Googly Moogly
Expert
- 79
You pay extra for more coverage....
If your employer does not cover you, and you make too much to qualify for Medicaid, you can buy from private insurers through exchanges starting in 2014.
How the Health Care Overhaul Could Affect You - Graphic - NYTimes.com
If your employer does not cover you, and you make too much to qualify for Medicaid, you can buy from private insurers through exchanges starting in 2014.
- Coverage for those making up to four times the poverty threshold — $88,200 for a family of four in 2009 — will get subsidies on a sliding scale. That means you will pay somewhere between 2 percent and 9.5 percent of your income for insurance, and the government will cover the rest.
- Health plans will cover at least 60 percent of medical costs. Insurers will also have to offer more tiers that cover up to 90 percent of costs for additional premiums.
- Premiums of older people can be no more than three times as expensive as those of younger people.
- There will also be limits on overhead and profit. Insurers will be required to spend between 80 cents and 85 cents of every premium dollar on health care. They have been paying about 74 cents on average.
- Health plans on exchanges can offer abortion coverage. But if they do, subscribers who get federal subsidies will have to make separate premium payments for the coverage. States can prohibit abortion coverage.
How the Health Care Overhaul Could Affect You - Graphic - NYTimes.com
