“How Health Insurance Works” video

 

 

In addition to the video, you can also download our “Get Insured. Stay Insured.” toolkit which has information and forms to help you get & use your health insurance. 

How to enroll in health insurance

1. Find out if you are eligible.

You are eligible to buy coverage on the Health Insurance Marketplace if you:

• Are a US citizen or are legally present in the US and

• Are not currently in jail or prison

 

You may be eligible for help paying for your health insurance if you are eligible for Marketplace coverage AND you:

• Have a yearly household income that falls anywhere in the table below;

and

• Are NOT offered health insurance through your job OR the health insurance that is offered is more than 9.5% of your yearly household income and/or it does not cover at least 60% of the cost of benefits (This Employer Coverage and Tax Credits worksheet may be helpful, if you think this situation applies to you. Additionally, speak with your employer because you will need to show proof of what your employer’s plan costs and what it covers).

 

You may get financial help if your income falls between these amounts.

Income Range for the Open Enrollment Period (for 2017 Coverage) by Family Size

Single Person  $11,880 to $47,520

Family of 2  $16,020 to $64,080

Family of 3  $20,160 to $80,640

Family of 4  $24,300 to $97,200

Family of 5  $28,440 to $113,760

 

NOTE:  Open enrollment runs from November 1, 2016 through January 31, 2017. You may qualify for a special enrollment period, outside of open enrollment, if you experience a life-changing event such as marriage, birth, moving to another state, or a loss of coverage. To see if you qualify, go to www.healthcare.gov or call the Health Insurance Marketplace at 1-800-318-2596.

 

2. Gather the Information You Need to Enroll

Have this information ready when you enroll. Note that you will need this information for anyone listed on your tax return, even if you are only seeking coverage for yourself.

  • Income Documents: W2 or recent pay stubs, Social Security benefit letter, and information on any other income you receive — even if you don’t pay taxes on it
  • Employer’s information: Phone # and address
  • Citizenship & Immigration Documents: If you are not a US citizen by birth, you will need a citizenship certificate, immigration documents, refugee travel documents, green card, or other eligible status documents

3. How to Apply

Online

• Go to www.healthcare.gov

• Create an account — you will need an email address for this

• You can complete your application and even select a plan online. You may be able to pay your first premium too.

 

By Phone

• Call 1-800-318-2596

• Complete the application with the phone representative

• The representative will tell you how much, if any, financial assistance you are eligible for and discuss the available plans. You can even select a plan over the phone.

 

In-Person

• Visit LocalHelp.HealthCare.gov to find free in-person help in your area.

• Schedule an appointment with an enrollment assister, who will help you enroll.

• Bring the documents listed above to your appointment.

Share Your Story
Michele Rimanelli

“This saves me a lot of money and now I have a more flexible plan than last year.” GHF’s enrollment assister helped Michele re-enroll in Marketplace coverage for 2016. He chose a new plan and identified local primary care providers that were in his coverage network.

Other Helpful Tools & Resources (21 items) Go to Library

Enrollment Assistance Exit Form

pdf

How Much Will Health Insurance Cost You?

pdf

Application Guide

pdf

Health Insurance & Taxes

pdf

Preventive Services

pdf

You’re Covered, Now What?

pdf

Special Enrollment Periods

pdf

Medicaid in Georgia

pdf

Health Insurance Complaints and Appeals

pdf

Penalties and Exemptions

pdf

Get Insured. Stay Insured.

pdf

Making Sure Your Insurance Is Still A Good Fit

video

How To Get Your Money’s Worth From Your Health Insurance

video

How To Get Health Insurance

video

Why You Need Health Insurance

video

How Health Insurance Works

video

Affordable Health Care for Your Children

pdf

Finding a Primary Care Provider

pdf

My Health Insurance User’s Manual

pdf

Health Insurance Options for Georgia’s LGBT Community

pdf

Health Care for People Living with HIV/AIDS

pdf