Resources on New Health Insurance Options

On November 1, 2015, open enrollment (Year 3) will begin for the Health Insurance Marketplace.  Coverage can begin January 1, 2016, as long as you enroll in a plan (or renew) by December 15, 2015.  If you previously signed up for a Marketplace plan, don’t forget to either change your plan or renew your current plan! Open Enrollment will end January 31, 2016.

Please check this page frequently, as we will continue to post more information as it becomes available.

If you are currently enrolled in Medicare, nothing will change for you.  Please follow the current enrollment rules for this program.  If you have questions, please contact the Arizona Medicare Office at 1-800-633-4227.

If you currently have coverage through your employer, you can keep it or you may be able to change to Marketplace coverage if you want to.

AHCCCS
If you make below 133% of the Federal Poverty Level (FPL), you may qualify for AHCCCS, Arizona’s Medicaid program. Adults without children are now eligible to apply.  Enrollment for AHCCCS is open year-round.

You can apply online at  www.healthearizonaplus.gov, in person at your local DES office, or with any organization that has previously helped you apply.

Click here to help determine if you should apply for AHCCCS based on your annual income and family size.

Video on Health-e-Arizona Plus

Health Insurance Marketplace
If you do not currently have health insurance and make over 133% of the FPL, you have new private insurance options available.  These options are all be available for you to compare through the Federal Health Insurance Marketplace.  This marketplace is available at www.healthcare.gov (Spanish version is also available at www.cuidadodesalud.gov).  You can also find more information on the marketplace at this website.

If you make between 133% and 400%, you may qualify for financial assistance for the insurance plan you choose.  This is applied immediately and will lower your monthly costs.  To calculate what your monthly costs might be with this subsidy, please visit http://kff.org/interactive/subsidy-calculator/.

Click here to help determine if you may be eligible for financial assistance through the Marketplace based on income and family size.

Need Help Applying or Have Questions?
There are Certified Application Counselors, Navigators, and Brokers available to assist you in the application process.

Please click here to search for a Certified Application Counselor or Navigator near you and make an appointment.

For Health Insurance Marketplace specific questions, please call 1-800-318-2596 (many languages are available).

We are also available to answer questions regarding AHCCCS, the Marketplace, and getting help with enrollment.  Please call us at 602-218-3900.

Notes on Penalties
In 2014, if you chose not to get health insurance, you will be assessed a $95 penalty per adult in your household or 1% of your income, whichever is greater.  Additionally, for uninsured children in the household, there will be a penalty of $47.50 per child.  This will be part of your 2014 tax filing.

In 2015, if you choose not to get health insurance, you will be assessed a $325 penalty per adult in your household or 2% of your income, whichever is greater.  Additionally, for uninsured children in the household, there will be a penalty of $162.50 per child.

Other Resources
Please visit the Kaiser Family Foundation’s resource page for consumers at www.kff.org/aca-consumer-resources or watch this video: