Sept. 30, 2013
This week, TMA’s
“Hey, Doc” education campaign answers Texans’ questions about when and how to
sign up for coverage in the new health insurance marketplace.
[Editors and reporters:
Please feel free to use the content in its entirety or as the basis for a
story. TMA physician experts are available to answer your questions. Also,
every Wednesday, TMA will post a new video featuring TMA Board of Trustees
Chair Carlos “ ‘Hey, Doc’ ” Cardenas, MD, answering questions about the
Affordable Care Act’s health insurance marketplace. Check out our first and
second installment videos, and a lot more information at HeyDoc.texmed.org.]
week of “Hey, Doc” education programming
When can I sign up?
Here are some
important dates you should know relating to enrollment in the marketplace:
enrollment is expected to begin Oct. 1. That’s when you’ll be able to compare
plans in the marketplace and enroll for coverage.
15 is the last day to sign up for insurance in the marketplace for it to be
effective as of Jan. 1, 2014.
1, 2014, is when the individual mandate kicks in requiring most people to get
insurance or pay a penalty.
marketplace enrollment period will be open until March 31, 2014 — the last day
to sign up for health insurance coverage for 2014. Certain circumstances may allow you to sign up
after that date. Visit Healthcare.gov for more information.
How do I apply?
It is anticipated that
starting Oct. 1, you will be able to shop for plans, file a marketplace
application, and enroll in several ways: online at Healthcare.gov, by phone through the
toll-free call center at (800) 318-2596, by mail, or with the help of in-person
assistance programs. (See “Where can I get
help signing up?”)
There is a
single application regardless of which health insurance plan you end up
choosing. Once you file, you will automatically find out if you qualify for
breaks on the insurance premium, reduced out-of-pocket costs, or state health
Healthcare.gov takes four steps:
Set up an account. You’ll provide some
basic information to get started, like your name, address, and email address.
Fill out the online
You’ll provide information about you and your family, like household income,
household size, current health coverage information, and more.
Compare your options. You’ll be able to see
all the options you qualify for, including private insurance plans, Medicaid, and the Children’s Health
Insurance Program (CHIP), and any tax credits toward your monthly premiums or
out-of-pocket costs on deductibles, copayments, or coinsurance. You’ll also see
details about the costs and benefits of each plan option before you choose.
Enroll. After you choose a plan,
you can enroll and decide how to pay your premiums to your insurance company. If you or a member of your family
qualifies for Medicaid or CHIP, a representative will contact you to enroll.
You can find
this information and more at MeAndMyDoctor.com and HeyDoc.texmed.org.
is TMA’s “Hey, Doc” content schedule through Oct. 30, 2013. We have content in
the works through January 2014.
Where to Get Help, When to Sign Up
Week of Sept. 30: When can I sign up?
How do I sign up?
Enroll? Who Doesn’t Have to? What Are the Penalties?
Week of Oct.
7: Who can enroll?
Week of Oct. 14:
Who must enroll?
If I have insurance through my work or my spouse or my parents, do I have to
give that up and buy insurance through the marketplace?
Does the individual mandate mean I have to buy health insurance through the
Week of Oct.
21: Who can sell me this insurance?
How do I pick a plan?
How many plans can I pick from?
Can I keep the plan I have now?
Week of Oct. 28:
What is covered by this insurance?
TMA is the largest state medical society in the nation,
representing more than 47,000 physician and medical student members. It is
located in Austin and has 112 component county medical societies around the
state. TMA’s key objective since 1853 is to improve the health of all Texans.
Contact: Pam Udall
cell: (512) 413-6807
Contact: Brent Annear
phone: (512) 370-1381
cell: (512) 656-7320
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Check out MeAndMyDoctor.com for interesting and timely news on health care issues and policy.