CMS Cost Sharing Protections for AI AN Brochure - Centers for Medicare . . . There are two types of cost-sharing reductions based on your FPL You do not have to pay copayments, deductibles, or coinsurance when getting care from an Indian health care provider or when getting essential health benefits through a Marketplace plan
Premium Tax Credits Cost Sharing - Tribal Self-Governance One point on the Indian-specific cost-sharing reductions: no matter your income, an enrolled Tribal member is eligible for the Indian-specific cost-sharing reductions (CSRs) – For an enrolled Tribal member with household income between 100% of the federal poverty level (FPL) and 300% FPL, and is eligible for premium tax credits, the
Cost-Sharing Reductions MNsure American Indians or Alaska Natives who are members of a federally recognized tribe receive cost-sharing reductions using different income guidelines Their cost-sharing reductions are available in all metal levels: bronze, silver, gold and platinum
Health Care Coverage for American Indians and Alaska Natives cost-sharing reductions A discount that lowers the amount you have to pay for deductibles, copayments, and coinsurance In the Health Insurance Marketplace®, cost-sharing reductions are often called “extra savings ”
45 CFR 156. 410 -- Cost-sharing reductions for enrollees. A QHP issuer must ensure that an individual eligible for cost-sharing reductions, as demonstrated by assignment to a particular plan variation, pays only the cost sharing required of an eligible individual for the applicable covered service under the plan variation
Health Insurance for American Indians and Alaska Natives Al ANs can enroll in a zero-cost sharing or limited cost-sharing plan at any metal level, including less expensive bronze plans Al ANs who qualify for cost-sharing reductions are not exempt from premiums However, they may qualify for Advance Premium Tax Credits depending on income
45 CFR § 155. 350 - LII Legal Information Institute (a) Eligibility for cost-sharing reductions (1) The Exchange must determine an applicant who is an Indian eligible for cost-sharing reductions if he or she— (i) Meets the requirements specified in § 155 305(a) and § 155 305(f);
Working with American Indians and Alaska Natives AI ANs can enroll in a zero cost sharing or limited cost sharing plan at any metal level AI ANs who qualify for cost sharing reductions (CSR) are not exempt from premiums However, they may qualify for advance payments of the premium tax credit (APTC), depending on income
How the Affordable Care Act Impacts American Indian and Alaska Native . . . Exemptions from cost-sharing: Regardless of income, tribal members who purchase a plan through the Marketplace are eligible for a limited cost-sharing exemption when receiving services from or through an Indian health provider 910 Tribal members who are