HFM and Cascade Staff
The American Rescue Plan Act of 2021 increases and expands eligibility for Affordable Care Act (ACA) premium subsidies for people enrolled in marketplace health plans. This means you may be eligible for more help paying for your 2022 Marketplace coverage. Average savings under the ARPA subsidies could be $70 per month for current individual market purchasers.
- Individuals and families earning between 100-150% of the FPL are eligible for silver health insurance plans with $0 premiums and a significantly lower deductible.
- Individuals and families earning between 150-400% of FPL will get an increase in premium subsidies that they currently receive/would receive.
- Individuals and families earning above 400% of FPL (previously ineligible for subsidies due to income) are now eligible for help with their premiums. People in this category who buy a marketplace plan will now be eligible for tax credits and will pay no more than 8.5% of their annual income in premiums for a benchmark silver plan.
For information regarding the federal poverty levels, please visit: www.healthcare.gov/glossary/federal-poverty-level-fpl/
Open enrollment for Michigan’s 2022 marketplace health plans is open from November 1, 2021 through January 15, 2022 at www.healthcare.gov.
- Don’t Auto-Renew!
Take a look at all available options. With enhanced subsidies you may find a better deal than your current plan.
- Review the Details!
- Review the plan options to answer the following questions:
- Will it cover your factor product or other treatment?
- What is the deductible? What is the co-insurance or copayment?
✓ A plan with a high deductible may not be the best option any longer, as more health plans utilize copay accumulator or maximizer programs.
- Does the plan have an accumulator? i.e. will copay assistance count toward your out of pocket maximum?
✓ This may not be easy to identify when reviewing plans. Ask questions before you make a final decision!
Communicate with Your HTC or Pharmacy Provider
Share any updates or changes to your health plan with your HTC or pharmacy provider to ensure there will not be a disruption to your current treatment plan.
If you have questions about open enrollment, potential subsidies available in 2022, or accumulator or maximizer programs, contact your hemophilia treatment center, Cascade Hemophilia Consortium, or HFM staff. Together, we work to ensure patients have access to the care and information you and your family needs to make the most informed decision in your health care.