Friday, January 9, 2015

List of insurance plans that qualify as "Minimum Essential Coverage" under ACA

The plans highlighted in green below qualify as Minimum Essential Coverage (MEC) under the Affordable Care Act (ACA).  Most reasonably comprehensive insurance available for purchase in 2016 qualified as MEC.   Taxpayers who have coverage under the plans highlighted in green below will not be subject to Shared Responsibility Payments (i.e., tax penalties) under the ACA.

Qualifies As Minimum Essential Coverage
Employer-sponsored coverage:
·       Employee coverage (including self-insured plans)
·       COBRA coverage
·       Retiree coverage
Individual health coverage:
·       Health insurance you purchase from an insurance company directly
·       Health insurance you purchase through the Health Insurance Marketplace
·       Health insurance provided through a student health plan

Coverage under government-sponsored programs:
·       Medicare Part A coverage
·       Medicare Advantage plans
·       Most Medicaid coverage (see here for exceptions)
·       Children’s Health Insurance Program (CHIP)
·       Most types of TRICARE coverage under chapter 55, title 10 of the United States Code (see here for exceptions)
·       Comprehensive health care programs offered by the Department of Veterans Affairs
·       State high-risk health insurance pools (only for a plan year beginning on or before December 31, 2014, unless recognized as minimum essential coverage by HHS)
·       Health coverage provided to Peace Corps volunteers
·       Department of Defense Nonappropriated Fund Health Benefits Program
·       Refugee Medical Assistance

Source: IRS link

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