ACA Frequently Asked Questions – VA, Affordable Care Act and You

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frequently asked questions

what is the health insurance marketplace open enrollment period for coverage beginning in 2022?

The Health Insurance Marketplace open enrollment period is from November 1, 2021 to December 15, 2021.

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what is the affordable care act?

The Affordable Care Act, also known as the Health Care Act, was created to give more Americans access to affordable health insurance, improve the quality of health care and health insurance, and reduce spending on health care in the usa uu.

The health insurance marketplace helps people find health coverage. in the marketplace, some people may be eligible for lower costs on health premiums and out-of-pocket costs based on their income.

what if I don’t have health coverage?

va is committed to ensuring that veterans are aware of opportunities to meet the health care reform act’s minimum essential standards of coverage, either through enrollment in va or by purchase insurance offered by the health insurance market.

will you notify the irs about the health care coverage provided to each veteran and eligible beneficiary?

yes. VA will send eligible veterans and beneficiaries a letter and IRS Form 1095b that will provide details of VA-provided health care coverage for the prior year. As required by law, VA will also notify the IRS.

If I am enrolled in a VA health care program, am I eligible for health care coverage?

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yes. If you are enrolled in any of the VA programs below, you are covered under the standards of the health care law:

• veterans health care program
• medical and civil health program (champva)
• Spina Bifida Health Care Program

what are the benefits of enrolling in va health care?

Enrolling in VA health care means you have:

• medical care ranked among the best in the us. uu.
• immediate benefits of health care coverage. veterans can apply for va health care enrollment at any time.
• No enrollment fee, monthly premiums or deductibles. most veterans have no out-of-pocket costs. some veterans may have to pay small copays for medical care or prescription drugs.
• Over 1,500 locations available to receive your care. this means your coverage can go with you if you travel or move.
• met the new requirement to have health care coverage that meets the minimum standard.

how do i sign up for va health care coverage?

Can I continue to use VA health care with other programs, like private insurance or federal health care programs?

yes. You can continue to use VA for all of your health care needs, or supplement your VA care with private health insurance or coverage from other federal health care programs, including Medicare, Medicaid, and Tricare.

what is the health insurance market?

The Marketplace is a way to find and buy private health insurance (for example, health coverage that isn’t a health care program) that fits your budget and meets your needs. People who buy insurance through the Marketplace can lower the costs of health insurance coverage by paying lower monthly premiums.

I am enrolled in a va health care program. Will I be eligible for assistance paying for health insurance premiums in the Marketplace if I choose to purchase health care outside of VA?

because va care meets the health care coverage standard, you would not be eligible for assistance in lowering the cost of health insurance premiums if you choose to purchase additional health care coverage outside of va. however, you can still purchase private health insurance in or out of the marketplace to supplement your VA health care coverage.

how will i know if i am eligible for help buying health insurance outside of virginia?

va cannot make this determination. By using the Marketplace, you’ll find out if you can get lower costs on your monthly premiums for private health insurance plans. Remember, if you are enrolled in a VA health care program, you do not need to take any additional steps to meet the health coverage requirements under the health care law.

Are my family members (who are not eligible for the VA or other federal health care programs) eligible for help buying health insurance?

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Your family members who are not enrolled in a VA health care program must use the Marketplace to get coverage. they can get lower costs in monthly premiums or out-of-pocket costs. They may be eligible for free or low-cost coverage through Medicaid or the Children’s Health Insurance Program (CHIP). For more information, visit www.healthcare.gov.

can I still enroll through the health insurance marketplace even when we’re not in an open enrollment period?

People with a qualifying life event can enroll in health coverage or change their coverage outside of the open enrollment period and have it effective for that coverage year. this is called the special enrollment period. qualifying life events include having a baby or getting married. Visit www.healthcare.gov/coverage-outside-open-enrollment to learn more about these qualifying life events and other circumstances for special enrollment.

can i cancel my va medical coverage?

yes; however, acceptance of future VA health care coverage will be based on eligibility factors at the time of application, which may result in denial of health care coverage.

do i need to report to the irs that i had health care coverage in 2020?

yes. line 61 on the internal revenue service form 1040, line 38 on the 1040a, and several other entries on irs income tax forms require taxpayers to self-report whether they had health care coverage in 2020.

will my health care enrollment satisfy the irs requirement to have health insurance?

yes.

Where can I get more information?

For information about VA health care and the Affordable Care Act, visit the VA website at www.va.gov/health-care/about-affordable-care-act/, or call 1- 877-222-vets (8387), Monday through Friday from 8 a.m. to 5 p.m. m. to 8 p.m. m. Oriental. For marketplace information, visit www.healthcare.gov or call 1-800-318-2596.

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