Residents can act during the Open Enrollment Period from November 1, 2021 – January 15, 2022. Many current customers will see lower monthly bills.
The American Rescue Plan Act of 2021 (ARPA) makes health insurance coverage more affordable by greatly reducing monthly payments (premiums) for many people who enroll through Access Health CT. And it provides new financial help for people with somewhat higher incomes who can face high premiums. More people than ever before qualify for help paying for health coverage, even those who weren’t eligible in the past.
Financial help is only available through Access Health CT, and this year it will continue to be significantly greater for most Connecticut residents. For those already enrolled in health insurance through Access Health CT, more people will become eligible to receive increased financial help (known as premium tax credits) to reduce their portion of monthly premiums, financial assistance from the State of Connecticut to cover their costs for those eligible and some may be eligible to receive financial help for the first time.
Financial Help: Types Available & How to Qualify
Most people who enroll through Access Health CT get some type of financial help, low-cost or free coverage (including the Covered CT program). We can determine if you qualify for financial help for your Qualified Health Plan (QHP), or are eligible for low-cost or free coverage, based on your tax household’s information, including:
- Annual Income: Household’s total expected income for the year you need coverage
- Household size: Total number of people in the household that file taxes together
- Home address: Where you live
If you enroll in a Qualified Health Plan (QHP) through Access Health CT, there are three types of financial help you may qualify for:
- Premium Tax Credits (PTC) that can help reduce your monthly payments, and
- Cost-Sharing Reductions (CSR) that can reduce what you pay out-of-pocket when you use your plan
- Coverage through the Covered CT Program for your portion of premium and cost-sharing.
Premium Tax Credit lowers your monthly payment (or premium). It is a payment sent directly to your insurance company from the federal government to lower the amount that you pay for your plan. Many people use their Premium Tax Credit in advance to reduce their monthly payments, but you can also wait and claim it when you file your federal income tax return. To qualify, you:
- Must be a resident of Connecticut and not in prison
- Must enroll in a Qualified Health Plan (QHP) through Access Health CT
- Cannot be eligible for other affordable healthcare coverage through your employer or through a government-sponsored program, such as HUSKY Health (Medicaid/CHIP), Medicare, Tricare, or VA benefits
- You must not be claimed as a dependent on anyone else’s return
Cost-Sharing Reductions (CSR) lower the amount you pay out-of-pocket for deductibles, co-insurance, and co-payments when you get medical services. If you qualify for CSRs, you must enroll in a Silver level plan to have these lower costs. Once you enroll, you will have access to reduced out-of-pocket costs for services when you use your plan.
Covered Connecticut Program where the State of Connecticut pays your portion of the monthly payment (premium) directly to your insurance company and also pays the cost-sharing amounts that you would normally have to pay with a health insurance plan, such as deductibles, co-pays, co-insurance and maximum out-of-pocket costs.
Already enrolled through Access Health CT?
If you are already enrolled through Access Health CT, you may need to take action to renew your health insurance plan and see all the financial help available to you. Many Access Health CT customers choose to be automatically re-enrolled for their health insurance coverage each year, but others may need to take steps to select a new plan for 2022. All current customers should have been notified by mail of their next steps for renewing their coverage. We encourage all customers to shop and compare plans this year – make sure you have the right plan for you for 2022 and get all the financial help you can.
- Did You Lose Your Job in 2021? If you received unemployment income in 2021 and additional financial help in 2021, you may see some changes to your financial help in 2022.
Taxpayers that were eligible for, or that collected Unemployment Insurance (UI) benefits at any time in 2021, were automatically considered to have an annual income at 133% of the Federal Poverty Level ($12,880 for one person) and were eligible for a nearly $0 premium benchmark silver plan with comprehensive cost-sharing subsidies in 2021.
Now, these individuals need to re-evaluate their health insurance coverage options for 2022 and take action to see if they qualify for financial help to lower their health insurance costs. There is still financial help available in 2022, and only through Access Health CT.
Still have questions? Remember, all help is FREE!
Whether you have questions about your eligibility, comparing plans, or want to see if you qualify for financial help; our team is ready and available to help!
- Visit our website at AccessHealthCT.com
- Live chat: AccessHealthCT.com click “Live Chat” icon
- Phone: 1-855-805-4325 ; customers who are deaf or hearing impaired may use TTY at 1-855-789-2428 or call with a relay operator (we speak over 100 languages)
- Find Enrollment Specialists in the community
- In-person help at one of our Enrollment Locations (Hours & Directions)
- East Hartford
- New Haven