Free Webinar Series: Helping Consumers Understand the New Marketplaces
Dec 31 1969
Series on Assisting the Assisters: Helping Consumers Understand Premium Tax Credits, Avoid Re-payment Obligations, and Select Plans
As marketplaces open in every state, consumers are seeking to understand their eligibility for tax credits and cost-sharing reductions and how to use them as they shop among qualified health plans. What is a premium tax credit and how does it help me pay for coverage now? What will happen when I file my taxes? How can I avoid a repayment obligation when I file my taxes? What factors should I consider in selecting among the metal tiers and between different plan options? And, what does “actuarial value” even mean? What is “first dollar” coverage?
Manatt Health Solutions, with support from the State Health Reform Assistance Network (State Network), has prepared a series of three slide presentations to help states and their “assisters” address some of the issues most confounding consumers. Building on their primer on Advanced Premium Tax Credits and Cost-Sharing Reductions, Manatt will present two additional “primers” in webinars hosted by State Coverage Initiatives in coordination with the State Network.
On October 29 at 1:30 p.m. ET, Jocelyn Guyer and Tanya Schwartz of Manatt led a webinar, "Reconciliation of Advance Premium Tax Credits (APTCs)," which reviewed a primer on the reconciliation of APTC, explained how reconciliation will work when consumers file their taxes, and strategies consumers can use to minimize the risk of repayment. These strategies include accurately projecting household size and income, taking less in a premium tax credit in advance, and promptly reporting income and household changes. The primer includes specific examples that demonstrate options and risks for consumers. An archive of the webinar, including slides and a recording, is available here.
On November 22 at 3:00 p.m. ET, Deborah Bachrach and Melinda Dutton of Manatt reviewed factors states will want to call out for consumers seeking guidance on how to choose among plans, especially young adults who may be choosing between catastrophic coverage and other options. This presentation, "Qualified Health Plan Selection: Considerations for Consumers," reviewed the interplay between premiums and cost-sharing across the metal levels and catastrophic coverage generally and with respect to specific services, noting among other things the range of preventive services which must be provided without any cost-sharing in all options. Specific examples demonstrated the implications of different premium and cost-sharing options for consumers of different ages and with different incomes and health care needs. Finally, the webinar looked at non-financial considerations such as provider networks and formulary designs. An archive of the webinar, including slides and a recording, is available here.