WPS Health Insurance

Frequently Asked Questions about the new Marketplace

Affordable Care Act begins a new chapter

What is the Health Insurance Marketplace?
The Marketplace is a new way to find health insurance as part of the Affordable Care Act. It’s designed for people who are uninsured or for those who currently buy individual policies. Private insurance plans still will be available without going through the Marketplace.

How does the Marketplace work?
The Marketplace plans are based on where you live, your family size, the type of plan you select, your age and whether you smoke. You’ll be able to compare plans based on price, benefits, and other features. Plans are presented in four categories – bronze, silver, gold, and platinum – to make comparing them easier.

What are the key dates?
Open enrollment starts October 1, 2013, for coverage that begins as soon as January 1, 2014. Open enrollment ends March 31, 2014.

How do I apply?
If you live in Wisconsin, go to HealthCare.gov to apply for coverage, compare plans, and enroll.

Is there financial assistance through the Marketplace?
Some people will qualify for subsidies, or tax credits, to help pay the premiums. There also are cost-sharing subsidies to reduce deductibles and copayments. It all depends on your income.

What if I already have health insurance?
If you have insurance through your employer, Medicare or Medicaid, it’s likely you won’t need to shop for coverage on the new Marketplace.

Is WPS on the Marketplace?
WPS leaders took a controlled approach with a regional Marketplace offering through Arise Health Plan, a wholly owned subsidiary of WPS. Arise will offer both on- and off-Marketplace individual and small group plans. WPS won’t be on the Marketplace for 2014, but it still will offer individual and small group plans, and a short-term plan.

Where is Arise Health Plan offered?
Arise is a new arrival to Milwaukee County and southeastern Wisconsin, where it will provide a fresh option for customers shopping on the Marketplace. Besides Milwaukee County, Arise also will provide Marketplace insurance in these other counties: Brown, Calumet, Dodge, Door, Fond du Lac, Kenosha, Kewaunee, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Oconto, Outagamie, Ozaukee, Racine, Shawano, Sheboygan, Taylor, Walworth, Washington, Waukesha, Waupaca, Winnebago, and Wood.

Sources: HealthCare.gov, Kaiser Health News