Understanding the Affordable Care Act

The Affordable Care Act (ACA), signed into law in 2010, made sweeping changes to the health insurance market in the United States. Here's what you need to know.

Key ACA Provisions

• No denial for pre-existing conditions — Insurers can't refuse coverage or charge more because of your health history
• Preventive care at no cost — Many screenings, vaccines, and wellness visits are covered at 100%
• Children covered to age 26 — Young adults can stay on a parent's plan until age 26
• Essential Health Benefits — All marketplace plans must cover: emergency services, hospitalization, maternity, mental health, prescription drugs, rehabilitation, lab services, preventive care, pediatric services
• Out-of-pocket maximums — Annual cap on what you pay out-of-pocket

Premium Tax Credits

If your household income falls between 100% and 400% of the federal poverty level (FPL), you may qualify for premium tax credits that reduce your monthly premium. Under the American Rescue Plan, enhanced subsidies are available and many people with incomes above 400% FPL now qualify for assistance.

Covered California

California's state-based marketplace is called Covered California. Peter is a certified Covered California agent and can help you enroll during Open Enrollment (Nov 1 – Jan 31) or during a Special Enrollment Period.