Monday, October 21, 2013

Four Things We Think We Know About Obamacare

McArdle Obamacare I’ve been seeing a few things floating around the blogosphere about Obamacare that aren’t true. They’re not really conservative or liberal talking points; they’re just misconceptions that people may have about how the health-care law works. So it seems worth pointing them out, especially because relying on some of these “facts” could get you into big trouble:
You have until March 31 to buy health insurance. This is technically true: Open enrollment ends on March 31. So you can buy health insurance up until then. But you have to buy insurance well before that if you want to avoid paying the mandate's penalty. Basically, the Patient Protection and Affordable Care Act says that in order to avoid paying the fine for being uninsured, you have to be insured by the end of March. But insurance policies begin on the first day of the month, which means that you need to buy insurance by February. And because it takes a couple of weeks to process a policy, in practice, you need to purchase by Feb. 15. If you buy insurance after that, you will still be insured -- but you will also need to pay a penalty. Which brings me to my second untrue “fact”:
The penalty for being uninsured next year is $95.Again, this is partly true. In fact, the penalty for being uninsured next year is $95 or 1 percent of your income, whichever is higher. So if you make $75,000 a year and you decide to go without insurance, the penalty will be $750. There are a number of things you can do to avoid having to pay it, from deliberately getting your utilities shut off to under-withholding taxes from your paycheck so that they don’t have a refund from which to take out the penalty. But that number is what will go on the books at the Internal Revenue Service, not the $95 you’ve probably heard.
If the exchanges don’t work, as a last resort, we can always get people signed up through call centers. It’s true, there are call centers. But the computer systems at the call centers for states running the insurance exchanges are the same as the computer systems thatconsumers are having such a hard time with. A nice woman at a federal call center told me that (at least for the state of Florida, where my in-laws live) there is an alternate procedure: They can fill out a manual application in PDF format. But she also told me that it takes three weeks for that application to be mailed to your house. After you receive it, you check the application to ensure it’s accurate, and then mail it in. One to two weeks later, you will be notified of your subsidy eligibility. Then you can actually enroll in a plan, though she wasn’t quite clear on how that part would work -- do you call back again? 

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