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Federally Facilitated Marketplace
The Federally Facilitated Marketplace (FFM) is an organized marketplace for health insurance plans operated by the U.S. Department of Health and Human Services (HHS). The FFM opened for enrollments starting October 1, 2013. The Federally Facilitated Marketplace is established in a state by the HHS Secretary for states that chose not to set up their own marketplace or did not get approval for one. Individuals (i.e. citizens of a state) and employers will have the ability to find and purchase Qualified Health Plans through the FFM and its partners. Individuals will be able to qualify for and receive Advance Premium Tax Credits (APTC) which can be used to subsidize their premium obligations. Individuals can also qualify for Cost Sharing Reductions (CSRs) which would reduce their out-of-pocket expenses for healthcare. Participating states Twenty-seven states opted to participate in the FFM. Seven states opted to partner with the FFM. Seventeen states opted to set up their own Sta ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Health Insurance
Health insurance or medical insurance (also known as medical aid in South Africa) is a type of insurance that covers the whole or a part of the risk of a person incurring medical expenses. As with other types of insurance, risk is shared among many individuals. By estimating the overall risk of health risk and health system expenses over the risk pool, an insurer can develop a routine finance structure, such as a monthly premium or payroll tax, to provide the money to pay for the health care benefits specified in the insurance agreement. The benefit is administered by a central organization, such as a government agency, private business, or not-for-profit entity. According to the Health Insurance Association of America, health insurance is defined as "coverage that provides for the payments of benefits as a result of sickness or injury. It includes insurance for losses from accident, medical expense, disability, or accidental death and dismemberment". Background A healt ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Qualified Health Plan
A Qualified Health Benefits Plan (QHBP) is a healthcare plan that follows rules included in the proposed Affordable Health Care for America Act (H.R. 3962), preceded by America's Affordable Health Choices Act of 2009 (H.R. 3200). These rules include offering a standard set of services, which includes hospital and outpatient care, mental health, prevention, well-child care, and maternity care. H.R. 3962 would require private insurance plans and the public health insurance option to adhere to a set of standards:Friends Committee on National Legislation The Friends Committee on National Legislation (FCNL) is a national nonprofit, nonpartisan Quaker organization. As a 501(c)(4) advocacy organization, FCNL and its network lobby Congress and the administration to promote peace, justice, and environm ..."Health Care Reform – Here's What's on the Table in the House" 7/16/2009 *Guaranteed renewal of insurance *Guaranteed acceptance, regardless of a person's current health or health h ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Premium Tax Credit
The premium tax credit (PTC) is a refundable tax credit in the United States. It is payable by the Internal Revenue Service (IRS) to eligible households that have obtained healthcare insurance by a healthcare exchange (marketplace) in the tax year. It can be paid in advance directly to a healthcare insurance company to offset the cost of monthly health insurance premiums. The tax credit is part of a host of Affordable Care Act tax provisions, introduced by the IRS in 2014, and is meant to extend health insurance coverage to 18 million lower and middle-income Americans. History The eligibility criteria for the premium tax credit is determined by section 1401 of the Affordable Care Act (Obamacare). The Act was signed into law on March 23, 2010, and specified the credits are only available to individuals and families who have enrolled in a health plan offered on a healthcare exchange. On May 23, 2012, the Internal Revenue Service (IRS) adopted a regulation that said tax credits ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Out-of-pocket Expenses
An out-of-pocket expense (or out-of-pocket cost, OOP) is the direct payment of money that may or may not be later reimbursed from a third-party source. For example, when operating a vehicle, gasoline, parking fees and tolls are considered out-of-pocket expenses for a trip. Car insurance, oil changes, and interest are not, since the outlay of cash covers expenses accrued over a longer period of time. The services rendered and other in-kind expenses are not considered out-of-pocket expenses; the same goes for depreciation of capital goods or depletion. Organizations often reimburse out-of-pocket expenses incurred on their behalf, especially expenses incurred by employees on their employers' behalf. In the United States, out-of-pocket expenses for such things as charity, medical bills, and education may be deductions on US income taxes, according to IRS regulations. To be out of pocket is to have expended personal resources, often unexpectedly or unfairly, at the end of some ent ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
