Health Care Reform

What is the Health Care Reform?
Health Care Reform, also called the Affordable Care Act (ACA), was signed into law in March 2010. It aimed to make both health insurance and health care affordable and accessible to the population.
The ACA states that health insurance must have three key parts:

  • Essential health benefit coverage
  • Preventive services at no cost
  • Expanded access to coverage

Those who do not purchase health coverage may be subject to a penalty. However, there are certain groups that are exempt from coverage and paying penalties. To find out if you may be exempt, please visit healthcare.gov

What is a subsidy?

A subsidy is financial support that helps you pay for something. The federal government offers two kinds of subsidies for individuals and families on the Marketplace:

  • The Advanced Premium Tax Credit – helps by lowering your monthly health insurance payment, or premium.
  • Cost Sharing Reduction – helps reduce out-of-pocket costs

Am I eligible for a subsidy?

While you are applying for insurance on the federal marketplace, you will find out if you are eligible for a subsidy that can lower your monthly premium. The amount of the subsidy is dependent on the household income you stated on your application along with household size and the cost of health insurance in your state.

What is the Marketplace?

The Marketplace (or the Health Insurance Marketplace) is the platform that allows those without insurance to purchase health care coverage either as an individual or family. Individuals and families can purchase plans in four metallic levels with each having their own cost, benefit levels and plan details.

What is preventive care and what do we cover? 

Preventive care consists of various services (as recommended by the Affordable Care Act) that covered at 100% (meaning no copayment or coinsurance) when you visit an in-network provider. A full list of these services can be found at healthcare.gov.

Where and when can I enroll for coverage?

During open enrollment, which runs from November 1 through January 31, individuals and families can officially enroll in a plan. However, Together with CCHP offers support through brokers who can answer questions and guide you to the right plan for your and/or your family. For help enrolling, contact Sales at 844-708-3837.
However, if you do not enroll during this period, there are “Special Enrollment Periods” where specific qualifying events allow you to enroll in a health insurance plan :

  • You had a baby or adopted a child
  • You got married
  • You moved
  • You lost coverage under a previous plan

For a full list of qualifying life events, visit healthcare.gov.

Who do I contact for help with enrolling?

Together with CCHP has a dedicated sales team that is available Monday through Friday, 8:00 a.m. to 5:00 p.m. to answer your questions including questions about enrollment, plan designs, and applying for subsidies. They can also assist you in finding a local licensed agent.


Children's Community Health Plan

PO Box 56099
Madison, WI 53705

Together with CCHP

Children's Community Health Plan

PO Box 1997, MS 6280
Milwaukee, WI 53201


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