This power point presentation should be helpful for anyone considering purchasing health insurance as required by the new healthcare law, the Affordable Care Act. The individual mandate goes into effect January, 1, 2013.

1. "Getting Health Insurance on
the Cheap Courtesy of
ObamaCare"
In Just 39 Short Bullet Points!
Copyright 2013 Global Health Options, Inc. DBA Riczo & Co. and Steve Riczo

2. The Making of…
 The Affordable Care
Act or ObamaCare
became law in March,
2010
 ObamaCare survived
a tumultuous political
environment and US
Supreme Court ruling -
see Riczo USA Today
Magazine article (right)

3. Concern of Young Adults
 While young adults have
concerns about an
insurance mandate, a
recent Kaiser Family
Foundation poll of 18 – 30
year olds say 75% believe
having insurance is
something they need and
important to have

4. Making the Most of It
• Whether you love
the new law, hate it
or somewhere in
between - it is the
law the land - use it
to help you, your
family & friends

5. The 3 Big Provisions in the New Law
 #1 - Requires Americans with
no health insurance to get it
and helps them to do so (or
pay penalty the IRS)
 #2 - Aims to help moderate
healthcare costs
 #3 - Eliminates discrimination
against Americans who have
pre-existing medical
conditions

6. The Facts about America's Uninsured:
 Fact 1 - 50% of American
adults have one or more
chronic conditions like
heart disease, cancer or
diabetes - ie, "Pre-
Existing Condition"
 Fact 2 - 50 million
Americans go part or all of
the year without health
insurance

7. Facts about America’s Uninsured (cont)
 Fact 3 - 45,000
Americans die every
year because they don't
have health insurance
(Source: Harvard
University Medical
School)

8. Facts about America’s Uninsured (cont)
 Fact 4 - 80% of America's
uninsured have at least
one member of the
household who is
employed
 Fact 5 – More than 65%
of America's small
businesses do not offer
health insurance because
it is too expensive

9. What Does ObamaCare Do about this Problem?
Two Solutions in New Law to
Help the Uninsured
 Solution #1:
Individual Mandate
Requires Americans to
Have Health Insurance on
January 1, 2014 or pay
penalty to IRS

10. Solving the Problem (cont)
 Solution #2:
Many states are
expanding Medicaid
eligibility (health
insurance for low
income Americans)

11. Solution # 1 cont (Exchanges)
 New Online Marketplaces
or Exchanges opened in
every state in the US on
October 1, 2013
 Health insurance
companies will be offering
multiple health plans from
relatively cheap to
expensive – Catastrophic
(under age 30), Bronze,
Silver, Gold & Platinum

12. Solution #1 cont (Exchanges)
 Not to Worry - every health
plan must meet the
federally mandated
minimum benefit package
(ie, cover hospitalization,
doctor visits, emergency
room, labor and delivery,
etc.)

13. Solution #1 cont (Exchanges)
 Middle income
Americans should
consider an
inexpensive plan to
keep it affordable -
50% selected lowest
price health insurance
in Massachusetts
healthcare reform

14. Solution #1 cont (Exchanges)
 Rule #1 in buying
health insurance -
be sure you can
afford the monthly
premiums so the
policy does not get
cancelled

15. Solution #1 cont (Exchanges)
 Individuals and
families with
earnings between
100% - 250% of
federal poverty
level: Buy Silver
Plan to get
maximum federal
subsidies
100% to 250% of federal poverty level
# of People Household Income
1 $11,490 - $28,725
2 $15,510 - $38,775
3 $19,530 - $48,825
4 $23,550 - $58,875
5 $27,570 - $68,925
6 $31,590 - $78,975
7 $35,610 - $89,025
8 $39,630 - $99,075

16. Solution #1 cont (Exchanges)
 If you have a
chronic illness,
buy the best
health plan that
you are certain
you can afford

17. Solution #1 cont (Exchanges)
 Take advantage of the new
federal subsidies if your
household income is
between 100% - 400% of
the federal poverty level
 For individuals in 2013,
that means annual income
between $11,590 and
$46,000!!!

18. Solution #1 cont (Exchanges)
 Low cost plans still have the
federally mandated minimum
benefit package but higher
copayments and deductibles
 If you have financial hardship,
you stand a reasonable chance
to negotiate down your hospital
& doctor bills that insurance
does not cover under high
deductible plan

19. Option #2 cont (Medicaid)
 Enroll in Medicaid if you
qualify
 Determine if your state
has expanded eligibility
requirements under
ObamaCare

20. Option #2 cont (Medicaid)
You may already
qualify even if the
state does not
have the expanded
eligibility so do not
be afraid to try!

21. Option #2 cont (Medicaid)
States Approving Expanded Medicaid Eligibility
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of
Columbia
Hawaii
Illinois
Iowa
Kentucky
Maryland
Massachusetts
Michigan
Minnesota
Missouri
Nevada
New Jersey
New Mexico
New York
North Dakota
Ohio
Oregon
Rhode Island
Vermont
Washington
West Virginia

22. Option #2 cont (Medicaid)
 How do I apply for
Medicaid?
 Apply for insurance
coverage on new online
Marketplace –
Healthcare.Gov
 You will be notified if you
are Medicaid eligible and
next steps

23. Most Importantly
Remember:
Medical care is
Expensive so
Get Your Health
Insurance!!!
(and it’s the law on Jan 1, 2014!)

24. But what if I already have health insurance?
 If you are lucky enough
to already have health
insurance, help a friend
or relative who does not
 You might be saving a
life. But how????
 Share what you have
learned here!!!