Georgia Health Insurance Marketplace
QUESTIONS and ANSWERS
Your monthly payment (after your applied monthly federal subsidy called an APTC) is primarily based on your household family size and your “projected” gross household income. Unfortunately, even the savviest Georgia consumers are “math challenged” and will incorrectly project their upcoming gross household income and will end up having to pay the penalties later for an incorrect projection on the federal application.. Household income is based on the “following” year, not “last year’s” income. In this economy, consumer household income can vary from year to year and some consumers may unwittingly “project” their household income in a way that deprives them of vary valuable “medical cost sharing reductions” including lower annual deductibles, lower co-insurance and lower co-payments.
In the case where a Georgia consumer is already enrolled, they may fail to update the income portion of their application and end up being automatically re-enrolled with an outrageous monthly payment increase for the following year, even though their “projected” household income may in reality be lower than the prior year.
IMPORTANT:There are 4 specific income ranges for each level of monthly federal assistance (APTC) and 4 specific income ranges for “medical cost sharing reductions”. We know them by heart and we know them for each family size whether you are single, married, or a family of 3 or 4 or 5. This is our most valuable information and unlike many Georgia consumers, we are extremely comfortable with mathematical calculations and projections. Our knowledge is valuable and our service is free.
a) If you’ve never enrolled in a Marketplace plan, call us at well before November 1 when Open Enrollment starts. We’ll take your information and then make a call to you during Open Enrollment to update your information.
b) If you currently have a marketplace plan and you want to make sure that your upcoming re-enrollment is correctly updated and done in a way that provides you the maximum allowable qualifying monthly federal assistance, then call us at either our 404-975-3313 Atlanta Georgia number or our 800-976-1401 toll free number or text us at our 404-951-7600 consumer courtesy text line, and we will have your federal marketplace application and enrollment done accurately and correctly..
c) Our federal Marketplace Enrollment Partner website (Quotit) makes it easy to enroll yourself. You input your name, date of birth, zip code, Georgia county, email address, phone number, household family size on your upcoming tax return, upcoming “projected” household income, and then the names and dates of birth of only family members to be enrolled.
You’ll then get an immediate quote based on the family size and gross projected income submitted and then you’ll be directed to healthcare.gov to do your online marketplace application. At that time, we’ll either call you (only once) or text you (only once) to see if you need any help and we may then (only with your permission), proceed on your behalf while we have you on the phone.
d) If you can do it on your own, then once you’ve completed the Marketplace application, you’ll open and read your specific Eligibility Notice and rthen eturn back to the Quotit Enrollment Partner Website to choose your plan.
At that time (and at that time only )will you be able to see not only your “confirmed” monthly federal assistance amount and your “confirmed” monthly payment (after your monthly subsidy), but you will also be able to now see how much of a “Medical Cost Sharing Reduction” you qualified for (lower annual deductibles, lower co-insurance and lower co-pays)