack insurance. Access Health CT (AHCT), now in its third year, enrolled close to 100,000 individuals in private insurance plans in its first two years, according to Andrea Ravitz, director of marketing. About 500,000 enrolled in Medicaid through AHCT, during the first two years. The marketplace aims to enroll between 105,000 and 115,000 in private plans by the end of open enrollment, Ravitz said. AHCT concentrated on attracting new enrollees its first two years but this year it has been focusing on retaining enrollees, she added.
Women in Connecticut have been denied health insurance benefits in violation of the federal Affordable Care Act, according to a study by the National Women’s Law Center. Connecticut is one of 15 states included in the study, which analyzed the 2014 and 2015 health plans of companies that provide coverage under the ACA in state marketplaces. It found violations in all 15 states and concluded that they are likely occurring nationwide. According to the report, Connecticut women have been denied coverage for the following: breastfeeding counseling and education after two months following delivery, infertility treatments after the age of 40, sterilization procedures, emergency birth control, and maintenance care for such things as lupus, HIV, and hormones after breast cancer treatment. Coverage was also denied for transgender transitions.
Tens of thousands of Connecticut residents who receive federal subsidies to help pay for health insurance won’t be affected immediately by the latest challenge to the Affordable Care Act before the U.S. Supreme Court. But experts say there’s a good chance Connecticut residents will experience some political fallout from the court decision – which could come as soon as Thursday – challenging the validity of federal premium tax credits to 6.4 million Americans in 34 states with federally operated insurance marketplaces (also known as exchanges). Nearly 74 percent (74,682) of the 101,294 people who purchased commercial health insurance plans through Access Health CT (AHCT) received federal subsidies, as of June 2015. Connecticut is among the 16 states – along with the District of Columbia – that established their own state-based marketplaces through the health law. A court decision that blocks health insurance subsidies in the federally-operated marketplaces could lead to “some crazy maneuvering at the federal level from a legislative perspective that could impact Connecticut” if Congress moves to repeal or significantly modify the law, said James Wadleigh, chief executive officer of AHCT.
With tax season underway, some Connecticut taxpayers are struggling with the Affordable Care Act mandate that all Americans must report their health insurance status on their federal income taxes. “It’s been a big source of confusion for some people,” said Karen Riccardelli of Riccardelli Accounting in New Canaan, who has been helping Connecticut taxpayers understand the law’s requirement that they carry health insurance or pay a tax penalty. Here’s what Connecticut taxpayers need to know. Do I need to pay the penalty? People who were uninsured in 2014 face a tax penalty – unless they qualify for an exemption.
From all indications, the second enrollment for Obamacare is going smoothly for Connecticut residents. But then, Connecticut residents had a relatively easy time the first go-round, even while the federal exchange’s website crashed beneath the weight of would-be applicants. If enrollment is easier all around this time, the law itself faces some of its toughest challenges. The Supreme Court will hear a case that will examine the legality of important federal subsides that help low- and middle-income Americans pay for policies in states that haven’t set up their own exchanges. At issue is the law’s language that refers to subsidies being paid in exchanges “established by the state.” Roughly 4 million people receive those subsidies.
Connecticut consumers who carefully consider their health status and financial needs stand to reap the greatest benefits when shopping for insurance during the 2015 open enrollment period. The enrollment period to purchase coverage at Access Health CT (AHCT), the online marketplace created by the Affordable Care Act, runs from Nov. 15, 2014, to Feb. 15, 2015. The law requires most Americans to carry health insurance or pay a fine when they file their federal income taxes.
A unique campaign spearheaded by Yale School of Medicine students to encourage uninsured young adults to sign up for health coverage by the federal March 31 deadline has galvanized student groups across Connecticut and the country. The Students for a Better Healthcare System (SBHS) campaign has reached more than 600 residents of all ages and health care providers through dozens of presentations at schools, churches, physician practices, medical clinics and other greater New Haven sites. The University of Connecticut School of Medicine has joined the effort to reach Hartford area residents and 33 schools nationwide have expressed interest in bringing the campaign to their local communities. “The most important thing we can do right now is help people sign up for health insurance through the Affordable Care Act,” said Matthew Meizlish, a SBHS co-founder who just completed his term as co-president of Yale’s chapter of the American Medical Student Association. “Our goal is to expand access to health care and to engage our communities in building a better health care system.”
Consumers have until March 31 to sign up for coverage to avoid a tax penalty.
Cheila Serrano knows educating Hispanics who are uninsured and underinsured about the new options available at Access Health CT – the health insurance marketplace that opens for business today – presents a unique set of problems.
But with one in every four Hispanics lacking coverage, Serrano, a program director at Junta for Progressive Action in New Haven, is up for the challenge. Connecticut’s Hispanics represent the fastest-growing, youngest and poorest segment of the state’s population. Estimates of Connecticut’s uninsured vary. Approximately 344,000 people lack health insurance in Connecticut and 65 percent of the state’s uninsured are minorities, according to data being used by Access Health. Estimates released by the U.S. Census Bureau in September, however, put the uninsured at 284,000.
Connecticut consumers who buy insurance on the new exchange will pay some of the highest premiums in the nation, according to a report by the U.S. Department of Health and Human Services released Wednesday. While the report lauds lower-than-expected prices nationwide, it shows that the premium for a benchmark insurance plan, dubbed a “second lowest cost silver plan,” would cost an average of $436 a month in Connecticut – 33 percent higher than the national average, and fourth-highest in the country after Alaska, Mississippi and Wyoming. State exchanges, including Connecticut’s Access Health CT, will offer “bronze,” “silver“ and “gold” policies that vary in coverage, deductibles and co-pays. Consumers can begin to enroll for insurance on Oct. 1, with coverage beginning Jan.