Healthcare Plans

Our healthcare discount plans are available to members only and are handled for us by third-party administrators. The administrators are very efficient, and new members are generally enrolled quickly. Please contact the third-party administrators for details of coverage provided or discounts offered. The EFA office is not able to provide any information.

ACA Insurance Update

Board member and healthcare liaison Amy Fass issued the following updates about Affordable Care Act insurance:

The Open Enrollment Period (OEP)

For those who already have healthcare insurance through the federal Health Insurance Marketplace (Exchange) or want to sign up for it, there have been some changes. First, the OEP has been shortened by half, from 3 to 1-1/2 months; here’s the announcement on the healthcare.gov website:

IMPORTANT: 2018 Open Enrollment is shorter than in previous years . . . so it’s important to act quickly. If you don’t act by December 15, you can’t get 2018 coverage unless you qualify for a Special Enrollment Period. Plans sold during Open Enrollment start January 1, 2018.

States with their own exchanges, as well as Washington, DC, may have kept the longer OEP. New York has done this; its OEP lasts through January 31. (The notice on the nystateofhealth.ny.gov homepage says only, “Enroll by December 15th for coverage starting January 1, 2018.” I called and asked about this, and the rep told me that the OEP does go through January 31 and that people who enrolled by January 15 would have their coverage begin February 1 and those who enrolled by January 31 would have their coverage begin March 1. I suggested that this info be added to their website.)

For information on how other states with their own exchanges are handling this, members can contact their states’ exchanges (see below).

The federal government has also cut back on funding for advertising to let people know that they need to enroll or re-enroll and for paying the navigators who help applicants through the process.

As in other years, premiums will be going up, but so will subsidies.

Be On the Lookout for Scams

I received an email with the following sending info:

Subject:  Did you miss the Open Enrollment Deadline?

From:  “American Health Plans” <sky@winning99power.com>

Date:  Tue, October 31, 2017 6:04 am

The OEP hadn’t even started yet, and there were several other warning signs. But other scam attempts may be more convincing.

Basic general information, including on a tax credit/subsidy to help you afford health insurance, penalties for not having it, and exemptions from the requirement to have it, is in the Quick Guide to the Health Insurance Marketplace. Important dates to be aware of are at the Dates and Deadlines page. The HealthCare.gov Blog can help you keep up with the latest information. Issues relevant to freelancers are dealt with on the page about Health coverage if you’re self-employed.

Most people in most US states can get coverage through the national marketplace (healthcare.gov). Some states have their own exchanges:

CA coveredca.com 800-300-1506
CO connectforhealthco.com 855-752-6749
CT accesshealthct.com 855-805-4325
ID yourhealthidaho.org 855-944-3246
MA mahealthconnector.org 877-623-6765
MN mnsure.org 855-366-7873
NY nystateofhealth.ny.gov 855-355-5777
RI healthsourceRI.com 855-840-4774
VT vermonthealthconnect.gov 855-899-9600
WA wahealthplanfinder.org 855-923-4633
DC dchealthlink.com 855-532-5465