Fact Sheet: What the Health Care Law Does for People Age 50 to 64

If you are 50 to 64, the health care law may benefit you in several ways. It makes health coverage easier to get and more affordable. Also, it adds important consumer protections and new insurance options.

Makes it easier to get health insurance

• If you have been uninsured for at least six months and have been denied coverage because of your health, you may be able to get coverage. This coverage – called the Pre-existing Condition Insurance Plan – is available in your state now. This program continues until the exchanges start in 2014, when everyone will have more health plan options to choose from.
  
• The law creates health insurance exchanges for those who can’t get coverage. Exchanges are new marketplaces where you will be able to buy health insurance. You’ll be able to compare the benefits and costs of health plans side-by-side and pick from several levels of coverage. This will allow you to find a plan that works best for you and your budget.
  
• You can get information on the cost of health insurance plans when the exchange begins enrollment in every state in late 2013. Coverage starts in 2014.
  
• All health plans sold in exchanges must cover essential health benefits. These include hospitalization, medical care, mental health services, prescription drugs and rehabilitative services.
  
• If you are eligible for insurance through an exchange and do not buy it, you will be subject to a penalty.
  

Makes coverage more affordable

• If you have insurance, you no longer have to pay some of the out-of-pocket costs for preventive care. This includes immunizations, mammograms, and other screenings for certain cancers and diabetes.
  
• Your state has the option in 2014 to make Medicaid available to more people. Your state can also decide not to make this change.
  
• You may be able to get tax credits to help you pay for the health insurance you buy in the exchange. The amount of help that you can get depends on your income.