Starting in 2022, there are new protections that prevent surprise medical bills. It also establishes an independent dispute resolution process for payment disputes between plans and providers, and provides new dispute resolution opportunities for uninsured and self-pay individuals when they receive a medical bill that is substantially greater than the good faith estimate they get from the provider. You must contact the Marketplace Call Center within 60 days from the date your income changed.The No Surprises Act protects people covered under group and individual health plans from receiving surprise medical bills when they receive most emergency services, non-emergency services from out-of-network providers at in-network facilities, and services from out-of-network air ambulance service providers. In these cases and if your income is at or below 150% FPL, you may qualify for a Special Enrollment Period that allows you to enroll in a Marketplace plan any time of year. You’ll find out for sure when you submit an application. If your income increases to above 400% FPL, you may still qualify for savings. If your expected yearly income increases so it’s between 100% and 400% of the federal poverty level (FPL), you become eligible for a Marketplace plan with advance payments of the premium tax credit (APTC).If you’re 30 or older and want to enroll in a "Catastrophic" plan, you must claim an exemption to qualify. If you’re under 30 years old, you can enroll in a "Catastrophic" plan. You may qualify for a "Catastrophic" health plan.Check how to get low-cost care in your community. These centers provide services on a sliding scale based on your income.
The health care law has expanded funding to community health centers, which provide primary care for millions of Americans. You can get care at a nearby community health center.If you don’t qualify for either Medicaid or Marketplace savings Check if you qualify for a Special Enrollment Period.
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