Obamacare, officially known as the Affordable Care Act (ACA), was signed into effect nationwide in 2010 and enforcement began in 2014. The intent of Obamacare was to increase access to healthcare through expanding Medicaid programs, protecting consumers from being discriminated against due to pre-existing health conditions, opening a regulated Marketplace to shop for cost efficient health insurance options, and requiring all U.S. citizens to have minimum health insurance coverage.
Obamacare’s Effect on Wyoming Health Insurance
In Wyoming, the Congressional delegation opposed healthcare reform and has opted to not expand Medicaid. Because of this, Obamacare has resulted in a slight decrease of uninsured residents from 16.6% to 14% (the fourth smallest decrease in the nation). This is still higher than the national average, which is 9.1%, according to the National Health Interview Survey.
What Wyoming Residents Should Know About Wyoming Obamacare
Pros and Cons of Wyoming Obamacare
Wyoming Obamacare has made health insurance coverage available to some that could not previously afford care through the public exchange. In 2016, over 20,000 Wyoming residents enrolled and 92% received subsidies to assist with the cost of coverage. The state has also been successful in stressing the importance of individuals owning their own care by taking advantage of wellness programs and early screenings. Finally, Obamacare in Wyoming has successfully eliminated denial of care based on pre-existing conditions and has disabled Wyoming companies from charging a higher premium based on race or gender.
There are criticisms of Obamacare in Wyoming especially since there is only one private insurance available on the exchange and it has the highest premiums in the nation. This creates a financial burden for those that do not qualify for subsidies, as they have no other option and no assistance to offset the cost. In addition, there has been a notable struggle in getting re-enrollments, especially for the healthy young adult population who would rather pay the fine for not having coverage than be responsible for monthly health insurance premiums they cannot afford.
Apply for Obamacare: Health Plans and How Much You Will Pay
When shopping in the Wyoming Obamacare Marketplace, you will find four primary health plans to can choose from: Bronze, Silver, Gold, and Platinum. These plans each have a different percentage of healthcare costs they will pay for over the course of a coverage year; the remaining percentage (out of 100%) is what you will be expected to pay.
These percentage differences greatly impact how much you may expect to pay for care. Think about it this way: If the bronze plan pays for 60% of a benefit, then as the patient, you can expect to pay for the remaining 40%. While this plan will cost you less monthly, it leaves you financially responsible for a larger dollar amount than a platinum plan, which pays for 90% of a benefit.
Here are the different kinds of Obamacare plans as well as the average amount of healthcare services each plan pays for:
- Bronze plan - 60%
- Silver plan - 70%
- Gold plan - 80%
- Platinum plan - 90%
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How Do I Sign Up For Obamacare In Wyoming?
You can get Wyoming Obamacare quotes and sign up for Obamacare plans through the Wyoming Obamacare Marketplace. This Marketplace can be accessed through the federal website, healthcare.gov, or by calling (800) 318-2596.
What Are The Obamacare Marketplace And Exchange?
The Marketplace is a central location to shop for insurance options and enroll for selected coverage. In the case of Obamacare, Wyoming utilizes a Federally-Facilitated Marketplace (FFM), which means that the U.S. Department of Health and Human Services operates and manages the Marketplace where public health insurance plans are offered.
Do I Need To Use An Exchange?
To access public health insurance, you will need to go through the government exchange. The only exception to personally using the exchange to sign up for Obamacare in Wyoming is if you are able to seek help from a Wyoming certified counselor or a private insurance agent who can discuss your options and select a plan, on your behalf, through the exchange.
How Do I Use The Obamacare Exchange In Wyoming?
You can use the exchange in one of four ways:
- Visit healthcare.gov
- Use the telephone support assistance available by calling (800) 318-2596
- Find a local certified counselor
- Seek help from a private insurance agent
What Does It Mean To Be On-Exchange Or Off-Exchange?
On-exchange generally refers to purchasing public health insurance from the Obamacare Wyoming Marketplace while off-exchange refers to purchasing private health insurance coverage from a private company or marketplace.
When Is The Obamacare Enrollment Deadline And What Do I Do If I Missed It?
The Obamacare open enrollment period for 2017 in Wyoming is from November 1, 2016 until January 31, 2017. If you miss enrollment, you would need to qualify for a special enrollment period due to a qualifying life event or purchase short term individual private insurance to avoid a health insurance penalty.
What Is The Obamacare Penalty If I Don’t Buy Health Insurance?
If you do not enroll in Obamacare or another qualifying health plan (also referred to as “minimum essential coverage”) you will be subject to a tax penalty for each month you go without coverage. This fee should be paid when you file your federal tax return. In some special cases, there are exemptions to this penalty.
The Obamacare penalty for 2016 is either 1) 2.5% of your household income, with a maximum of the price of a Bronze plan sold through the Marketplace, or 2) $695 per adult and $347.50 per child under 18 years of age with a maximum of $2,085. You will pay whichever of the two options is higher.
The Obamacare penalty for 2017 is fairly similar to 2016 with the percentage fee of 2.5% remaining the same, however, the flat fee will be adjusted for inflation.
What If I Cannot Afford Obamacare?
If you cannot afford to pay for an Obamacare plan, you may be able to qualify for a government subsidy. For more information on government subsidies, visit the HealthCare.gov website.
What Are The Alternatives To Obamacare In Wyoming?
Any health insurance coverage that meets the minimum essential coverage, as set forth in the Affordable Care Act, can be used, whether this coverage is received through an employer, private insurance company, or purchased through a private exchange.