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New looser ACA "Hardship Exemptions" being handed out
Old 09-16-2018, 03:19 PM   #1
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New looser ACA "Hardship Exemptions" being handed out

The CMS has issued new guidance for issuing a "Hardship Exemption" under the ACA. Basically they will not require any documentation for the exemption and will hand them out like candy.

This may be useful in getting access to a Catastrophic plan, which is usually only for 30 yo or less. These plans are lower priced due to the healthier / younger age group. With an exemption older people can get these plans.

https://www.cms.gov/CCIIO/Resources/...inal-91218.pdf
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Old 09-16-2018, 03:46 PM   #2
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Good to know. Thanks.
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Old 09-16-2018, 05:39 PM   #3
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That should only be needed for this year (2018), the repeal of the mandate to have insurance takes effect in 2019.
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Old 09-16-2018, 10:45 PM   #4
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Originally Posted by zinger1457 View Post
That should only be needed for this year (2018), the repeal of the mandate to have insurance takes effect in 2019.
I'm interested in catastrophic plans two or three years from now as my kids mature off my current Silver plan, but I will be 52 or so by then. It seems to me that the hardship exemption would still be necessary to get the catastrophic plan even if there is no shared responsibility payment.

ETA: From my read of the link in the OP, the flexibility is only being done for 2018. Sigh.
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Old 09-17-2018, 06:15 AM   #5
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Originally Posted by jim584672 View Post
This may be useful in getting access to a Catastrophic plan, which is usually only for 30 yo or less. These plans are lower priced due to the healthier / younger age group. With an exemption older people can get these plans.

https://www.cms.gov/CCIIO/Resources/...inal-91218.pdf
The link says "This change would apply to 2018 only". This seems to imply the regular hardship exemption process applies to 2019 ACA catastrophic plans.

Also: "Consumers should keep with their other tax records any documentation that demonstrates qualification for the hardship exemption."
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Old 09-17-2018, 06:24 AM   #6
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Perhaps even more interesting is the expanded criteria available to get get an exemption.

The following was cited as a footnote in the original posted document.

https://www.cms.gov/CCIIO/Resources/...n-Guidance.pdf
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Old 09-17-2018, 06:30 AM   #7
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Quote:
Originally Posted by jim584672 View Post
....This may be useful in getting access to a Catastrophic plan, which is usually only for 30 yo or less. These plans are lower priced due to the healthier / younger age group. With an exemption older people can get these plans. ....
From what I understand, premiums for catastrophic coverage are not very different from the cost of a bronze plan in a lot of states. I recall pricing it out in Florida and it wasn't much different from the premiums for a bronze plan.

However, in Vermont, where age rating is prohibited, it is about 1/2 of the cost of a bronze plan.... we currently pay about $250/month each... networks are identical and coverage is similar. I suspect that NY may be the same story as I know they do not allow age rating.

With the cost of bronze coverage we find it easy to manage our income to qualify for the affordability exemption... lowest cost bronze plan exceeds 8.16% of income.
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