Health Insurance Marketplace

Health Insurance Marketplace

What Physicians Need to Know

As part of the Affordable Care Act (ACA), enrollment in Health Insurance Marketplaces began on Tuesday, October 1, 2013.  The primary goal of the ACA is to help the 16% uninsured and eligible participants gain access to health care.  Central to this goal is the Health Insurance Marketplace.  The Marketplace is a new way to shop for health coverage.  Health Insurance Marketplaces are one-stop shops for consumers to research, compare, and purchase comprehensive health insurance plans.  Open enrollment began on October 1, 2013, and ends on March 31, 2014.  Coverage can begin as soon as January 1, 2014. 

Health Insurance Marketplaces will offer low cost coverage options and comprehensive plans with essential benefits. Beginning October 1, many uninsured people will have new options for health insurance coverage and all plans must cover essential health benefits such as preventive and wellness services, emergency services, maternity and newborn care, emergency room care and prescription drugs.  The ACA’s changes for 2014 mean that plans can no longer deny coverage due to pre-existing conditions and insurance plans will have to show exactly what is covered. Every state will have a health insurance marketplace where individuals can shop for coverage.   

AMCNO members and other health care professionals can help patients understand and navigate the changing health care landscape.  Take a moment to review the following resources to get informed on Health Insurance Marketplaces to help answer your patients’ questions. Patients who are unaware of the ACA implementation run the risk of not being ready for enrollment deadlines and are likely unaware of the new services and benefits.

National Resources

Frequently Asked Questions About the Health Insurance Marketplace

U.S. Department of Health and Human Services ACA Toolkit

Kaiser Foundation ACA Timeline

Enroll America Ohio

Health Insurance Marketplace Call Center – 1-800-318-2596

Health Insurance Marketplace – 10 Things Providers Need to Know

Health Insurance Marketplace – 10 Things to Tell Your Patients

Health Policy Institute of Ohio (HPIO) Policy Briefs

Health Insurance Marketplaces - What Ohioans Can Expect - HPIO

Ohio Health Insurance Basics (HPIO)

An Introduction to "Essential Health Benefits" (HPIO)

Ohio Resources – Governor’s Office of Health Transformation

Office of Health Transformation - Federal Health Insurance Exchange

Office of Health Transformation - Ohio Insurance Exchange

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