ENROLLMENT BEGINS NOVEMBER 1ST, 2016
ENROLLMENT ASSISTANCE BEGINS NOVEMBER 1st, 2016
What Next? How you can use your health insurance – the benefits.
Every health plan must cover the following services:
Ambulatory patient services (outpatient care you get without being admitted to a hospital)
Hospitalization (like surgery and overnight stays)
Pregnancy, maternity, and newborn care (both before and after birth)
Mental health and substance use disorder services, including behavioral health treatment (this includes counseling and psychotherapy)
Rehabilitative and habilitative services and devices (services and devices to help people with injuries, disabilities, or chronic conditions gain or recover mental and physical skills)
Preventive and wellness services and chronic disease management
Pediatric services, including oral and vision care (but adult dental and vision coverage aren’t essential health benefits).
Plans must also include the following benefits:
Birth control coverage
Essential health benefits are minimum requirements for all Marketplace plans. Specific services covered in each broad benefit category can vary based on your state’s requirements.
You may be eligible for a qualified health plan, medicaid, medicare or private insurance
|SINGLE Income||FAMILY Income||Where will you get insurance?|
|Less than or = $15.521||Less than or = to $31,721||Medicaid or Medicare/Medicaid Dual Eligible (if > 65)|
|$17,505||$35,775||Covered by Employer or State Exchange|
|$23,340||$47,700||Covered by Employer or State Exchange|
|$29,175||$59,625||Covered by Employer or State Exchange|
|$35,010||$71,550||Covered by Employer or State Exchange|
|$46,680||$95,400||Covered by Employer or State Exchange|
|Above||Above||Must Purchase Private Insurance|
|Over 65 and > than $15,521 (Single) and $31,721 (Family)||Medicare|
Marketplace Cost Calculator:
Thank you to the Kaiser Family Foundation
What you will need when signing up on CT’s Health Exchange
- Birthdates for all family members who need coverage.
- Social Security Numbers for all family members who need coverage (or document numbers for
- Citizenship or immigration status and certificate of naturalization, if applicable.
- Federal income tax return from the most recent year.
- Employer and income information for every member of your household who needs coverage (W-2s, pay stubs).
- Health care coverage information (policy numbers for any current health plans, as well as information about employer sponsored coverage you or someone in your household if eligible for.)
To sign up or learn more about CT’s Health Exchange or to sign up:
For more questions and answers about Marketplace Insurance: