Beginning January 1, 2025, children under 6 years of age with Medicaid or Child Health Plus (CHP) will maintain insurance coverage through the end of the month in which they turn 6, regardless of any change in household income. Note that this continuous coverage provision only applies to children with monthly CHP premiums of $0, $15, [...]

Medicare’s Annual Election period, running from October 15 – December 7, 2024, provides an opportunity for people in Original Medicare with a Part D plan, or those in a Medicare Advantage Plan, to review their plan options for 2025 and make any changes.  Beneficiaries with Original Medicare can switch Part D plans; those in Medicare Advantage [...]

Medicare Part D plans, which cover prescription drugs, will have a maximum out-of-pocket cost of $2,000 beginning in 2025.  The $2,000 includes any plan deductible, copays and coinsurance; premiums are not included in this amount.  Should someone reach $2,000 in out-of-pocket costs, the Part D plan will cover the costs of their medications in full for [...]

Both the Essential Plan and Qualified Health Plans have expanded the citizenship/immigration criteria to include individuals granted deferred action through the Deferred Action for Childhood Arrivals (DACA) program. Essential Plan’s inclusion of DACA recipients is effective August 1, 2024, and Qualified Health Plans inclusion will be November 1, 2024.The expansion allows DACA recipients with higher incomes [...]