–Those with iincomes of 100-400 percent of federal poverty levels will have their out-of-pockeet costs limited, as follows:
For incomes 100-200% – by two-thirds
For incomes 200-300% – by one-half
For incomes 300-400% – by one-third
–In addition, those with household incomes between 100 and 150% of the poverty line will be assured that at least 90% of all health care costs are covered; and those with 150-200% will have at least 80% of all health care costs covered. Capitated payments from the government to the health plans may be used to accomplish these figures.
–No cost sharing for Native Americans will be allowed. Indians with less than 300% of the federal poverty line will be covered at 100% of all health care costs.
–Individuals enrolling in an individual health care plan through an exchange will have to provide their name, address, proof of immigration status, income information, name, address, and employer tax ID number, if you’re a full-time employee, and if your employer provides minimum essential coverage. You may be able to apply only if you certify that your employer’s minimum essential coverage is unaffordable.
–Both the Commissioner of Social Security and the Director of Homeland Security will be cross-checking social security numbers and names and addresses to verify eligibility for tax credits.