WASHINGTON —
Applying for benefits under President Barack Obama’s health care overhaul could be as daunting as doing your taxes.
The government’s draft application runs 15 pages for a three-person family. An outline of the online version has 21 steps, some with additional questions.
Seven months before the Oct. 1 start of enrollment season for millions of uninsured Americans, the idea that getting health insurance could be as easy as shopping online at Amazon or Travelocity is starting to look like wishful thinking.
At least three major federal agencies, including the IRS, will scrutinize your application. Checking your identity, income and citizenship is supposed to happen in real time, if you apply online.
That’s just the first part of the process, which lets you know if you qualify for financial help. The government asks to see what you’re making because Obama’s Affordable Care Act is means-tested, with lower-income people getting the most generous help to pay premiums.
Once you’re finished with the money part, actually picking a health plan will require additional steps, plus a basic understanding of insurance jargon.
And it’s a mandate, not a suggestion. The law says virtually all Americans must carry health insurance starting next year, although most will just keep the coverage they now have through their jobs, Medicare or Medicaid.
Some are concerned that a lot of uninsured people will be overwhelmed and simply give up.
“This lengthy draft application will take a considerable amount of time to fill out and will be difficult for many people to be able to complete,” said Ron Pollack, executive director of Families USA, an advocacy group supporting the health care law. “It does not get you to the selection of a plan.”
“When you combine those two processes, it is enormously time consuming and complex,” added Pollack. He’s calling for the government to simplify the form and, more important, for an army of counselors to help uninsured people navigate the new system. It’s unclear who would pay for these navigators.
Drafts of the paper application and a 60-page description of the online version were quietly posted online by the Health and Human Services Department, seeking feedback from industry and consumer groups. Those materials, along with a recent HHS presentation to insurers, run counter to the vision of simplicity promoted by administration officials.
“We are not just signing up for a dating service here,” said Sam Karp, a vice president of the California HealthCare Foundation, who nonetheless gives the administration high marks for distilling it all into a workable form. Karp was part of an independent group that separately designed a model application.
The government estimates its online application will take a half hour to complete, on average. If you need a break, or have to gather supporting documents, you can save your work and come back later. The paper application is estimated to take an average of 45 minutes.
The new coverage starts next Jan. 1. Uninsured people will apply through new state-based markets, also called exchanges.
Middle-class people will be eligible for tax credits to help pay for private insurance plans, while low-income people will be steered to safety-net programs like Medicaid.
Because of opposition to the health care law in some states, the federal government will run the new insurance markets in about half the states. And states that reject the law’s Medicaid expansion will be left with large numbers of poor people uninsured.
HHS estimates it will receive more than 4.3 million applications for financial assistance in 2014, with online applications accounting for about 80 percent of them. Because families can apply together, the government estimates 16 million people will be served.
Here are some pros and cons on how the system is shaping up:
• Pro: If you apply online, you’re supposed to be able to get near-instantaneous verification of your identity, income, and citizenship or immigration status. An online government clearinghouse called the Data Services Hub will ping Social Security for birth records, IRS for income data and Homeland Security for immigration status. “That is a brand new thing in the world,” said Karp.
• Con: If your household income has changed in the past year or so and you want help paying your premiums, be prepared to do some extra work. You’re applying for help based on your expected income in 2014. But the latest tax return the IRS would have is for 2012. If you landed a better-paying job, got laid off, or your spouse went back to work, you’ll have to provide added documentation.
• Pro: Even with all the complexity, the new system could still end up being simpler than what some people go through now to buy their own insurance. You won’t have to fill out a medical questionnaire, although you do have to answer whether or not you have a disability. Even if you are disabled, you can still get coverage for the same premium a healthy person of your age would pay.
• Con: If anyone in your household is offered health insurance on the job but does not take it, be prepared for some particularly head-scratching questions. For example: “What’s the name of the lowest cost self-only health plan the employee listed above could enroll in at this job?”
HHS spokeswoman Erin Shields Britt said in a statement the application is a work in progress, “being refined thanks to public input.”
It will “help people make apples-to-apples comparisons of costs and coverage between health insurance plans and learn whether they can get a break in costs,” she added.
But what if you just want to buy health insurance in your state’s exchange, and you’re not interested in getting any help from the government?
You’ll still have to fill out an application, but it will be shorter.
Headline News
Applying for benefits under Obama health-care plan not easy
- Headline News
-
-
President’s drone rules leave unanswered questions
President Barack Obama left plenty of ambiguity in new policy guidelines that he says will restrict how and when the U.S. can launch targeted drone strikes, leaving himself significant power over how and when the weapons can be deployed.
-
Obama sees narrower terror threat, defends drones
President Barack Obama sought Thursday to advance the U.S. beyond the unrelenting war effort of the past dozen years, defining a narrowing terror threat that still imperils the nation but now is defined by smaller networks and homegrown extremists rather than the grandiose plots of Osama bin Laden’s al-Qaida.
-
Obama: Policy in leaks investigations under review
President Barack Obama said Thursday that the Justice Department will review the policy under which it obtains journalists’ records in investigations of the leak of government secrets.
-
Man shot to death while questioned in Boston probe
A Chechen immigrant was shot to death by authorities in central Florida early Wednesday after he turned violent while being questioned about his ties to one of the Boston Marathon bombing suspects, officials said.
-
Four Americans have been killed in overseas drone strikes since 2009
The Obama administration acknowledged for the first time Wednesday that four American citizens have been killed in drone strikes in Pakistan and Yemen since 2009. The disclosure to Congress comes on the eve of a major national security speech by President Barack Obama in which he plans to pledge more transparency to Congress in his counterterrorism policy.
-
Brutal London attack heightens terror fears
Two men with butcher knives hacked another to death Wednesday near a London military barracks and one then went on video to explain the crime — shouting political statements, gesturing with bloodied hands and waving a meat cleaver. Soon after, arriving police shot and wounded the unidentified assailants and took them into custody.
-
Search for tornado survivors nearly complete
Helmeted rescue workers raced Tuesday to complete the search for survivors and the dead in the Oklahoma City suburb where a mammoth tornado destroyed countless homes, cleared lots down to bare red earth and claimed 24 lives, including those of nine children.
-
Senate panel approves immigration bill
Far-reaching legislation that grants a chance at citizenship to millions of immigrants living illegally in the United States cleared the Senate Judiciary Committee on a solid bipartisan vote Tuesday night after supporters somberly sidestepped a controversy over the rights of gay spouses.
-
Teachers credited with saving students in Oklahoma
The principal’s voice came on over the intercom at Plaza Towers Elementary School: A severe storm was approaching and students were to go to the cafeteria and wait for their parents to pick them up.
But before all the youngsters could get there, the tornado alarm sounded. -
States get reprieve from education law
Education Secretary Arne Duncan announced Monday that three more states would join the ranks of those given permission to ignore parts of the federal No Child Left Behind law in favor of their own school improvement plans.
- More Headline News Headlines
-
President’s drone rules leave unanswered questions


