Congresswoman Marcy Kaptur

Representing the 9th District of Ohio

Health Care

I am pleased to provide you with information to help you connect with local healthcare resources that can provide enrollment assistance for the Affordable Care Act (ACA).  While my office does not have the expertise to enroll people in the healthcare marketplace, we are happy to refer you to resources that will help you enroll and/or answer your questions.

You may also visit healthcare.gov or call the toll-free ACA consumer helpline at 1(800) 318-2596 to get your marketplace questions answered.  Or you can call United Way’s 211 Line find out about enrollment assistance in your area.

 

If you would prefer to talk to someone locally about signing up for health insurance, please see some of the options available to you below (more local healthcare resources can be seen at healthcare.gov):
CLEVELAND AREA:
Care Alliance Health Center: 216-781-6724
Riverview Tower, 1795 W. 25th St., 2nd Floor, Cleveland, OH
ELYRIA/LORAIN AREA:
Lorain County General Health District: 440-322-6367
9880 Murray Ridge Rd., Elyria, OH 44035
HURON/SANDUSKY AREA:
United Way Port Clinton-Sutton Center: 419-734-6645
1854 E. Perry St, #300, Port Clinton, OH 43452

Huron County General Health District: (419) 668-1652, ext. 269.
180 Milan Road, Norwalk, OH 44857
PARMA AREA:
Parma Health Ministry: 440-843-8087
7000 Ridge Road, Parma, OH 44129

Cleveland Marketplace Enrollment Team-Cognosante: 216-643-2941
6100 Oak Tree Blvd., Suite 200, Independence, OH 44131
TOLEDO AREA:
Toledo-Lucas County Health Department: 419-213-4100
635 N. Erie St. Room 27, Toledo, OH 43604
 

Things you need to know


What is a Health Insurance Marketplace or Exchange?

A Health Insurance Marketplace or Exchange is a new way that Americans can compare and shop for health insurance. US citizens and others who are legally in the US can sign up for health insurance through the Marketplace. You cannot be turned down, and you may even be able to get help paying for your new insurance.

Open Enrollment is currently closed. However, you can still get coverage for 2015 if you experience certain life changes: getting married, having a baby, losing other coverage, moving, or if you qualify for Medicaid or CHIP.


Do I have to sign up for health insurance?

You do need to sign up if you have no insurance, or if you are losing your coverage, or you are not eligible to be covered under an affordable, quality employer plan. If you don’t have insurance that qualifies as minimum essential coverage, you may have to pay a fee when you file your taxes.

You do not need to sign up if you care covered by Medicare, Medicaid for Elderly, Blind or Disabled, the VA health program, or a good and affordable insurance through your job or your spouse’s job.

Young adults can stay on their parents’ insurance until they turn 26, but they can also go to the Marketplace to see if they can get a less expensive insurance.
 

How much does it cost?

It does not cost anything to apply and learn what insurance plan options you qualify for, what the plans will cost per month, and what financial help you can receive.

Once you know your options, you can decide what health insurance plan is best for you and your budget.

You may qualify for a discount and/or tax credit from the federal government. The amount of financial assistance is calculated when you sign up.
 

What information do I need to sign up?

ID information for all members of your family (age, social security numbers, or legal permanent resident/green card or visa numbers).

Income for all family members – this is because you will have to estimate your 2014 family income to get your financial assistance (pay stub or tax forms, or other documents showing income).

Information about insurance offered through your job or your spouse’s job, even if you don’t take that insurance, including how much it costs for a single plan.
 

Important things to keep in mind after signing up:

You must pay your premiums (the amount you pay for your insurance) every month to keep your coverage.

Watch for information about the health insurance plan you select, such as a membership card or new member letter, which will help you get started with your new plan.

Report any changes in family income or number of people in your family by calling the Health Insurance Marketplace at 1-800-318-2596.

 

 

Health care, specifically health insurance coverage for all, mental health care, and medical liability coverage for healthcare providers, is one of the most important domestic policies today.

The Affordable Care Act emphasizes preventive medicine
 

The Affordable Care Act, which was signed into law on March 23, 2010, puts consumers in charge by ensuring access to quality, affordable health care. The non-partisan Congressional Budget Office (CBO) has determined that the law will provide coverage to 32 million more people, or more than 94 percent of Americans, while lowering health care costs over the long term.

This historic legislation will reduce the deficit by $210 billion over the next ten years, with $1.2 trillion in additional deficit reduction in the following 10 years.

Although people share different views about the proper course of reform, the Affordable Care Act is a responsible approach to the challenges of the 21st Century and will repair much of what needs fixed so that our country remains strong and competitive.
 

UNDERSTANDING THE AFFORDABLE CARE ACT

Read the text of the law here.

Read a summary of the bill here.

Read about how the law affects my constituents in Ohio's 9th District here.

Review the key features and timeline for implementation of the law here.

Read the CBO analysis of the budgetary impact of the reconciliation bill here.

Read the President's Executive Order prohibiting the use of federal funds for abortion here.

Read about the small business health care tax credit here.

Visit healthcare.gov to learn more about the law here.
 

More on Health Care

July 28, 2017 Press Release

WASHINGTON, D.C. – Congresswoman Marcy Kaptur (OH-09), Dean of the Ohio Delegation, released the following statement after the Senate voted down the latest push to repeal the Affordable Care Act:

“Let's hope this partisan driven chaos that was causing so much anxiety for the American people, is finally over. I am relieved the Senate rejected this ill-conceived ruse and all the Ohioans who gained the security of health insurance thanks to the Affordable Care Act can have peace of mind.

June 28, 2017 Press Release

Washington, D.C. – Congresswoman Marcy Kaptur (OH-09), the Dean of the Ohio Congressional Delegation, spoke on the House floor about Vice President Mike Pence’s visit to a Northeast Ohio manufacturing facility to discuss the flawed and harmful TrumpCare proposal. Kaptur was dressed in black to mark the GOP’s efforts to slash Medicaid.

Key excerpts from the speech:

June 26, 2017 Press Release

Washington, D.C. – Congresswoman Marcy Kaptur (OH-09) released the following statement after the nonpartisan Congressional Budget Office (CBO) released its analysis of the Senate’s anti-life measure to repeal Obamacare:

“Why are Republicans in Congress wasting precious time scheming in secret about how to take away health security from our most vulnerable -- our sick, our children, our seniors, the disabled and the mentally ill?

June 22, 2017 Press Release

Washington, D.C. – Congresswoman Marcy Kaptur (OH-09), Dean of the Ohio Delegation and the most senior woman serving in Congress, today released the following statement regarding the draft Senate health care bill:

“Health care is about life and death. Now that we have a draft bill from the Senate, ‎we know that Medicaid coverage will be heavily cut back. These are lifeline cuts to vital care and services for our children, seniors, those suffering from opioid addiction as well as the disabled and mentally ill.

June 22, 2017 Press Release

Washington, D.C. – Today, Congressman Mark Pocan (WI-02) and Congresswoman Marcy Kaptur (OH-09) introduced legislation that would hold drug manufacturers accountable for spiking the price of prescription drugs; the Stop Price Gouging Act, H.R. 2974, uniquely protects consumers and penalizes drug corporations that spike drug prices deliberately without justification. Earlier this month Senator Sherrod Brown (D-OH) and Senator Kirsten Gillibrand (D-NY) introduced a Senate version of the bill.

June 8, 2017 Press Release

"The recent move by Anthem to leave the health care exchange could cause real harm to the people of Ohio. Congress should be working together to build on the Affordable Care Act and address issues, but sadly President Trump and Republicans in Congress are intent on pushing their harmful bill that doesn’t fix the issues Americans are facing every day. Ohio isn’t the only state experiencing challenges, so we should we work in a bipartisan way to make sure all Americans can get quality, affordable insurance.

May 24, 2017 Press Release

Washington, D.C. — Congresswoman Marcy Kaptur (OH-09), released the following statement upon the release of the nonpartisan Congressional Budget Office (CBO) analysis of the American Health Care Act, also known as TrumpCare:

“The first rule of medicine is ‘do no harm’, well the jury is in, and this nonpartisan analysis confirms our worst fears regarding the House approved TrumpCare bill. It rips away health care from 23 million Americans so the millionaires and billionaires can get a tax cut. 

May 17, 2017 Press Release

Washington, D.C. — Congresswoman Marcy Kaptur (D-OH) joined Congressmen Elijah E. Cummings (D-MD), Bill Johnson (R-OH), Sander Levin (D-MI), Brian K.

May 4, 2017 Press Release

WASHINGTON, D.C. — Congresswoman Marcy Kaptur (OH-09), dean of the Ohio Congressional Delegation and senior-most woman in the House, today issued the following statement in advance of the expected vote on the American Health Care Act, also known as TrumpCare.

“It is shameful that Republican leaders in Congress are ramming through this bill before the American people, or Congress, can even read it.  

May 1, 2017 Press Release

WASHINGTON, D.C. — Congresswoman Marcy Kaptur (OH-09), Ranking Member of the Appropriations Energy and Water Subcommittee, today issued the following statement:

“Though imperfect, this compromise funding bill to fund the remainder of this fiscal year comes at a welcome time. Congress can now send a signal of stability and security to the American people. With this agreement, we will finally and fully fund federal agencies for the remainder of the year and avert another manufactured funding crisis.