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

February 18, 2017 Press Release

Congresswoman Marcy Kaptur (OH-09) will host a conference call and open press discussion with residents of northern Ohio who will share firsthand accounts of the impact the Affordable Care Act (ACA) has had on their lives.  In light of talk and confusion from Congressional Republicans and the Trump Administration on their plans to dismantle the ACA, Kaptur will outline current discussions in Washington and share the experiences of a few Ohio residents advocating that important coverage and access to health insurance remain in place.

January 14, 2017 Press Release

FOR IMMEDIATE RELEASE

January 14, 2017
Contact: Josh Stewart, (202) 225-4146 or Joshua.Stewart@mail.house.gov 

December 13, 2016 Press Release

HHS Report to House Appropriators Confirms: Rising Prescription Drugs Prices are driving up Federal Health Spending

October 13, 2016 Press Release

FOR IMMEDIATE RELEASE

Thursday, October 13, 2016
Contact: Nicole Dailey Jones (Kaptur), (202) 225-4146 & (202) 225-5411 or Marcy.KapturPress@mail.house.gov

  

September 22, 2016 Press Release

Washington, DC — Congresswoman Marcy Kaptur (OH-9), today praised the unexpected inclusion in a Senate budget provision that would allow for $37 million in frontloaded spending to address the heroin and opioid epidemic.

September 21, 2016 In The News

FEATURED EDITORIAL

Before Congress recesses for the election season, it has one very important piece of business to conduct — the funding of the recently passed Comprehensive Addiction and Recovery Act.

There should be no debate, no partisan bickering. Failure by congressmen to reach a deal to fund the opioid overdose fight would be irresponsible and a dramatic failure in meeting the needs of the constituents they serve.

September 21, 2016 In The News

WASHINGTON (Gray DC) -- Maine Congressman Bruce Poliquin knows the effects of addiction all too well.

"He would be with us today if he were able to solve this problem," Poliquin (R-ME-2) said.

Poliquin lost his brother to drug and alcohol abuse after a decades-long struggle. Now, Poliquin is asking House leadership for help so other families can get treatment before it’s too late.

“We need to make sure we have the funding necessary to take care of those in need," Poliquin added.

September 21, 2016 In The News

WASHINGTON (Gray DC) -- "If they care about life this is an arena where we need a lot of attention," Ohio Congresswoman Marcy Kaptur (D-OH-9) said.

According to the National Institute on Drug Abuse, every 25 minutes a baby is born with opioid withdrawal. It’s just one consequence of America’s drug crisis.

"Just imagine starting your life out with the tremors, the shakes, the sensitivity to light, to touch, to sound," West Virginia Congressman Evan Jenkins (R-WV-3) added.