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Healthcare.gov: The 2020 Insurance Plan Data is Now Available

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Marketplace 2020 Plan Information Now Available: On October 25, 2019, CMS launched updates to window shopping (the “See plans & prices” page on HealthCare.gov) that allows consumers and their agents and brokers to preview 2020 plans and prices before Open Enrollment begins. As in previous years, window shopping lets consumers browse plans without logging in, creating an account, or filling out the official application.

Starting November 1, consumers can log in to HealthCare.gov and CuidadodeSalud.gov or call 1-800-318-2596 to fill out an application and enroll in a 2020 Marketplace health plan. Agents and brokers may also work with direct enrollment partners to enroll consumers in Marketplace plans for plan year 2020.

For more information, see these additional plan data resources released today:

2020 Health Insurance Exchange Premium Landscape Issue Brief

To view the Department of Health & Human Services 2020 Health Insurance Exchange Premium Landscape Issue Brief, visit: https://www.cms.gov/CCIIO/Resources/Data-Resources/QHP-Choice-Premiums.html

2020 Plan Landscape Data

For more information on 2020 individual and family health plans available in the Federal Health Insurance Exchange, visit: https://www.healthcare.gov/health-and-dental-plan-datasets-for-researchers-and-issuers/

2020 Health Insurance Exchange Public Use Files

To see the 2020 Health Insurance Exchange Public Use Files, visit:

https://www.cms.gov/cciio/resources/data-resources/marketplace-puf.html

2020 Quality Rating System Public Use Files

To see the Plan Year 2020 Quality Rating System Public Use Files, visit: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityInitiativesGenInfo/ACA-MQI/ACA-MQI-Landing-Page.html

2020 Issuer Participation County Map

To see the 2020 Issuer Participation County Map, visit: https://www.cms.gov/CCIIO/Programs-and-Initiatives/Health-Insurance-Marketplaces/Health-Insurance-Exchange-Coverage-Maps.html

To learn more about new quality rating information, the streamlined HealthCare.gov application, and other key updates and enhancements for the 2020 Open Enrollment, follow this link: https://www.cms.gov/newsroom/fact-sheets/federal-health-insurance-exchange-2020-open-enrollment

 

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Federal Poverty Level Guidelines for 2020 ACA Plans

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FEDERAL POVERTY LEVEL (FPL): A measure of income issued every year by the Department of Health and Human Services (HHS). Federal poverty levels are used to determine your eligibility for certain programs and benefits, including savings on Marketplace health insurance, and Medicaid and CHIP coverage.

The 2019 federal poverty level (FPL) income numbers below are used to calculate eligibility for Medicaid and the Children’s Health Insurance Program (CHIP). 2018 numbers are slightly lower, and are used to calculate savings on Marketplace insurance plans for 2019.

  • $12,490 for individuals
  • $16,910 for a family of 2
  • $21,330 for a family of 3
  • $25,750 for a family of 4
  • $30,170 for a family of 5
  • $34,590 for a family of 6
  • $39,010 for a family of 7
  • $43,430 for a family of 8

 

How federal poverty levels are used to determine eligibility for reduced-cost health coverage.

  • Income between 100undefined FPL: If your income is in this range, in all states you qualify for premium tax credits that lower your monthly premium for a Marketplace health insurance plan.
  • Income below 138undefined FPL and your state has expanded Medicaid coverage, you qualify for Medicaid based only on your income.
  • Income below 100undefined FPL, you probably won’t qualify for savings on a Marketplace health insurance plan or for income-based Medicaid.

“Income” above refers to “modified adjusted gross income” (MAGI). For most people, it’s the same or very similar to “adjusted gross income” (AGI). MAGI isn’t a number on your tax return.

Read More at: https://www.healthcare.gov/glossary/federal-poverty-level-fpl/

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