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New Health Coverage of Californians

New Health Coverage for Californians Starting on October 1, Californians will be able to enroll in affordable, comprehensive health plans through California's health insurance marketplace, Covered California. Coverage begins on January 1, 2014. THE Californians will be able to receive 5,871,000 financial help for health insurance. This includes: 2,875,000 2,996,000 estimated to be eligible for coverage through the ex- panded Medicaid program estimated to be eligible for premium tax credits through the marketplace PRE-EXISTING CONDITIONS WILL BE COVERED 16,133,000 Californians with pre-existing conditions can no longer be turned down or charged more for coverage. YOUNG ADULTS BENEFIT THE MOST 42 percent of uninsured Californians are ages 18-34. Young adults are the age group most likely to be uninsured, because they are more likely to be unemployed or to earn low wages that make health coverage unaffordable. Therefore, they stand to gain the 42% most. For example, looking only at the financial help provided by the new premium tax credits, more than one-third of eligible individuals in California will be ages 18-34 (approximately 1,131,000 young adults). Furthermore, since young adults earn disproportionately lower wages, they will receive larger premium tax credits than their older counterparts, who generally earn higher wages. THOSE WITH THE GREATEST NEED WILL GET THE MOST HELP 3 CASE STUDIES Medicaid will provide comprehensive coverage to the lowest-income The Andersons: Annual income: family of three $23,000 (about 120% of poverty) residents (those with incomes up to 138 percent The Andersons apply for coverage through the marketplace. of poverty-$15,856 for an individual or $26,951 for a family of three). Based on their income, they are enrolled in Medicaid. Starting on January 1, they will receive comprehensive health coverage at little or no cost. Premium tax credits will The Johnsons: Annual income: make coverage affordable for those with incomes family of three $29,000 (about 150% of poverty) up to 400 percent of poverty-$45,960 for an individual or $78,120 for a family of three. Estimated marketplace premium: $8,250* Price for the Johnsons: An income-based tax credit will ensure that the Johnsons pay only 4 percent of their income, approximately $1,172 ($98 a month), for coverage. Size of tax credit: The remainder of the premium will be covered by a tax credit of $7,078. The Robinsons: Annual income: family of three $39,000 (about 200% of poverty) Estimated marketplace premium: $8,250* Price for the Robinsons: An income-based tax credit will ensure that the Robinsons pay only 6.3 percent of their income, approximately $2,461 ($205 a month), for coverage. Size of tax credit: The remainder of the premium will be covered by a tax credit of $5,789. *Estimated premium for the marketplace's silver level reference plan, the premium on which tax credit amounts are based. Source: Kaiser Family Foundation, Quantifying Tax Credits for People Now Buying Insurance on Their Own, August 2013. ENROLLMENT INFORMATION D Starting on October 1, Californians can: Apply for financial help, compare health plan options, and enroll in the plan of their choice through California's health insurance marketplace, Covered California. Coverage begins on January 1. Visit www.coveredca.com or call 800-300-1506. D Today, Californians can: Get questions answered by calling 800-300-1506. Request application assistance online at www.coveredca.com/request_enrollment_assistance.html. Since the Affordable Care Act passed, Californians have already experienced many gains that have made health coverage and care more accessible and affordable. AFFORDABLE CARE ACT PROGRESS 435,000 1,433,787 2,153,101 299,896 Medicare Part D Approximate number of young Californians who Medicare beneficiaries in California who received at least one cost-free preventive service-such as an annual check-up, received rebates beneficiaries in totaling $65,659,905 from their insurance adults in California California who who have gained insurance by staying on their parents' health plans until they received discounts on brand-name drugs in 2012 while in the coverage gap known as the companies in 2012 because those companies failed to spend at least 80-85 percent of their premium dollars on health care. mammogram, or bone mass measurement– in 2012. "doughnut hole," with an average $609 in savings per beneficiary. turn 26. www.FamiliesUSA.org Families USA, September 2013

New Health Coverage of Californians

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Learn the facts about how consumers in 19 states (with a special focus on states with high rates of insured people) will benefit from the Affordable Care Act and the recent launch of the new health in...

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