2021 Marketplace Special Enrollment Period State-by-State Premium Savings for Returning Consumers from the American Rescue Plan

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CMS News Room Fact Sheet

The Centers for Medicare & Medicaid Services (CMS) reports that since the Special Enrollment Period became available on HealthCare.gov on February 15, more than 1.5 million Americans have enrolled in health coverage at HealthCare.gov. 

 Additionally, more than 2.5 million current
enrollees have returned to the Marketplace to find average savings of
over $40 per month, compared to their premiums prior to the ARP
implementation. The table below shows the average premiums and savings
by state before and after additional American Rescue Plan subsidies
became available on April 1 through June 30.  

Current Marketplace enrollees can review their
application anytime to make any needed changes to their current
information, submit their application, and reselect their current plan,
to ensure they maximize their savings for Marketplace coverage for the
rest of 2021.

There are several ways to apply and enroll into affordable health coverage:

  • Use HealthCare.gov to apply online.
  • Call the Marketplace Call Center at 1-800-318-2596, which provides
    assistance in over 200 languages. TTY users should call 1-855-889-4325.
  • Find local help through an agent/broker or assistant in your area at Healthcare.gov/find-assistance/
Premium Savings for Returning Consumers’ DUE to the American Rescue Plan (through 6/30/2021)
State Average Pre ARP Net Premium Average Post ARP Net Premium Average Savings Due to ARP
HeathCare.gov Total $104 $62 -40%
AK $154 $87 -44%
AL $120 $70 -42%
AR $168 $96 -43%
AZ $179 $110 -39%
DE $197 $118 -40%
FL $73 $41 -44%
GA $93 $51 -45%
HI $198 $124 -37%
IA $146 $74 -49%
IL $217 $148 -32%
IN $229 $150 -34%
KS $158 $97 -39%
KY $185 $112 -40%
LA $192 $125 -35%
ME $165 $98 -41%
MI $167 $108 -35%
MO $139 $83 -40%
MS $79 $39 -51%
MT $184 $113 -39%
NC $107 $61 -43%
ND $126 $71 -44%
NE $109 $53 -51%
NH $206 $135 -35%
NM $175 $110 -37%
OH $210 $139 -33%
OK $89 $50 -44%
OR $217 $145 -33%
SC $116 $72 -37%
SD $133 $73 -45%
TN $129 $77 -40%
TX $84 $52 -38%
UT $75 $44 -42%
VA $142 $82 -42%
WI $177 $103 -42%
WV $262 $178 -32%
WY $111 $61 -45%    

 

 Medicare Contracting & Certifications are Available here!

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Ambetter: Broker News

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July 2021 – Third Quarter

Encourage Clients to Take Advantage of Enhanced ATPCs

Extended SEP ends August 15, 2021.

  


The SEP extension to further help consumers take advantage of Enhanced ATPCs, will be ending August 15, 2021.

Clients still have time to enroll in an Ambetter Marketplace plan to take advantage of the increased savings and lower costs made available by the American Rescue Plan (ARP).

It’s been estimated the number of those eligible for a subsidy on the Marketplace increased by 20% with the passage of the ARP.* Consumers’ required contributions are lowered at all income levels thereby increasing APTC. Individuals earning 100-150% FPL will be eligible for fully subsidized coverage. Additionally, premiums are capped at 8.5% of income for those above 400% FPL removing the “subsidy cliff.”

*Resource: https://www.kff.org/health-reform/issue-brief/how-the-american-rescue-plan-act-affects-subsidies-for-marketplace-shoppers-and-people-who-are-uninsured/

Ambetter Telehealth: Talk with a doctor by phone or video.

Ambetter Telehealth is convenient 24/7 medical help with a $0 copay*. Members get access to in-network doctors for non-emergency health issues or questions. Get medical advice, a diagnosis or a prescription by phone or video anytime, anywhere.

If your clients haven’t used Ambetter Telehealth before, they can visit https://member.teladoc.com/ambetter or call 1-800-835-2362 to get started. Clients will need their Ambetter Member ID card on-hand while registering.

 

Google Ad Certification for ACA Advertising

Earlier this year Google announced a new certification program for health insurance advertisers to aid in curbing misinformation or fraud. This special certification will be required for ACA health insurers or third-party brokers who want to run Google Ads. Brokers will need to provide documentation showing they are permitted under state law to sell health insurance to run ads on Google. For more information please visit:

https://blog.google/products/ads-commerce/new-health-insurance-certification/
https://support.google.com/adspolicy/answer/10588653

 

VIEW FULL AMBETTER BROKER NEWS ARTICLE HERE >

 

And don’t forget about your Ambetter Contracting Available Here >

Agility Producer Support
(866) 590-9771
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American Rescue Plan Lowers Health Insurance Costs for Americans Who May Have Lost Their Job

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Consumers should Visit HealthCare.gov Beginning July 1 to see if they Qualify for New Financial Help.

As part of the American Rescue Plan (ARP) signed by President Biden,
the Centers for Medicare & Medicaid Services (CMS) is again lowering
the cost of health insurance and opening more pathways for Americans to
obtain affordable and comprehensive health coverage. Starting July 1,
2021, consumers who received or are approved to receive unemployment
compensation for any week beginning in 2021 may be able to find even
lower cost plans and save extra money on out-of-pocket expenses through
HealthCare.gov.

To take advantage of these additional savings, consumers who received
or have been approved for unemployment compensation in 2021 need to
visit HealthCare.gov to submit a new application or update their
existing application to maximize the savings they can get for the rest
of 2021. An average of three out of five eligible uninsured Americans
can access $0 plans after advance payments of tax credits and an average
of four out of five current HealthCare.gov consumers will be able to
find a plan for $10 or less per month after advance payments of tax
credits. CMS encourages current consumers who have received unemployment
income for any week beginning in 2021 to update their application and
enrollment between July 1 and August 15 to maximize the savings on their
Marketplace coverage for the rest of the year.

“The Biden-Harris Administration is focused on providing relief to
millions of families who need to access health insurance coverage
because they have been impacted by job losses or underemployment during
the pandemic,” said HHS Secretary Xavier Becerra. “The Administration
has made it easier than ever for Americans to enroll in an affordable,
comprehensive health insurance plans through HealthCare.gov thanks to
the increased financial assistance provided through the American Rescue
Plan. We encourage consumers who have received unemployment compensation
in 2021 to visit the Marketplace to see if they qualify to save money
on their health insurance premiums and out-of-pocket costs.”

“We are doing everything we can to remove financial barriers to
comprehensive health care,” said CMS Administrator Chiquita
Brooks-LaSure. “The American Rescue Plan provides consumers with
additional savings and will  make coverage even more attainable for
those most in need. We welcome people who received unemployment benefits
in 2021 to check out their health coverage options on HealthCare.gov on
July 1.”

Additionally, as a result of the Biden-Harris Administration’s
Special Enrollment Period for the COVID-19 Public Health Emergency,
consumers can continue to apply for coverage, compare plan offerings, or
learn if they qualify for more affordable premiums by visiting
HealthCare.gov or CuidadoDeSalud.gov through August 15. Consumers can
view 2021 plans and prices and submit an application to see if they are
eligible for enrollment and financial assistance. If eligible, they can
enroll in a plan that best meets their needs. Current enrollees should
review their application, make any updates needed to their current
information, submit their application, and then select a new plan or
reselect their current plan to receive the increased savings under the
ARP.

Consumers can also call the Marketplace Call Center at
1-800-318-2596, which provides assistance in over 150 languages. TTY
users should call 1-855-889-4325. Consumers can also find a local
assister or agent/broker in their area: https://www.healthcare.gov/find-assistance/.
Consumers who live in a state with a Marketplace that operates its own
platform should visit their state Marketplace website or call center for
information on accessing these additional savings through their
State-based Marketplace.

(Original article published by CMS.Gov ‘https://www.cms.gov/newsroom/press-releases/american-rescue-plan-lowers-health-insurance-costs-americans-who-may-have-lost-their-job’)

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(866) 590-9771
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