5 Things Shared Economy Workers Need to Know About Health Insurance
Itâs February and that means the deadline to buy health insurance through the Affordable Care Act marketplace is fast approaching. Until Feb. 15, Americans can choose from a wide variety of options for coverage that will last them through the end of 2015. Â (You won't have another chance to purchase coverage for this year unless you have a qualifying life event.)
If, like many workers in the sharing economy, you donât get health insurance through your employer, here are five things you need to know about getting covered:
1. Health insurance is probably more affordable than before.
The primary goal of the ACA, or Obamacare, is to make health care affordable to all Americans, partly through the use of tax credits, or subsidies. The âpremium tax creditâ is like a discount on your monthly insurance premium. Individuals with incomes up to $46,680 in 2015 are eligible for premium tax creditsâand this amount goes up with family sizeâso itâs worth checking whether you qualify. How much assistance you receive is based on your annual income and the size of your family.
READ MORE: Do you qualify for a tax credit for health insurance?
There are also cost-sharing subsidies that lower the amount of out-of-pocket health insurance expenses like deductibles, coinsurance, and copaymentsâthese are available to individuals with an income up to $29,175 in 2015.
READ MORE: Cost-saving reductions and who qualifies
2. Thereâs a tax penalty (read: youâll owe money) if you donât have health insurance.
The Affordable Care Act requires all Americans who could afford it to have basic health insurance coverage starting Jan. 1, 2014. The requirement is intended to promote âindividual responsibility,â according to the U.S. Department of Health and Human Services. Those without health insurance are subject to a âtax penaltyââa dollar amount determined by your income and family size, and taken out of your taxes.
Calculate what the penalty will cost you here
Taxes are already complicated enough for sharing economy workers, and the health law has added an extra burden to your plate. Exemptions from the penalty are available, but youâll have to do some additional work to qualify for an exemption, like filling out the appropriate paperwork. If you arenât exempt and you donât have health insurance, you will be penalized come tax time. For 2014, the penalty for going without coverage was $95 per uninsured adult and $47.50 per uninsured child under 18, up to a family maximum of $285âor 1% of your income, whichever is higher. The penalty goes up for 2015, and every year after that.
READ MORE: Do you qualify for an exemption from the penalty?
3. You and your family will get a number of free services with your new health insurance.
If youâve been without health insurance for a while, youâve probably skipped most of your preventive care. Preventive medicine is health care that helps to reduce the risk of certain diseases or conditions later in life. Itâs something weâre told can reduce our nationâs health care costs in the long run. And under the Affordable Care Act, much of it is free.
Some services are available for only certain age or demographic groups, and some may be available only a certain number of times. But procedures such as screenings for depression and high blood pressure are free and available to all adults under any plan. Take time out of your busy schedule to get your free preventive care.
One thing: Double check that your doctor bills these services as preventive, not diagnostic or other. Otherwise, youâll be charged for them.
READ MORE: This is whatâs free under the new health law
4. You have lots of options; learn about them first.
Affordable Care Act plans are organized into four metal tiers. The four tiers, in increasing order, are Bronze, Silver, Gold and Platinum. Higher metal tiers have higher monthly premiums, but lower cost sharing (meaning youâll pay less when you access care). If your line of work involves taking on more risk than the average person (lots of driving or physical labor, for example), itâs worth considering a higher level of coverage.
Youâll also be able to choose between plan types such as HMO, PPO and EPO. These plans differ in terms of how much they cost in monthly premiums and flexibilityâthat is, the doctors youâll be able to visit.
READ MORE: HMO, PPO or EPO?
5. Your deadline to sign up is Feb. 15, unless you have a âqualifyingâ event.
The latest open enrollment period began Nov. 15, 2014, and runs through Feb. 15. During this period you can enroll, switch plans and get subsidies. After that, the next open enrollment period isnât until October.
However, you can apply for a special enrollment period if you experience a qualifying life event such as the birth of a child or the loss of your job-based health insurance. For workers with lots of changes in employment during the year, qualifying life events could be a saving grace if you need health insurance.
READ MORE: What counts as a qualifying life event?












