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Changes in Health Coverage FAQs
Changes in Health Coverage
Frequently Asked Questions
Questions and Answers
Yes, you can use FSAFEDS. Your husband will still pay a copay.Deductibles and copays that you and your eligible family members incur are reimbursable whether you use your FEHB health plan or another health insurance plan.
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Insure FAQ Flexible Spending Account General HealthUpon turning age 26 and losing FEHB coverage, you may:
- Enroll in TCC. Please see Temporary Continuation of Coverage for more information: http://www.opm.gov/healthcare-insurance/healthcare/temporary-continuation-of-coverage/
- Purchase insurance on the Marketplace. Please visit Healthcare.gov for more information: http://www.healthcare.gov
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Insure FAQ Changes in Health Coverage Health Turning Age 26Yes. For more information, please contact your employer’s benefits officer.
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Insure FAQ Changes in Health Coverage Eligibility for Other Benefits Programs Health Members of Congress & StaffYes. For more information, please contact your employer’s benefits officer.
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Insure FAQ Changes in Health Coverage Eligibility for Other Benefits Programs Health Members of Congress & StaffYes. Your employer will use the same FEHB Program guidelines to determine your eligibility for a Government contribution.
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Insure FAQ Changes in Health Coverage Health Members of Congress & Staff Premiums, Taxes & Signing Up for SHOPIf your plan is no longer offered in the next coverage year, you must enroll in a different plan during the open enrollment to continue coverage. If you do not enroll in a different plan during open enrollment, you will lose SHOP coverage and your Government contribution.
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Insure FAQ Changes in Health Coverage Health Members of Congress & Staff SHOP Eligibility & EnrollmentA SHOP is designed specifically for employer-sponsored health insurance coverage, whereas the individual Exchanges are designed for individual health coverage that is not tied to one’s employment.
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Insure FAQ Changes in Health Coverage Health Members of Congress & Staff SHOP - GeneralIf you are ineligible for FEHB, you may purchase insurance on the Marketplace. Please visit www.Healthcare.gov for more information.
* Note: Under provisions of the ACA effective January 2014, you must have insurance of some sort or will have to pay a tax penalty. For more information, please visit www.IRS.gov
* Note: Under provisions of the ACA effective January 2014, you must have insurance of some sort or will have to pay a tax penalty. For more information, please visit www.IRS.gov
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Insure FAQ Changes in Health Coverage Health Ineligible for FEHBFEHB law dictates which Federal employees are eligible for FEHB coverage based on the type of appointment you have and your scheduled work hours. For more information, please visit the Eligibility Section of the FEHB Handbook.
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Insure FAQ Changes in Health Coverage Health Ineligible for FEHBFor more information, please visit the Coverage for Former Spouses page.
* Note: Under provisions of the ACA effective January 2014, you must have minimum essential health coverage or you may have to make a payment when filing your Federal income tax return. For more information, please visit www.IRS.gov.
* Note: Under provisions of the ACA effective January 2014, you must have minimum essential health coverage or you may have to make a payment when filing your Federal income tax return. For more information, please visit www.IRS.gov.
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Affordable Care Act
Overview
On March 23, 2010, President Obama signed into law the Patient Protection and Affordable Care Act (ACA) also known as Health Care Reform. Highlights of the ACA include the following but are not limited to:
- The Health Insurance Marketplace
- Coverage of children to age 26
- Preventative services with no cost-sharing
- An opportunity for entitled tribes, tribal organizations and urban Indian organizations to purchase coverage in the Federal Employees Health Benefits (FEHB) Program for their employees