Monday Is a Big Deadline For The Affordable Healthcare Act - Fox 2 News Headlines

The Willis Report

Monday Is a Big Deadline For The Affordable Healthcare Act

Posted: Updated:

The Affordable Care Act deadline may have been extended to mid April, but if you are shopping for coverage, you'll need to know the rules of the road. So far, the Department of Health and Human Services say signups have failed to meet goals. The administration had said it wanted seven million people to sign up, but only five million have done so, according to the most recent government report. So, you can bet the healthcare.gov website will be pretty busy over the next several days. Here's what you need to know if you plan to sign up.

Before you go to the web to enroll, talk to your doctor to find out whether he or she is affiliated with any of the insurers offering plans through Obamacare. Best case scenario, you'll want to stay with any service provider you are already using to make sure that your care is seamless. Once you are armed with that information, head to healthcare.gov, that's the federal website. In some states, you'll do your shopping on this site, but in others you'll be directed to a state site for assistance. Depending on where you live you may find a dizzying array of plans or only a few. Don't be confused by the names of the plans. Words like "exclusive," "premier" and "predictable cost," have virtually no meaning, except to the insurers themselves. Instead, focus on the level of coverage. Policies are available in four categories from the least to the most generous: bronze, silver, gold and platinum.

According to one analysis of the insurance offerings, you're best off considering the bronze plans first. According to Dr. Scott Gottlieb, here's why: You can't trade up to a better benefit by buying gold or even platinum plans. The benefits are the same regardless of the category or "metal" that you choose. Gottlieb says that the only difference with the plans is the structure of the co-pay and deductibles. As you pay higher premiums for a gold or platinum plan, your deductibles and co-pay decline. The insurer, according to his analysis, typically covers 60 percent of expected medical expenses in a bronze plan, 80 percent in a gold plan and 90 percent in a platinum plan. So, by buying the costlier plans, you are simply fronting a higher premium to buy down your anticipated out of pocket costs. The doctor networks are all the same, as are your access to drugs.

Once you choose a plan and make a payment, be sure you get a clear confirmation that your choice is confirmed. One man I interviewed on The Willis Report, thought he was enrolled and even had money deducted to pay for the policy, but was ultimately denied coverage. Worse, he suffered a heart attack and was directly billed for $407,000 for care. Making sure you are enrolled and actually have coverage is your responsibility. Contact the insurer directly to make sure all the paperwork has been processed and you don't get caught without coverage when you need it.

Finally, Obamacare requires everyone to have some sort of coverage, whether its AHA offerings, Medicare, Medicaid or  employer-sponsored coverage. The first-year penalty for not having coverage is 1 percent of your annual income or $95 whichever is greater. If you miss the deadline, you'll have to wait for the 2015 enrollment period to get coverage unless you experience a major live event like marriage or divorce. To be sure there may be exceptions to the deadline. Some states will accept enrollments after Monday. Check the healthcare website for details.

  • PoliticsMore>>

  • Obama Prods GOP On Border Issue, Cites Progress

    Obama Prods GOP On Border Issue, Cites Progress

    Monday, July 28 2014 10:51 AM EDT2014-07-28 14:51:01 GMT
    With one week left before Congress' August recess, President Barack Obama is prodding Republicans to help ease the influx of minors and migrant families from Central America, but with chances dimming that border legislation will reach his desk before the break, he also is focusing on other ways to stem the flow.
    With one week left before Congress' August recess, President Barack Obama is prodding Republicans to help ease the influx of minors and migrant families from Central America, but with chances dimming that border legislation will reach his desk before the break, he also is focusing on other ways to stem the flow.
  • Israel’s Consul General David Siegel: "We Asked The UN To Work With Us"

    Israel’s Consul General David Siegel: "We Asked The UN To Work With Us"

    Friday, July 25 2014 10:43 AM EDT2014-07-25 14:43:27 GMT
    Today marks the 18th day of fighting between Israel and Gaza. Also today Israel’s security cabinet meets to consider international cease-fire proposals. Joining us to discuss the situation is Israel’s Consul General in Los Angeles, David Siegel.
    Today marks the 18th day of fighting between Israel and Gaza. Also today Israel’s security cabinet meets to consider international cease-fire proposals. Joining us to discuss the situation is Israel’s Consul General in Los Angeles, David Siegel.
  • Gang Violence, Fears For Children Fuel Immigrant Rush To US

    Gang Violence, Fears For Children Fuel Immigrant Rush To US

    Friday, July 25 2014 10:38 AM EDT2014-07-25 14:38:35 GMT
    Many immigrants flooding across the southern border of the U.S. say they're fleeing violent gangs in Central America.
    Many immigrants flooding across the southern border of the U.S. say they're fleeing violent gangs in Central America.
Powered by WorldNow

WJBK-TV | Fox 2
16550 West Nine Mile Rd.
Southfield, MI 48075

Main Station: (248) 557-2000
Newsroom: (248) 552-5103

Didn't find what you were looking for?
All content © Copyright 2000 - 2014 Fox Television Stations, Inc. and Worldnow. All Rights Reserved.
Privacy Policy | Terms of Service | Ad Choices