Colorado Obamacare (Affordable Care Act) Facts 2022

What Colorado Residents Need to Know About Obamacare for 2022

Essential facts about the Affordable Care Act (ACA or Obamacare) in Colorado, including whether you must get health insurance, how much it costs, and how you can save money.

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How To Sign Up for Obamacare in Colorado
 
Do I Have to Get Health Insurance in Colorado?

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Last Reviewed: Tue, Jan 18, 2022

In Colorado, Affordable Care Act (Obamacare) open enrollment is over, but you may still qualify for 2022 coverage.

This website provides information about getting health insurance under the Affordable Care Act (ACA), including:

To begin, keep in mind these key points about health insurance in Colorado:

1. Colorado open enrollment has ended, but you may be able to use a special enrollment period to get covered.

In Colorado, open enrollment for 2022 Affordable Care Act (Obamacare) coverage has ended. This means that, unless you qualify for an exception or your income is low enough for Medicaid, you won't be able to get health insurance through Connect for Health Colorado until open enrollment for 2023 begins next fall.

If you’ve lost your job or significant income in the past 60 days, whether due to the COVID-19 pandemic or for any other reason, you might qualify for a special enrollment period (SEP). A SEP allows you to sign up for a new health insurance plan or change your current plan outside the open enrollment window.

In addition to job or income loss, many other qualifying events may make you eligible for a SEP. To learn more, see What Happens If I Missed the Colorado Obamacare Enrollment Deadline?

2. You may qualify for new Affordable Care Act subsidies.

Last year, President Biden signed the American Rescue Plan Act (ARPA). The law provides $1.9 trillion of federal aid to Americans struggling with the COVID-19 crisis. The relief measures include additional premium subsidies for those who purchase health insurance through Connect for Health Colorado. People who apply for 2022 coverage under a special enrollment period can access these subsidies, but the additional ARPA benefits are available only through the end of 2022. (This may change if Congress passes the Build Back Better act.)

Federal tax credits. Until the passage of ARPA, the ACA provided premium subsidies only to those whose income fell between 100% and 400% of the federal poverty level. For example, the cutoff for a family of four in Colorado used to be $104,800. For an individual, it was $51,040.

At least through 2022, no one will have to pay more than 8.5% of their household income for a mid-level plan purchased from Connect for Health Colorado. Technically, the subsidies are tax credits, but you can choose to have them automatically deducted from the cost of your monthly premiums when you purchase a plan through Connect for Health Colorado.

Cost-sharing subsidies. More than half of the people who purchase coverage through Connect for Health Colorado receive assistance in the form of cost-sharing reductions (CSRs). CSRs automatically reduce your premiums and lower your costs when you use your insurance benefits—for example, when you go to the doctor, get lab work, or have to stay in the hospital.

CSRs are available to people who make between 100% and 250% of the federal poverty level. (For 2022 health plans, that means a family of four in Colorado can't earn more than $65,500 and an individual not more than $25,520.) But they are available only on silver plans. If you think you may qualify, look carefully at costs for the silver plans available at Connect for Health Colorado while shopping for coverage.

Medicaid. You may qualify for free or low-cost coverage through Health First Colorado in Colorado if your income is very low.

In addition to the subsidies described here, keep your eyes out for Colorado state health insurance subsidies that may be coming in 2023.

For more information, see Ways to Save Money on Obamacare in Colorado.

3. You won’t face a tax penalty for going without health insurance in 2022—but there are big downsides to being uninsured.

Obamacare’s tax penalty went away in 2019. That means that if you don’t have health insurance, you won’t have to pay a penalty when you file your federal income taxes. That said, think hard about whether it makes sense to forego health insurance. A medical crisis could knock the financial wind from your sails and do more damage than the penalty would. (A study published in 2019 showed that a lapse in health insurance coverage can double a person's chances of ending up in bankruptcy.)

4. In Colorado, more marketplace plans are available and average premium increases for 2022 were low.

Insurance companies offering plans through Connect for Health Colorado raised premium rates by an average of 1.4% for 2022. But that's an average; premiums for some Coloradans have decreased while others have risen moderately.

All eight companies on the exchange returned for 2022. These are Anthem, Bright Health, Cigna Health, Denver Health, Friday Health, Kaiser, Rocky Mountain Health Plans, and Oscar Health. Half of them—Bright Health, Friday Health, Oscar Health, and Rocky Mountain HMO—are expanding into additional counties. The planned expansions will leave only one county, Jackson County, with a single choice for insurance coverage. That's down from ten counties in 2021 and 22 counties in 2020.

5. No insurers sell short-term health plans in Colorado.

In 2018, the Trump administration made it easier to purchase short-term insurance plans. These plans don't have to cover preexisting conditions or the essential health benefits provided by Obamacare plans. The federal rules say that short-term plans can last for as long as three years. States can make their own rules, however, and the federal changes will have little effect in Colorado. Colorado requires all insurance plans to meet strict standards, including coverage of preexisting conditions and a comprehensive package of benefits. For this reason, no insurers are currently selling short-term health insurance plans in Colorado.

Remember, if your income is very low, you may qualify for free or low-cost coverage through Health First Colorado in Colorado.

6. You can get help signing up if you need it.

The Biden administration is greatly increasing enrollment assistance plans, making it much easier to get the information you need to get covered. To connect with local support resources, see How To Sign Up for Obamacare in Colorado.

 

Jurisdictional relevance: There are versions of this article for each State.
Selected State: Colorado
How To Sign Up for Obamacare in Colorado
 
Do I Have to Get Health Insurance in Colorado?

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