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 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 26, 2017 Press Release

Washington, D.C. – Congresswoman Marcy Kaptur (OH-09), the Dean of the Ohio Delegation, released the following statement after news that President Donald Trump, three months after an initial announcement to declare a national emergency, would formally issue an order declaring the opioid crisis a public health emergency.

October 13, 2017 Press Release

Washington, D.C. – Congresswoman Marcy Kaptur (OH-09) today issued the following statement in response to President Donald Trump’s health care executive order and news that he will cease Cost Sharing Reduction (CSR) payments which help reduce insurance premiums for Americans. 

October 11, 2017 Press Release

Washington, D.C. – Today, Congresswoman Marcy Kaptur (OH-09) was joined by Congressman Tim Ryan (OH -13), Congresswoman Marcia L. Fudge (OH-11) and Congresswoman Joyce Beatty (OH-03) in writing a letter to Center for Medicare and Medicaid Services Administrator Seema Verma regarding the Trump Administration’s handling of the upcoming open enrollment period, asking for detailed answers regarding cuts in services and outreach programs that help citizens enroll in health care plans.

October 6, 2017 Press Release

Washington, D.C. – Congresswoman Marcy Kaptur (OH-09), today cosponsored the Community Health Investment, Modernization and Excellence (CHIME) Act of 2017. This bipartisan legislation extends the Community Health Centers Fund (CHCF) for five years, which supports Community Health Centers across the country and increases funds to ensure responsiveness to demand for care. The current funding expired on September 30, 2017.

September 26, 2017 Press Release

Washington, D.C. – Congresswoman Marcy Kaptur (OH-09) today wrote a letter, along with three dozen colleagues, asking U.S. Department of Health and Human Services (HHS) Inspector General Daniel R. Levinson to provide details regarding HHS Secretary Tom Price’s use of private jets at taxpayer expense.

September 22, 2017 Press Release

Washington D.C. – Congresswoman Marcy Kaptur (OH-09), today released the following statement regarding news that due to funding cuts by the Center for Medicare and Medicaid Services (CMS), the Ohio Association of Food Banks (OAFB) will be forced to exit the Affordable Care Act Navigator program.

September 21, 2017 Press Release

Washington D.C. – Congresswoman Marcy Kaptur (OH-09) today announced that the White House Office of National Drug Control Policy (ONDCP), as part of the Drug-Free Communities Program, will award just over $170,000 in funds to coalitions in Lorain and Erie Counties that seek to prevent substance use among young people. Communities that Care of Lorain County will receive $46,050 and Partners for Prevention of Erie County in Sandusky will receive $125,000.

September 12, 2017 Press Release

Washington, D.C. – Congresswoman Marcy Kaptur (OH-09) today sent a letter urging the Trump administration to release promised funding for the Affordable Care Act’s Navigator enrollment assistance grant program. The letter was led by Congresswoman Carol Shea-Porter (NH-01) and cosigned by 31 House Democrats.

August 10, 2017 Press Release

Washington, D.C. -- Congresswoman Marcy Kaptur (OH-09), the Dean of the Ohio Delegation, released the following statement after President Donald Trump declared a national emergency over the opioid crisis:

“This is a good step to provide potentially life-saving relief to the millions of Americans suffering from this crisis. Ohio is the epicenter of this crisis, and I know many families will welcome the lifeline of funding that this action will bring.

August 9, 2017 Press Release

Washington, D.C. -- Congresswoman Marcy Kaptur (OH-09), joined a letter to President Donald Trump following on the initial findings of The Commission on Combating Drug Addiction and the Opioid Crisis. The letter comes after the commission missed two self-imposed deadlines and urges the President to support increased funding for treatment and recovery services.