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 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, 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

October 2, 2020 Press Release

Washington, D.C. – Today, Congresswoman Marcy Kaptur (D-OH-9), along with U.S. Senator Sherrod Brown (D-OH) and Representatives Joyce Beatty (D-OH-3), Tim Ryan (D-OH-13), and Marcia Fudge (D-OH-11), Chairwoman of the House Subcommittee on Elections, penned a letter to Ohio Secretary of State Frank LaRose urging him to immediately take action to protect the health and safety of Ohio voters and poll workers in this upcoming election.

 

October 1, 2020 Press Release

Washington, D.C. — Today, Representative Marcy Kaptur (D-OH), senior Member of the House Appropriations Committee, released the following statement after she joined the House in voting to pass Democrats’ updated version of The Heroes Act. The bill addresses needs that have developed since the House passed an earlier version in May and reflects bipartisan negotiations between Congressional Democrats and Republicans.

 

September 23, 2020 Press Release

Toledo, OH – Today, Congresswoman Marcy Kaptur (D-OH) and state Senator Teresa Fedor (D-Toledo) announced that $650 million in federal funding will be distributed to Ohio local governments, with more than $30 million going to communities and villages throughout Lucas County. The additional funding was amended on Tuesday into House Bill 614 in an effort to speed up passage in the Ohio House of Representatives.

September 21, 2020 Press Release

Washington, D.C. — Today, Congresswoman Marcy Kaptur (D-OH), released the following statement announcing that the City of Toledo has been awarded $5,700,000 in federal funding to mitigate exposure to lead based paint and other housing-related health and safety hazards among children and families in the Toledo community. $5,000,000 is being administered by the Department of Housing and Urban Development (HUD)’s Lead Hazard Reduction (LHR), which works to protect children from lead exposure.

July 16, 2020 Press Release

Toledo, OH – Today, Congresswoman Marcy Kaptur (D-OH) released the following statement after the University of Toledo announced it will stay UTMC’s RFP process slowing decisions from entities interested in purchasing, leasing, or otherwise acquiring the University of Toledo Medical Center. Instead, the University announced it will focus on stabilizing the medical center’s finances and explore alternative community partnerships.

 

July 2, 2020 Press Release

Washington, D.C. – Today, Congresswoman Marcy Kaptur (D-OH), sent the following letter to Ohio Governor Mike DeWine, Ohio Senate President Larry Obhof, and Ohio House Speaker Larry Householder urging them to immediately pass legislation releasing the remaining $900 million provided to Ohio by the federal government to aid in the State’s coronavirus response.

June 29, 2020 Press Release

Washington, D.C. — Today, Representative Marcy Kaptur (D-OH), senior Member of the House Appropriations Committee, voted in support of H.R. 1425, the Patient Protection & Affordable Care Enhancement Act. The legislation takes dramatic steps to lower the costs of healthcare and prescription drugs, expand access to affordable healthcare, and strengthen protections for people with preexisting conditions.

 

June 24, 2020 Press Release

Washington, D.C. – Today, Congresswoman Marcy Kaptur (D-OH) announced $86,960,502 in federal funding for safety net hospitals across Northern Ohio as a result of the Coronavirus Aid, Relief, and Economic Security Act (CARES Act) passed by Congress. The funding is being administered by the Department of Health and Human Services, which is distributing $10 billion in Provider Relief Funds to safety net hospitals across the country that serve our most vulnerable citizens.

 

June 22, 2020 Press Release

Washington, D.C. – On Monday, Congresswoman Marcy Kaptur (D-OH) and Congressman Bob Gibbs (R-OH) continued their bipartisan push to provide financial relief for hospitals hurt by the coronavirus pandemic. Kaptur and Gibbs are joined by 40 colleagues introducing The COVID-19 Hospital Forgiveness Act, which forgives loans made to hospitals and healthcare providers through the Medicare Accelerated and Advance Payments program.

 

June 8, 2020 Press Release

Washington, D.C. – Rep. Marcy Kaptur (D-OH) and U.S. Sen. Sherrod Brown (D-OH) are demanding answers from the Federal Bureau of Prisons (BOP) as COVID-19 cases at the Federal Correctional Institution, Elkton in Ohio (FCI Elkton) are continuing to rise.