Health Care Reform

The Affordable Care Act (ACA) of 2010 made many changes to health care in the U.S., including expansion of coverage for the uninsured and reforms of the health insurance industry.  As of 2014, every individual is required to have health care coverage or pay a federal penalty.  Health plans must cover preventive services and immunizations at 100%, and young people are able to stay on their parents’ insurance until age 26.

For each U-M plan, you can view a Summary of Benefits and Coverage, which allows you to easily compare plan options using a consistent set of information.

Expanded Coverage

In 2016, U-M will offer medical coverage to employees who are newly eligible under the Employer Shared Responsibility (ESR) provision of the ACA, including temporary employees who are considered “full time.”

Health Insurance Marketplace

Employees who are not eligible to enroll in a U-M health plan may want to consider purchasing insurance through the Health Insurance Marketplace.

The Marketplace offers “one-stop shopping” to find and compare private health insurance options.  In the Marketplace, you could be eligible for a new kind of tax credit that lowers your monthly premiums and cost-sharing reductions (amounts that lower your out-of-pocket costs for deductibles, coinsurance, and copayments) right away, and you can see what your premium, deductibles, and out-of-pocket costs will be before you make a decision to enroll.  Through the Marketplace you’ll also learn if you qualify for free or low-cost coverage from Medicaid or CHIP.

To find out more about enrolling in the Marketplace, such as when the next open enrollment period will be and what you need to know about qualifying events and special enrollment periods, visit HealthCare.gov.