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"content": "\u003cp> \u003c/p>\n\u003cfigure id=\"attachment_16890\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS8056_L1006917-lpr.jpg\">\u003cimg class=\"size-large wp-image-16890\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS8056_L1006917-lpr-640x427.jpg\" alt=\"CCHP enrollment counselor Kristen Chow explains Covered California and federal subsidies to a Chinese-language caller. Currently, more than 90 percent of the HMO's members are ethnically Chinese. (Marcus Teply/KQED)\" width=\"640\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">CCHP enrollment counselor Kristen Chow explains Covered California and federal subsidies to a Chinese-language caller. Currently, more than 90 percent of the HMO's members are ethnically Chinese. (Marcus Teply/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Valerie Hamilton\u003c/strong>\u003c/p>\n\u003cp>\u003cspan>The kitchen at San Francisco's Chinese Hospital is a little different from other hospital cafeterias in the city. The commercial steel kitchen range where you might expect big vats of orange hospital Jell-O to be stewing is here topped with industrial-sized woks. Cooks hired from local Chinatown restaurants are frying Chinese broccoli, onions and noodles.\u003c/span>\u003c/p>\n\u003cp>\u003cspan>Larry Loo was born in Chinese Hospital. Now he's the director of business development for Chinese Community Health Plan (CCHP), the HMO affiliated with the hospital and 15 clinics around San Francisco. CCHP has 15,000 members. More than 90 percent of them are Chinese Americans. \u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_16889\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS8055_L1007003-lpr.jpg\">\u003cimg class=\"size-medium wp-image-16889\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS8055_L1007003-lpr-300x200.jpg\" alt=\"The walk-in service center for CCHP members in San Francisco's Chinatown. "We want to make sure the existing community is taken care of," says director of business development Larry Loo. "To the extent that it broadens out, that's great." (Marcus Teply/KQED)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The walk-in service center for CCHP members in San Francisco's Chinatown. \"We want to make sure the existing community is taken care of,\" says director of business development Larry Loo. \"To the extent that it broadens out, that's great.\" (Marcus Teply/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>But that may soon change. CCHP is one of 11 insurers statewide -- along with big names like Kaiser and Anthem Blue Cross -- vying for new customers on Covered California, the state's health insurance marketplace.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The hospital and the health plan have made their name providing what's called \"culturally competent\" care to patients from the city's Chinese community. That goes beyond stir-fried hospital food. Here, people speak Mandarin and Cantonese, the plan covers Eastern medicine, and staff understand Chinese patients' attitudes about health and medical care.\u003c/p>\n\u003cp>\"The reason we're even here is because the Chinese community always had a tough time getting access to care, getting access to doctors that speak their language and understand their needs,\" Loo explains.\u003c/p>\n\u003cp>The health plan's roots go back more than 100 years, to a time when widespread racial discrimination meant San Francisco's Chinese were excluded from mainstream health care. The community founded its own medical dispensary in Chinatown to meet the need. That grew into the Chinese Hospital and later, in the 80s, into the Chinese Community Health Plan.\u003c!--more-->\u003c/p>\n\u003cp>Through it all, they've kept a strongly Chinese identity. When they decided to join Covered California, to make sure their existing members could take advantage of federal subsidies, it was a big step into the multicultural unknown.\u003c/p>\n\u003cp>Dr. Gustin Ho is a primary care physician in CCHP's network. He says it's time for CCHP to become more diverse.\u003c/p>\n\u003cp>\"Diversity is the way to go, because that's how the society is,\" Ho says. \"I'm not saying it's good or it's bad, but you have to adapt to it. … Are we ready for this change? I think so. The time has come.\"\u003c/p>\n\u003cfigure id=\"attachment_16888\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS8054_L1006992-lpr.jpg\">\u003cimg class=\"size-medium wp-image-16888 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS8054_L1006992-lpr-300x200.jpg\" alt='Cooks in the Chinese Hospital kitchen stir-fry Chinese broccoli. The hospital and its CCHP health plan focus on \"culturally competent\" care for Chinese-American patients; that includes Mandarin- and Cantonese-speaking doctors, coverage for some Eastern medicine, and Chinese hospital food. (Marcus Teply/KQED)' width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Cooks in the Chinese Hospital kitchen stir-fry Chinese broccoli. The hospital and its CCHP health plan focus on \"culturally competent\" care for Chinese-American patients; that includes Mandarin- and Cantonese-speaking doctors, coverage for some Eastern medicine, and Chinese hospital food. (Marcus Teply/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>Across the city from the Chinatown neighborhood, Mari Duarte is juggling walk-ins and calls at a CCHP enrollment center in San Francisco's ethnically diverse Mission district. CCHP opened the center this fall, to try reach out to people who might not know the plan is open to all people.\u003c/p>\n\u003cp>\"Our focus is more here to the Latinos,\" Duarte says. \"because they're not aware that anyone can come here and sign up, not just the Chinese community.\"\u003c/p>\n\u003cp>But in practice, most of CCHP's own marketing efforts have been directed at the Chinese community. The Spanish-language section of its website is mostly in English, and the people in the website photos are still Asian. The health plan has just two Spanish-speaking enrollers. And for customer service in languages other than English, Mandarin and Cantonese, they rely on phone interpreters.\u003c/p>\n\u003cp>Brenda Yee is the CEO of both the health plan and the hospital. She says she'd like the HMO to remain majority Asian, and that caring for a more diverse population through Covered California won't change who they are.\u003c/p>\n\u003cp>\"Our primary goal is to serve the Asian community,\" Yee says. \"We know where … everything started. So we won't lose our identity. You know people question, 'Why don't we change our name?' and I said, 'Why? No, we are the Chinese Community Health Plan.' It's just that we're serving a lot more other people other than the Chinese now.\"\u003c/p>\n\u003cp>Not as many, though, as they might, in a diverse region like the San Francisco Bay Area.\u003c/p>\n\u003cp>As of mid-December, Chinese Community Health Plan had enrolled more than 2600 new members through Covered California. Of those, almost three-quarters identified themselves as ethnically Chinese.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\u003cfigure id=\"attachment_16887\" class=\"wp-caption alignleft\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS8053_L1006982-lpr.jpg\">\u003cimg class=\"size-large wp-image-16887\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS8053_L1006982-lpr-640x427.jpg\" alt=\"Chinese Community Health Plan CEO Brenda Yee shows visitors a model of the new Chinese Hospital building. "We know where our culture, we know where our foundation, where everything started," she says. "We won't lose our identity." (Marcus Teply/KQED)\" width=\"640\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Chinese Community Health Plan CEO Brenda Yee shows visitors a model of the new Chinese Hospital building. \"We know where our culture, we know where our foundation, where everything started,\" she says. \"We won't lose our identity.\" (Marcus Teply/KQED)\u003c/figcaption>\u003c/figure>\n\u003cfigure id=\"attachment_16886\" class=\"wp-caption alignleft\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS8052_L1006938-lpr.jpg\">\u003cimg class=\"size-large wp-image-16886\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS8052_L1006938-lpr-640x427.jpg\" alt=\"A woman waits to see Dr. Gustin Ho at his office in San Francisco's Chinatown. Ho says 99 percent of his current patients are ethnically Chinese, but that for CCHP, "diversity is the way to go." (Marcus Teply/KQED)\" width=\"640\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A woman waits to see Dr. Gustin Ho at his office in San Francisco's Chinatown. Ho says 99 percent of his current patients are ethnically Chinese, but that for CCHP, \"diversity is the way to go.\" (Marcus Teply/KQED)\u003c/figcaption>\u003c/figure>\n\u003cfigure id=\"attachment_16885\" class=\"wp-caption alignleft\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS8051_L1006929-lpr.jpg\">\u003cimg class=\"size-large wp-image-16885\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS8051_L1006929-lpr-640x427.jpg\" alt=\"CCHP's motto, "caring for generations," in action at the entrance to Dr. Gustin Ho's medical practice in Chinatown. (Marcus Teply/KQED)\" width=\"640\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">CCHP's motto, \"caring for generations,\" in action at the entrance to Dr. Gustin Ho's medical practice in Chinatown. (Marcus Teply/KQED)\u003c/figcaption>\u003c/figure>\n\u003cfigure id=\"attachment_16884\" class=\"wp-caption alignleft\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS8050_L1006926-lpr.jpg\">\u003cimg class=\"size-large wp-image-16884\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS8050_L1006926-lpr-640x427.jpg\" alt=\"A man reads a Chinese-language newspaper in San Francisco's Chinatown. In the 19th century, the Chinese community was often excluded from mainstream healthcare, and in response, it founded its own Tung Wah medical dispensary. That grew into Chinese Hospital, and later, into CCHP. (Marcus Teply/KQED)\" width=\"640\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A man reads a Chinese-language newspaper in San Francisco's Chinatown. In the 19th century, the Chinese community was often excluded from mainstream healthcare, and in response, it founded its own Tung Wah medical dispensary. That grew into Chinese Hospital, and later, into CCHP. (Marcus Teply/KQED)\u003c/figcaption>\u003c/figure>\n\u003cfigure id=\"attachment_16883\" class=\"wp-caption alignleft\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS8049_L1006890-lpr.jpg\">\u003cimg class=\"size-large wp-image-16883\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS8049_L1006890-lpr-640x427.jpg\" alt=\"Chinese Community Health Plan's main office, in San Francisco's Chinatown. The historically Chinese-American HMO joined Covered California this year. (Marcus Teply/KQED)\" width=\"640\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Chinese Community Health Plan's main office, in San Francisco's Chinatown. The historically Chinese-American HMO joined Covered California this year. (Marcus Teply/KQED)\u003c/figcaption>\u003c/figure>\n\n",
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"description": " By Valerie Hamilton The kitchen at San Francisco's Chinese Hospital is a little different from other hospital cafeterias in the city. The commercial steel kitchen range where you might expect big vats of orange hospital Jell-O to be stewing is here topped with industrial-sized woks. Cooks hired from local Chinatown restaurants are frying Chinese",
"title": "San Francisco's Chinese Community Health Plan Diversifies, Sort Of, Under Obamacare | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp> \u003c/p>\n\u003cfigure id=\"attachment_16890\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS8056_L1006917-lpr.jpg\">\u003cimg class=\"size-large wp-image-16890\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS8056_L1006917-lpr-640x427.jpg\" alt=\"CCHP enrollment counselor Kristen Chow explains Covered California and federal subsidies to a Chinese-language caller. Currently, more than 90 percent of the HMO's members are ethnically Chinese. (Marcus Teply/KQED)\" width=\"640\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">CCHP enrollment counselor Kristen Chow explains Covered California and federal subsidies to a Chinese-language caller. Currently, more than 90 percent of the HMO's members are ethnically Chinese. (Marcus Teply/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Valerie Hamilton\u003c/strong>\u003c/p>\n\u003cp>\u003cspan>The kitchen at San Francisco's Chinese Hospital is a little different from other hospital cafeterias in the city. The commercial steel kitchen range where you might expect big vats of orange hospital Jell-O to be stewing is here topped with industrial-sized woks. Cooks hired from local Chinatown restaurants are frying Chinese broccoli, onions and noodles.\u003c/span>\u003c/p>\n\u003cp>\u003cspan>Larry Loo was born in Chinese Hospital. Now he's the director of business development for Chinese Community Health Plan (CCHP), the HMO affiliated with the hospital and 15 clinics around San Francisco. CCHP has 15,000 members. More than 90 percent of them are Chinese Americans. \u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_16889\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS8055_L1007003-lpr.jpg\">\u003cimg class=\"size-medium wp-image-16889\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS8055_L1007003-lpr-300x200.jpg\" alt=\"The walk-in service center for CCHP members in San Francisco's Chinatown. "We want to make sure the existing community is taken care of," says director of business development Larry Loo. "To the extent that it broadens out, that's great." (Marcus Teply/KQED)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The walk-in service center for CCHP members in San Francisco's Chinatown. \"We want to make sure the existing community is taken care of,\" says director of business development Larry Loo. \"To the extent that it broadens out, that's great.\" (Marcus Teply/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>But that may soon change. CCHP is one of 11 insurers statewide -- along with big names like Kaiser and Anthem Blue Cross -- vying for new customers on Covered California, the state's health insurance marketplace.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The hospital and the health plan have made their name providing what's called \"culturally competent\" care to patients from the city's Chinese community. That goes beyond stir-fried hospital food. Here, people speak Mandarin and Cantonese, the plan covers Eastern medicine, and staff understand Chinese patients' attitudes about health and medical care.\u003c/p>\n\u003cp>\"The reason we're even here is because the Chinese community always had a tough time getting access to care, getting access to doctors that speak their language and understand their needs,\" Loo explains.\u003c/p>\n\u003cp>The health plan's roots go back more than 100 years, to a time when widespread racial discrimination meant San Francisco's Chinese were excluded from mainstream health care. The community founded its own medical dispensary in Chinatown to meet the need. That grew into the Chinese Hospital and later, in the 80s, into the Chinese Community Health Plan.\u003c!--more-->\u003c/p>\n\u003cp>Through it all, they've kept a strongly Chinese identity. When they decided to join Covered California, to make sure their existing members could take advantage of federal subsidies, it was a big step into the multicultural unknown.\u003c/p>\n\u003cp>Dr. Gustin Ho is a primary care physician in CCHP's network. He says it's time for CCHP to become more diverse.\u003c/p>\n\u003cp>\"Diversity is the way to go, because that's how the society is,\" Ho says. \"I'm not saying it's good or it's bad, but you have to adapt to it. … Are we ready for this change? I think so. The time has come.\"\u003c/p>\n\u003cfigure id=\"attachment_16888\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS8054_L1006992-lpr.jpg\">\u003cimg class=\"size-medium wp-image-16888 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS8054_L1006992-lpr-300x200.jpg\" alt='Cooks in the Chinese Hospital kitchen stir-fry Chinese broccoli. The hospital and its CCHP health plan focus on \"culturally competent\" care for Chinese-American patients; that includes Mandarin- and Cantonese-speaking doctors, coverage for some Eastern medicine, and Chinese hospital food. (Marcus Teply/KQED)' width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Cooks in the Chinese Hospital kitchen stir-fry Chinese broccoli. The hospital and its CCHP health plan focus on \"culturally competent\" care for Chinese-American patients; that includes Mandarin- and Cantonese-speaking doctors, coverage for some Eastern medicine, and Chinese hospital food. (Marcus Teply/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>Across the city from the Chinatown neighborhood, Mari Duarte is juggling walk-ins and calls at a CCHP enrollment center in San Francisco's ethnically diverse Mission district. CCHP opened the center this fall, to try reach out to people who might not know the plan is open to all people.\u003c/p>\n\u003cp>\"Our focus is more here to the Latinos,\" Duarte says. \"because they're not aware that anyone can come here and sign up, not just the Chinese community.\"\u003c/p>\n\u003cp>But in practice, most of CCHP's own marketing efforts have been directed at the Chinese community. The Spanish-language section of its website is mostly in English, and the people in the website photos are still Asian. The health plan has just two Spanish-speaking enrollers. And for customer service in languages other than English, Mandarin and Cantonese, they rely on phone interpreters.\u003c/p>\n\u003cp>Brenda Yee is the CEO of both the health plan and the hospital. She says she'd like the HMO to remain majority Asian, and that caring for a more diverse population through Covered California won't change who they are.\u003c/p>\n\u003cp>\"Our primary goal is to serve the Asian community,\" Yee says. \"We know where … everything started. So we won't lose our identity. You know people question, 'Why don't we change our name?' and I said, 'Why? No, we are the Chinese Community Health Plan.' It's just that we're serving a lot more other people other than the Chinese now.\"\u003c/p>\n\u003cp>Not as many, though, as they might, in a diverse region like the San Francisco Bay Area.\u003c/p>\n\u003cp>As of mid-December, Chinese Community Health Plan had enrolled more than 2600 new members through Covered California. Of those, almost three-quarters identified themselves as ethnically Chinese.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\u003cfigure id=\"attachment_16887\" class=\"wp-caption alignleft\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS8053_L1006982-lpr.jpg\">\u003cimg class=\"size-large wp-image-16887\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS8053_L1006982-lpr-640x427.jpg\" alt=\"Chinese Community Health Plan CEO Brenda Yee shows visitors a model of the new Chinese Hospital building. "We know where our culture, we know where our foundation, where everything started," she says. "We won't lose our identity." (Marcus Teply/KQED)\" width=\"640\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Chinese Community Health Plan CEO Brenda Yee shows visitors a model of the new Chinese Hospital building. \"We know where our culture, we know where our foundation, where everything started,\" she says. \"We won't lose our identity.\" (Marcus Teply/KQED)\u003c/figcaption>\u003c/figure>\n\u003cfigure id=\"attachment_16886\" class=\"wp-caption alignleft\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS8052_L1006938-lpr.jpg\">\u003cimg class=\"size-large wp-image-16886\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS8052_L1006938-lpr-640x427.jpg\" alt=\"A woman waits to see Dr. Gustin Ho at his office in San Francisco's Chinatown. Ho says 99 percent of his current patients are ethnically Chinese, but that for CCHP, "diversity is the way to go." (Marcus Teply/KQED)\" width=\"640\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A woman waits to see Dr. Gustin Ho at his office in San Francisco's Chinatown. Ho says 99 percent of his current patients are ethnically Chinese, but that for CCHP, \"diversity is the way to go.\" (Marcus Teply/KQED)\u003c/figcaption>\u003c/figure>\n\u003cfigure id=\"attachment_16885\" class=\"wp-caption alignleft\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS8051_L1006929-lpr.jpg\">\u003cimg class=\"size-large wp-image-16885\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS8051_L1006929-lpr-640x427.jpg\" alt=\"CCHP's motto, "caring for generations," in action at the entrance to Dr. Gustin Ho's medical practice in Chinatown. (Marcus Teply/KQED)\" width=\"640\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">CCHP's motto, \"caring for generations,\" in action at the entrance to Dr. Gustin Ho's medical practice in Chinatown. (Marcus Teply/KQED)\u003c/figcaption>\u003c/figure>\n\u003cfigure id=\"attachment_16884\" class=\"wp-caption alignleft\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS8050_L1006926-lpr.jpg\">\u003cimg class=\"size-large wp-image-16884\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS8050_L1006926-lpr-640x427.jpg\" alt=\"A man reads a Chinese-language newspaper in San Francisco's Chinatown. In the 19th century, the Chinese community was often excluded from mainstream healthcare, and in response, it founded its own Tung Wah medical dispensary. That grew into Chinese Hospital, and later, into CCHP. (Marcus Teply/KQED)\" width=\"640\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A man reads a Chinese-language newspaper in San Francisco's Chinatown. In the 19th century, the Chinese community was often excluded from mainstream healthcare, and in response, it founded its own Tung Wah medical dispensary. That grew into Chinese Hospital, and later, into CCHP. (Marcus Teply/KQED)\u003c/figcaption>\u003c/figure>\n\u003cfigure id=\"attachment_16883\" class=\"wp-caption alignleft\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS8049_L1006890-lpr.jpg\">\u003cimg class=\"size-large wp-image-16883\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS8049_L1006890-lpr-640x427.jpg\" alt=\"Chinese Community Health Plan's main office, in San Francisco's Chinatown. The historically Chinese-American HMO joined Covered California this year. (Marcus Teply/KQED)\" width=\"640\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Chinese Community Health Plan's main office, in San Francisco's Chinatown. The historically Chinese-American HMO joined Covered California this year. (Marcus Teply/KQED)\u003c/figcaption>\u003c/figure>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>State of Health editor Lisa Aliferis talked with KQED Newsroom's Thuy Vu about the upcoming enrollment deadline. People who want health insurance that starts Jan. 1 need to enroll by 11:59pm Mon. Dec. 23.\u003c/p>\n\u003cdiv style=\"overflow: hidden\">\n\u003cdiv class=\"embedly\">\n\u003cp>\u003ciframe src=\"//cdn.embedly.com/widgets/media.html?src=http%3A%2F%2Fwww.youtube.com%2Fembed%2FM9eW2Kq98Hs%3Ffeature%3Doembed&url=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DM9eW2Kq98Hs&image=http%3A%2F%2Fi1.ytimg.com%2Fvi%2FM9eW2Kq98Hs%2Fhqdefault.jpg&key=6c6e02c8c9d111e0ba664040d3dc5c07&type=text%2Fhtml&schema=youtube\" frameborder=\"0\" scrolling=\"no\" width=\"640\" height=\"360\">\u003c/iframe>\u003c/p>\n\u003cdiv class=\"embedly-clear\">\u003c/div>\n\u003cp>\u003cspan class=\"embedly-powered\" style=\"float: right\">\u003ca title=\"Powered by Embedly\" href=\"http://embed.ly/code?url=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DM9eW2Kq98Hs\" target=\"_blank\">\u003cimg src=\"http://static.embed.ly/images/logos/embedly-powered-small-light.png\" alt=\"Embedly Powered\">\u003c/a>\u003c/span>\u003c/p>\n\u003cdiv class=\"media-attribution\">\u003cspan>\u003cbr>\n\u003c/span>\u003c/div>\n\u003cdiv class=\"media-attribution\">\u003c/div>\n\u003cdiv class=\"media-attribution\">You can also check out KQED's \u003ca href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\">Obamacare Guide -- Just for Californians\u003c/a> for a straightforward explanation of what the Affordable Care Act means to you and your family with answers to a multitude of frequently asked questions.\u003c/div>\n\u003cdiv class=\"media-attribution\">\u003c/div>\n\u003cdiv class=\"embedly-clear\">\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>State of Health editor Lisa Aliferis talked with KQED Newsroom's Thuy Vu about the upcoming enrollment deadline. People who want health insurance that starts Jan. 1 need to enroll by 11:59pm Mon. Dec. 23.\u003c/p>\n\u003cdiv style=\"overflow: hidden\">\n\u003cdiv class=\"embedly\">\n\u003cp>\u003ciframe src=\"//cdn.embedly.com/widgets/media.html?src=http%3A%2F%2Fwww.youtube.com%2Fembed%2FM9eW2Kq98Hs%3Ffeature%3Doembed&url=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DM9eW2Kq98Hs&image=http%3A%2F%2Fi1.ytimg.com%2Fvi%2FM9eW2Kq98Hs%2Fhqdefault.jpg&key=6c6e02c8c9d111e0ba664040d3dc5c07&type=text%2Fhtml&schema=youtube\" frameborder=\"0\" scrolling=\"no\" width=\"640\" height=\"360\">\u003c/iframe>\u003c/p>\n\u003cdiv class=\"embedly-clear\">\u003c/div>\n\u003cp>\u003cspan class=\"embedly-powered\" style=\"float: right\">\u003ca title=\"Powered by Embedly\" href=\"http://embed.ly/code?url=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DM9eW2Kq98Hs\" target=\"_blank\">\u003cimg src=\"http://static.embed.ly/images/logos/embedly-powered-small-light.png\" alt=\"Embedly Powered\">\u003c/a>\u003c/span>\u003c/p>\n\u003cdiv class=\"media-attribution\">\u003cspan>\u003cbr>\n\u003c/span>\u003c/div>\n\u003cdiv class=\"media-attribution\">\u003c/div>\n\u003cdiv class=\"media-attribution\">You can also check out KQED's \u003ca href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\">Obamacare Guide -- Just for Californians\u003c/a> for a straightforward explanation of what the Affordable Care Act means to you and your family with answers to a multitude of frequently asked questions.\u003c/div>\n\u003cdiv class=\"media-attribution\">\u003c/div>\n\u003cdiv class=\"embedly-clear\">\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Obamacare FAQ: What Happens If I Travel -- or Move?",
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"content": "\u003cfigure id=\"attachment_16847\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/5976264120_7476b52226_b-e1387481951180.jpg\">\u003cimg class=\"size-large wp-image-16847\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/5976264120_7476b52226_b-640x360.jpg\" alt=\"(Kuster & Wildhaber Photography/Flickr)\" width=\"640\" height=\"360\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Kuster & Wildhaber Photography/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor’s note: For people buying on the individual market who want health insurance starting Jan. 1, the deadline to sign up is Monday, Dec. 23. We are running one post a day with questions and answers on the Affordable Care Act and Covered California until that deadline. Readers can also consult \u003ca href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\">KQED’s Obamacare Guide\u003c/a>, written specifically for Californians.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Emily Bazar\u003c/strong>, \u003ca href=\"http://centerforhealthreporting.org/article/how-will-young-adults-and-college-students-fare-under-obamacare1145\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a>\u003c/p>\n\u003cp>About 130,000 Americans pick up and move somewhere else every single day, \u003ca href=\"http://www.census.gov/newsroom/releases/archives/american_community_survey_acs/cb13-52.html\" target=\"_blank\">the U.S. Census Bureau estimates\u003c/a>. And guess who are among the most mobile? We itchy Californians.\u003c/p>\n\u003cp>Perhaps you’re wondering what moving around has to do with Obamacare. Quite a lot, actually.\u003c/p>\n\u003cp>Your health plan options – and prices – vary by geography, and the Golden State is divided into 19 regions. Los Angeles is so large that it accounts for two regions, and that doesn’t even include the Inland Empire or Orange County.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Today, I’ll tell you what happens to your coverage when you travel or move, and whether you’ll be able to see a doctor when you’re in Boise, Berlin or even Berkeley.\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>Q: I am considering enrolling in one of the Covered California plans. How will my coverage work if I am traveling out of state or out of the country and need medical care?\u003c/strong>\u003c/p>\n\u003cp>I’m adding one other part to Suellen’s question: What happens when traveling \u003cem>within\u003c/em> California?\u003c/p>\n\u003cp>As I mentioned above, health plans sold on the open market and through our health insurance exchange, \u003ca href=\"https://www.coveredca.com/\" target=\"_blank\">Covered California\u003c/a>, vary by region. That means not all plans are sold in all regions. In fact, some have a very limited geographic reach, including the \u003ca href=\"http://www.cchphmo.com/\" target=\"_blank\">Chinese Community Health Plan\u003c/a> and the \u003ca href=\"http://cchealth.org/healthplan/\" target=\"_blank\">Contra Costa Health Plan\u003c/a>, both in the Bay Area.\u003c/p>\n\u003cp>So, if you’re traveling within the state and need care, it depends on who your insurer is and what kind of network of doctors and hospitals it offers. If, say, you have a Kaiser plan, you can visit a Kaiser doctor or hospital outside of your region and have the costs covered.\u003c/p>\n\u003cp>If, however, your insurer’s network doesn’t extend to your travel destination, you will only be reimbursed for emergency and urgent care services, not routine services, says Lizelda Lopez of Covered California.\u003c/p>\n\u003cp>When you’re traveling \u003cem>outside\u003c/em> of California, your insurer doesn’t matter: You are only eligible to have emergency and urgent medical services covered.\u003c/p>\n\u003cp>“None of our plans have out-of-state networks,” Lopez says.\u003c/p>\n\u003cp>By the way, this isn’t necessarily new. Earlier this year when I visited the East Coast, I got a scary infection that needed immediate attention. I called my insurer first, which directed me to choose from specific ERs and urgent cares. I dutifully complied, but still had to fight to get my urgent care visit covered.\u003c/p>\n\u003cp>Lopez’s advice? Wherever you’re visiting, do what I did and double-check with your insurer to find out if a provider is covered. My advice: Be prepared for a fight afterward.\u003c/p>\n\u003cp>\u003cstrong>Q: What happens if an individual moves from one state to another after signing up for a plan? I’ll be living in California for the first few months of 2014, but there’s a definite chance I may be moving to Washington. Will it be possible to transfer my plan to a different state partway through the year?\u003c/strong>\u003c/p>\n\u003cp>A: Once again, I’m adding another part to John’s question that may sound familiar: What if you move \u003cem>within\u003c/em> California?\u003c/p>\n\u003cp>The answer also may sound familiar: It depends on your insurer. If you have a plan that also is offered in your new locale, you keep that plan. If you want to change it, you’ll have to wait until the next open-enrollment period.\u003c/p>\n\u003cp>If you can’t get the same plan in your new hometown, you’ll be eligible for a special-enrollment period and can sign up for a new plan.\u003c/p>\n\u003cp>And now, back to John’s question. If you move to another state, you will need to enroll in a new plan through that state’s exchange or buy on the open market. If that state doesn’t run its own exchange (\u003ca href=\"https://www.wahealthplanfinder.org/HBEWeb/Annon_DisplayHomePage.action?authn_try_count=0&contextType=external&username=string&contextValue=%2Foam&password=sercure_string&challenge_url=https%3A%2F%2Fwww.wahealthplanfinder.org%2FHBEWeb%2FAnnon_DisplayHomePag\" target=\"_blank\">Washington state does\u003c/a>), you would use the federal exchange, \u003ca href=\"https://www.healthcare.gov/\" target=\"_blank\">healthcare.gov\u003c/a>.\u003c/p>\n\u003cp>Moving to another state also triggers a special enrollment period, so you’d be able to choose a new plan immediately.\u003c/p>\n\u003cp>\u003cstrong>Q: What about American citizens living in another country such as Sweden, where health insurance is covered? Why should I be required to have health insurance in the states when I don’t even live there?\u003c/strong>\u003c/p>\n\u003cp>A: As most of you know, Ask Emily is geared toward a California audience. But that doesn’t stop people from writing from all corners of the country. And, it turns out, from all corners of the world. I have received similar questions similar from readers in New Zealand, Thailand, Malaysia and Australia.\u003c/p>\n\u003cp>The answer depends on how long you live abroad during a calendar year. \u003ca href=\"http://www.irs.gov/uac/Questions-and-Answers-on-the-Individual-Shared-Responsibility-Provision\" target=\"_blank\">According to the Internal Revenue Service\u003c/a>, U.S. citizens who live abroad for at least 330 days within a 12-month period don’t have to comply with the Obamacare insurance mandate, which requires most Americans to have health insurance as of Jan. 1.\u003c/p>\n\u003cp>That also means you won’t have to pay a tax penalty for not having insurance.\u003c/p>\n\u003cp>You don’t even have to be insured in your country of residence, like Artie is, to get out of the insurance requirement, \u003ca href=\"https://www.healthcare.gov/am-i-eligible-for-coverage-in-the-marketplace/\" target=\"_blank\">the feds say\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In other words, if you don’t want to trigger the mandate, try to keep your annual trips back home to under five weeks each year!\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16847\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/5976264120_7476b52226_b-e1387481951180.jpg\">\u003cimg class=\"size-large wp-image-16847\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/5976264120_7476b52226_b-640x360.jpg\" alt=\"(Kuster & Wildhaber Photography/Flickr)\" width=\"640\" height=\"360\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Kuster & Wildhaber Photography/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor’s note: For people buying on the individual market who want health insurance starting Jan. 1, the deadline to sign up is Monday, Dec. 23. We are running one post a day with questions and answers on the Affordable Care Act and Covered California until that deadline. Readers can also consult \u003ca href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\">KQED’s Obamacare Guide\u003c/a>, written specifically for Californians.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Emily Bazar\u003c/strong>, \u003ca href=\"http://centerforhealthreporting.org/article/how-will-young-adults-and-college-students-fare-under-obamacare1145\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a>\u003c/p>\n\u003cp>About 130,000 Americans pick up and move somewhere else every single day, \u003ca href=\"http://www.census.gov/newsroom/releases/archives/american_community_survey_acs/cb13-52.html\" target=\"_blank\">the U.S. Census Bureau estimates\u003c/a>. And guess who are among the most mobile? We itchy Californians.\u003c/p>\n\u003cp>Perhaps you’re wondering what moving around has to do with Obamacare. Quite a lot, actually.\u003c/p>\n\u003cp>Your health plan options – and prices – vary by geography, and the Golden State is divided into 19 regions. Los Angeles is so large that it accounts for two regions, and that doesn’t even include the Inland Empire or Orange County.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Today, I’ll tell you what happens to your coverage when you travel or move, and whether you’ll be able to see a doctor when you’re in Boise, Berlin or even Berkeley.\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>Q: I am considering enrolling in one of the Covered California plans. How will my coverage work if I am traveling out of state or out of the country and need medical care?\u003c/strong>\u003c/p>\n\u003cp>I’m adding one other part to Suellen’s question: What happens when traveling \u003cem>within\u003c/em> California?\u003c/p>\n\u003cp>As I mentioned above, health plans sold on the open market and through our health insurance exchange, \u003ca href=\"https://www.coveredca.com/\" target=\"_blank\">Covered California\u003c/a>, vary by region. That means not all plans are sold in all regions. In fact, some have a very limited geographic reach, including the \u003ca href=\"http://www.cchphmo.com/\" target=\"_blank\">Chinese Community Health Plan\u003c/a> and the \u003ca href=\"http://cchealth.org/healthplan/\" target=\"_blank\">Contra Costa Health Plan\u003c/a>, both in the Bay Area.\u003c/p>\n\u003cp>So, if you’re traveling within the state and need care, it depends on who your insurer is and what kind of network of doctors and hospitals it offers. If, say, you have a Kaiser plan, you can visit a Kaiser doctor or hospital outside of your region and have the costs covered.\u003c/p>\n\u003cp>If, however, your insurer’s network doesn’t extend to your travel destination, you will only be reimbursed for emergency and urgent care services, not routine services, says Lizelda Lopez of Covered California.\u003c/p>\n\u003cp>When you’re traveling \u003cem>outside\u003c/em> of California, your insurer doesn’t matter: You are only eligible to have emergency and urgent medical services covered.\u003c/p>\n\u003cp>“None of our plans have out-of-state networks,” Lopez says.\u003c/p>\n\u003cp>By the way, this isn’t necessarily new. Earlier this year when I visited the East Coast, I got a scary infection that needed immediate attention. I called my insurer first, which directed me to choose from specific ERs and urgent cares. I dutifully complied, but still had to fight to get my urgent care visit covered.\u003c/p>\n\u003cp>Lopez’s advice? Wherever you’re visiting, do what I did and double-check with your insurer to find out if a provider is covered. My advice: Be prepared for a fight afterward.\u003c/p>\n\u003cp>\u003cstrong>Q: What happens if an individual moves from one state to another after signing up for a plan? I’ll be living in California for the first few months of 2014, but there’s a definite chance I may be moving to Washington. Will it be possible to transfer my plan to a different state partway through the year?\u003c/strong>\u003c/p>\n\u003cp>A: Once again, I’m adding another part to John’s question that may sound familiar: What if you move \u003cem>within\u003c/em> California?\u003c/p>\n\u003cp>The answer also may sound familiar: It depends on your insurer. If you have a plan that also is offered in your new locale, you keep that plan. If you want to change it, you’ll have to wait until the next open-enrollment period.\u003c/p>\n\u003cp>If you can’t get the same plan in your new hometown, you’ll be eligible for a special-enrollment period and can sign up for a new plan.\u003c/p>\n\u003cp>And now, back to John’s question. If you move to another state, you will need to enroll in a new plan through that state’s exchange or buy on the open market. If that state doesn’t run its own exchange (\u003ca href=\"https://www.wahealthplanfinder.org/HBEWeb/Annon_DisplayHomePage.action?authn_try_count=0&contextType=external&username=string&contextValue=%2Foam&password=sercure_string&challenge_url=https%3A%2F%2Fwww.wahealthplanfinder.org%2FHBEWeb%2FAnnon_DisplayHomePag\" target=\"_blank\">Washington state does\u003c/a>), you would use the federal exchange, \u003ca href=\"https://www.healthcare.gov/\" target=\"_blank\">healthcare.gov\u003c/a>.\u003c/p>\n\u003cp>Moving to another state also triggers a special enrollment period, so you’d be able to choose a new plan immediately.\u003c/p>\n\u003cp>\u003cstrong>Q: What about American citizens living in another country such as Sweden, where health insurance is covered? Why should I be required to have health insurance in the states when I don’t even live there?\u003c/strong>\u003c/p>\n\u003cp>A: As most of you know, Ask Emily is geared toward a California audience. But that doesn’t stop people from writing from all corners of the country. And, it turns out, from all corners of the world. I have received similar questions similar from readers in New Zealand, Thailand, Malaysia and Australia.\u003c/p>\n\u003cp>The answer depends on how long you live abroad during a calendar year. \u003ca href=\"http://www.irs.gov/uac/Questions-and-Answers-on-the-Individual-Shared-Responsibility-Provision\" target=\"_blank\">According to the Internal Revenue Service\u003c/a>, U.S. citizens who live abroad for at least 330 days within a 12-month period don’t have to comply with the Obamacare insurance mandate, which requires most Americans to have health insurance as of Jan. 1.\u003c/p>\n\u003cp>That also means you won’t have to pay a tax penalty for not having insurance.\u003c/p>\n\u003cp>You don’t even have to be insured in your country of residence, like Artie is, to get out of the insurance requirement, \u003ca href=\"https://www.healthcare.gov/am-i-eligible-for-coverage-in-the-marketplace/\" target=\"_blank\">the feds say\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In other words, if you don’t want to trigger the mandate, try to keep your annual trips back home to under five weeks each year!\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Top 7 Stories on State of Health in 2013",
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"content": "\u003cfigure id=\"attachment_14168\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/08/croppedburger-e1375834566823.jpg\">\u003cimg class=\"size-large wp-image-14168\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/08/croppedburger-640x498.jpg\" alt=\"Study shows sleep deprivation makes you crave high-calorie foods. (Getty Images)\" width=\"640\" height=\"498\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">No, 'hamburgers' was not the #1 story, but do you really want to see another picture depicting Covered California? (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Just like that, another year is coming to a close. And what a year it's been on the health beat. I'm going to wager that you can guess what the top news story of the year was on this (or any) health blog. Technically, several Obamacare stories were Top 10 most-viewed posts on this site, but since\u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/03/19/the-supreme-courts-4-health-care-reform-questions/\" target=\"_blank\"> one of them was from last year\u003c/a>, I'm just giving all Affordable Care Act stories one slot.\u003c/p>\n\u003col>\n\u003cli>\u003cstrong style=\"font-size: medium\">The Rollout of \u003ca href=\"http://ww2.kqed.org/stateofhealth/category/reform/\" target=\"_blank\">Obamacare\u003c/a> -- \u003c/strong>From Jan. 3 when the federal government \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/01/03/feds-approve-californias-health-insurance-exchange/\" target=\"_blank\">approved\u003c/a> California's exchange through the state vs. county debate about \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/01/11/state-vs-county-showdown-over-funding-the-medi-cal-expansion/\" target=\"_blank\">funding the Medi-Cal expansion\u003c/a> to the May \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/05/23/californias-health-insurance-exchange-sets-plans-premiums-no-apparent-rate-shock/\" target=\"_blank\">release of plans and premiums\u003c/a> to the\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/10/01/covered-california-states-obamacare-marketplace-now-open-has-first-enrollee/\" target=\"_blank\"> launch of Covered California\u003c/a> and the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/10/18/why-some-are-seeing-premiums-go-up-as-affordable-care-act-goes-into-effect-obamacare/\" target=\"_blank\">many \u003c/a>\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/12/09/obamacare-qa-work-based-health-insurance-what-is-the-kid-glitch-consumer-questions-answers-aca/\" target=\"_blank\">challenges\u003c/a> -- and \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/12/13/states-insurance-marketplace-enrollment-leads-nation-but-few-latinos-sign-up/\" target=\"_blank\">successes\u003c/a> -- since then, the implementation of the ACA has dominated health news coverage. If you've got questions about how the law affects you and your family, check out our \u003ca href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\">Obamacare Guide, just for Californians\u003c/a>. And if you just want to be entertained, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/12/13/watch-rap-spoof-of-president-obama-promotes-the-aca-via-snoop-dogg/\" target=\"_blank\">watch this video\u003c/a> of \"President Obama\" telling you to \"sign up while it's hot.\"\u003c/li>\n\u003cli>\u003cstrong style=\"font-size: medium\">Childhood Vaccines \u003c/strong> -- the state released its annual report on immunization status of kindergarteners and Marin County had the highest personal-belief exemption rate in the Bay Area. We simplified the state data to \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/09/06/more-california-parents-opting-out-of-vaccines-look-up-your-school-online/\" target=\"_blank\">make it easy for you to look up your child's school online\u003c/a> and see what percentage of children have been vaccinated -- or had parents who had opted out. On Jan. 1, 2014, a new state law goes into effect requiring parents who want to opt out of vaccines to\u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/08/23/new-requirement-for-vaccine-exemption-passed-by-senate/\" target=\"_blank\"> meet with a health provider first\u003c/a>. Washington instituted such a law in 2011 and the number of parents opting out of vaccines has dropped more than 25 percent.\u003c!--more-->\u003c/li>\n\u003cli>\u003cstrong style=\"font-size: medium\">Soda Tax\u003c/strong> -- efforts to pass taxes on sugar-sweetened beverages failed in Richmond and El Monte in 2012, but advocates are moving full steam ahead. A February Field Poll found that the majority of Californians surveyed \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/02/14/most-californians-support-soda-tax-if-it-benefits-childrens-health/\" target=\"_blank\">support a soda tax\u003c/a> -- if the proceeds will benefit children's health. Two members of San Francisco's Board of Supervisors are \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/10/28/is-san-francisco-primed-to-approve-a-soda-tax/\" target=\"_blank\">backing a soda tax \u003c/a>in the county. Look for more on that in 2014.\u003c/li>\n\u003cli>\u003cstrong style=\"font-size: medium\">HIV \"Cure\"\u003c/strong> -- while the story did not happen in California, \u003ca href=\"http://www.npr.org/blogs/health/2013/10/23/240272831/a-toddler-remains-hiv-free-raising-hope-for-babies-worldwide\" target=\"_blank\">researchers and advocates here were electrified\u003c/a> by the news of a toddler who appeared to have been cured of HIV. The baby was born to an HIV-positive mother who did not receive anti-retroviral drugs during pregnancy. The baby was started on medication when she was 30 hours old and stayed on them until \u003ca href=\"http://www.npr.org/blogs/health/2013/10/23/240272831/a-toddler-remains-hiv-free-raising-hope-for-babies-worldwide\" target=\"_blank\">she was about 18 months\u003c/a> when the mother stopped giving her medication, apparently because of her chaotic life circumstances.\u003c/li>\n\u003cli>\u003cstrong style=\"font-size: medium\">Valley Fever\u003c/strong> -- The Reporting on Health Collaboration has done great work\u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/09/10/valley-fever-cases-soar-harm-remains-hidden/\" target=\"_blank\"> bringing attention\u003c/a> to valley fever, an illness too well-known in the Central Valley and other parts of the desert southwest, but virtually ignored by the rest of the country. The number of valley fever\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/03/29/valley-fever-cases-skyrocketing-says-cdc/\" target=\"_blank\"> cases skyrocketed 850 percent\u003c/a> from 1998 to 2011, as the collaboration reported earlier this year. In September, federal officials attending a symposium in Bakersfield on valley fever said they will \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/09/24/federal-health-officials-to-launch-study-of-valley-fever/\" target=\"_blank\">commence a clinical trial\u003c/a> to determine base practices to treat the condition.\u003c/li>\n\u003cli>\u003cstrong style=\"font-size: medium\">Breast Density Notification Law\u003c/strong> -- on April 1, a law went into effect\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/03/29/californias-breast-density-notification-law-goes-into-effect/\" target=\"_blank\"> requiring doctors to notify women\u003c/a> if they had dense breast tissue. Women with extremely dense breast tissue are at increased risk of breast cancer, and the new law requires that they be notified if a doctor determines (usually from a mammogram) that a woman has this condition. The problem? Breast density is graded from 1 (not dense) to 4 (extremely dense). Under the law, women who have a 3 rating will also be notified -- even though there is no solid evidence that women with a 3 rating are at increased risk of breast cancer.\u003c/li>\n\u003cli>\u003cstrong style=\"font-size: medium\">Does Sleep Deprivation Makes you Crave Junk Food? -- \u003c/strong>this was a short story about a small study (only 23 people) with eyebrow-raising results: study participants who were not allowed to sleep had a much \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/08/06/why-sleep-deprivation-makes-you-crave-junk-food/\" target=\"_blank\">higher preference for high-calorie food\u003c/a> than healthy food. It seems that when you're sleep deprived an area of the brain that is associated with desire to eat is lit up, which three areas of the brain that deal with decision-making slow down.\u003c/li>\n\u003c/ol>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"excerpt": "Just like that, another year is coming to a close. And what a year it's been on the health beat. I'm going to wager that you can guess what the top news story of the year was on this (or any) health blog. Technically, several Obamacare stories were Top 10 most-viewed posts on this site, but since one of them was from last year, I'm just giving all Affordable Care Act stories one slot.\r\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_14168\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/08/croppedburger-e1375834566823.jpg\">\u003cimg class=\"size-large wp-image-14168\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/08/croppedburger-640x498.jpg\" alt=\"Study shows sleep deprivation makes you crave high-calorie foods. (Getty Images)\" width=\"640\" height=\"498\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">No, 'hamburgers' was not the #1 story, but do you really want to see another picture depicting Covered California? (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Just like that, another year is coming to a close. And what a year it's been on the health beat. I'm going to wager that you can guess what the top news story of the year was on this (or any) health blog. Technically, several Obamacare stories were Top 10 most-viewed posts on this site, but since\u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/03/19/the-supreme-courts-4-health-care-reform-questions/\" target=\"_blank\"> one of them was from last year\u003c/a>, I'm just giving all Affordable Care Act stories one slot.\u003c/p>\n\u003col>\n\u003cli>\u003cstrong style=\"font-size: medium\">The Rollout of \u003ca href=\"http://ww2.kqed.org/stateofhealth/category/reform/\" target=\"_blank\">Obamacare\u003c/a> -- \u003c/strong>From Jan. 3 when the federal government \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/01/03/feds-approve-californias-health-insurance-exchange/\" target=\"_blank\">approved\u003c/a> California's exchange through the state vs. county debate about \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/01/11/state-vs-county-showdown-over-funding-the-medi-cal-expansion/\" target=\"_blank\">funding the Medi-Cal expansion\u003c/a> to the May \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/05/23/californias-health-insurance-exchange-sets-plans-premiums-no-apparent-rate-shock/\" target=\"_blank\">release of plans and premiums\u003c/a> to the\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/10/01/covered-california-states-obamacare-marketplace-now-open-has-first-enrollee/\" target=\"_blank\"> launch of Covered California\u003c/a> and the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/10/18/why-some-are-seeing-premiums-go-up-as-affordable-care-act-goes-into-effect-obamacare/\" target=\"_blank\">many \u003c/a>\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/12/09/obamacare-qa-work-based-health-insurance-what-is-the-kid-glitch-consumer-questions-answers-aca/\" target=\"_blank\">challenges\u003c/a> -- and \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/12/13/states-insurance-marketplace-enrollment-leads-nation-but-few-latinos-sign-up/\" target=\"_blank\">successes\u003c/a> -- since then, the implementation of the ACA has dominated health news coverage. If you've got questions about how the law affects you and your family, check out our \u003ca href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\">Obamacare Guide, just for Californians\u003c/a>. And if you just want to be entertained, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/12/13/watch-rap-spoof-of-president-obama-promotes-the-aca-via-snoop-dogg/\" target=\"_blank\">watch this video\u003c/a> of \"President Obama\" telling you to \"sign up while it's hot.\"\u003c/li>\n\u003cli>\u003cstrong style=\"font-size: medium\">Childhood Vaccines \u003c/strong> -- the state released its annual report on immunization status of kindergarteners and Marin County had the highest personal-belief exemption rate in the Bay Area. We simplified the state data to \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/09/06/more-california-parents-opting-out-of-vaccines-look-up-your-school-online/\" target=\"_blank\">make it easy for you to look up your child's school online\u003c/a> and see what percentage of children have been vaccinated -- or had parents who had opted out. On Jan. 1, 2014, a new state law goes into effect requiring parents who want to opt out of vaccines to\u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/08/23/new-requirement-for-vaccine-exemption-passed-by-senate/\" target=\"_blank\"> meet with a health provider first\u003c/a>. Washington instituted such a law in 2011 and the number of parents opting out of vaccines has dropped more than 25 percent.\u003c!--more-->\u003c/li>\n\u003cli>\u003cstrong style=\"font-size: medium\">Soda Tax\u003c/strong> -- efforts to pass taxes on sugar-sweetened beverages failed in Richmond and El Monte in 2012, but advocates are moving full steam ahead. A February Field Poll found that the majority of Californians surveyed \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/02/14/most-californians-support-soda-tax-if-it-benefits-childrens-health/\" target=\"_blank\">support a soda tax\u003c/a> -- if the proceeds will benefit children's health. Two members of San Francisco's Board of Supervisors are \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/10/28/is-san-francisco-primed-to-approve-a-soda-tax/\" target=\"_blank\">backing a soda tax \u003c/a>in the county. Look for more on that in 2014.\u003c/li>\n\u003cli>\u003cstrong style=\"font-size: medium\">HIV \"Cure\"\u003c/strong> -- while the story did not happen in California, \u003ca href=\"http://www.npr.org/blogs/health/2013/10/23/240272831/a-toddler-remains-hiv-free-raising-hope-for-babies-worldwide\" target=\"_blank\">researchers and advocates here were electrified\u003c/a> by the news of a toddler who appeared to have been cured of HIV. The baby was born to an HIV-positive mother who did not receive anti-retroviral drugs during pregnancy. The baby was started on medication when she was 30 hours old and stayed on them until \u003ca href=\"http://www.npr.org/blogs/health/2013/10/23/240272831/a-toddler-remains-hiv-free-raising-hope-for-babies-worldwide\" target=\"_blank\">she was about 18 months\u003c/a> when the mother stopped giving her medication, apparently because of her chaotic life circumstances.\u003c/li>\n\u003cli>\u003cstrong style=\"font-size: medium\">Valley Fever\u003c/strong> -- The Reporting on Health Collaboration has done great work\u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/09/10/valley-fever-cases-soar-harm-remains-hidden/\" target=\"_blank\"> bringing attention\u003c/a> to valley fever, an illness too well-known in the Central Valley and other parts of the desert southwest, but virtually ignored by the rest of the country. The number of valley fever\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/03/29/valley-fever-cases-skyrocketing-says-cdc/\" target=\"_blank\"> cases skyrocketed 850 percent\u003c/a> from 1998 to 2011, as the collaboration reported earlier this year. In September, federal officials attending a symposium in Bakersfield on valley fever said they will \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/09/24/federal-health-officials-to-launch-study-of-valley-fever/\" target=\"_blank\">commence a clinical trial\u003c/a> to determine base practices to treat the condition.\u003c/li>\n\u003cli>\u003cstrong style=\"font-size: medium\">Breast Density Notification Law\u003c/strong> -- on April 1, a law went into effect\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/03/29/californias-breast-density-notification-law-goes-into-effect/\" target=\"_blank\"> requiring doctors to notify women\u003c/a> if they had dense breast tissue. Women with extremely dense breast tissue are at increased risk of breast cancer, and the new law requires that they be notified if a doctor determines (usually from a mammogram) that a woman has this condition. The problem? Breast density is graded from 1 (not dense) to 4 (extremely dense). Under the law, women who have a 3 rating will also be notified -- even though there is no solid evidence that women with a 3 rating are at increased risk of breast cancer.\u003c/li>\n\u003cli>\u003cstrong style=\"font-size: medium\">Does Sleep Deprivation Makes you Crave Junk Food? -- \u003c/strong>this was a short story about a small study (only 23 people) with eyebrow-raising results: study participants who were not allowed to sleep had a much \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/08/06/why-sleep-deprivation-makes-you-crave-junk-food/\" target=\"_blank\">higher preference for high-calorie food\u003c/a> than healthy food. It seems that when you're sleep deprived an area of the brain that is associated with desire to eat is lit up, which three areas of the brain that deal with decision-making slow down.\u003c/li>\n\u003c/ol>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cfigure id=\"attachment_16141\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/140007839-e1383845514894.jpg\">\u003cimg class=\"size-large wp-image-16141\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/140007839-640x426.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor’s note: For people buying on the individual market who want health insurance starting Jan. 1, the deadline to sign up is Monday, Dec. 23. State of Health is running one post a day with questions and answers on both the Affordable Care Act and Covered California until that deadline. This installment comes from \u003ca href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\">KQED’s Obamacare Guide\u003c/a>, written specifically for Californians.\u003c/em>\u003c/p>\n\u003ch5>I've Heard the Government Is Offering Subsidies to Buy Insurance. Tell Me More.\u003c/h5>\n\u003cp>You may qualify for a subsidy — in the form of a tax credit — to help you pay for health insurance. Tax credits are available on a sliding scale, according to your income. More than 2 million Californians will qualify for a tax credit.\u003c/p>\n\u003cp>If you earn between 138 and 400 percent of poverty ($15,850 - $46,000 for an individual; $32,500 - $94,200 for a family of four), you may qualify for a \u003ca href=\"https://www.healthcare.gov/glossary/premium-tax-credit/\" target=\"_blank\">federal tax credit\u003c/a>. The credit will be applied to the cost of your premium. You choose when you want to receive the credit. You might want to receive it monthly, so that you will pay less each month, or you may elect to receive it all at once when you file your taxes in the following year.\u003c!--more-->\u003c/p>\n\u003cp>In order to receive the subsidy, you must buy a plan through Covered California. You cannot apply the subsidy to a plan you find outside of the marketplace.\u003c/p>\n\u003cp>Covered California \u003ca href=\"https://www.coveredca.com/shopandcompare/#calculator\" target=\"_blank\">offers a calculator\u003c/a> to help you estimate the cost of your insurance after the tax credit has been applied -- and to help you compare the prices of the different plans available to you. The tax credit is based on your ability to pay for the second-lowest-cost silver plan. But you can apply the credit to any plan you wish to buy (except for a catastrophic plan).\u003c/p>\n\u003ch5>I Can't Even Afford the Copayment or Deductible. What Do I Do Now?\u003c/h5>\n\u003cp>In addition to the tax credit, the federal government also offers special subsidies based on income and family size. If your income is less than about 2.5 times the poverty level — that's $28,000 for an individual or about $58,000 for a family of four — you may be eligible. These subsidies can help reduce what you have to pay -- called copayments -- when you see the doctor or get other health care.\u003c/p>\n\u003ch5>What If My Income Changes During the Year?\u003c/h5>\n\u003cp>If your income changes, your subsidy amount may go up or down. You should contact Covered California right away to adjust the amount of subsidy you receive. If you estimate your income too low — and get a higher subsidy as a result — you could have to pay back some of the subsidy at tax time. Alternatively, if you estimate too high, you could get a refund.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"disqusTitle": "Obamacare FAQ: Do Immigrants Qualify?",
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"content": "\u003cfigure id=\"attachment_15577\" class=\"wp-caption alignleft\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/172615408.jpg\">\u003cimg class=\"size-large wp-image-15577\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/172615408-640x472.jpg\" alt=\"A view of the the Statue of Liberty. (Timothy Clary/AFP/Getty Images)\" width=\"640\" height=\"472\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A view of the the Statue of Liberty. (Timothy Clary/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor’s note: For people buying on the individual market who want health insurance starting Jan. 1, the deadline to sign up is Monday, Dec. 23. State of Health is running one post a day with questions and answers on both the Affordable Care Act and Covered California until that deadline. This installment comes from \u003ca href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\">KQED’s Obamacare Guide\u003c/a>, written specifically for Californians.\u003c/em>\u003c/p>\n\u003cp>The headline for immigrants is that if you are \"lawfully present\" (the legal term of art), you are eligible for the benefits -- and responsibilities -- of the Affordable Care Act. This means you may qualify for subsidies to purchase insurance, but it also means you may have to pay a penalty if you do not carry health insurance. While naturalized citizens and green card holders may be aware of how Obamacare affects them, for other immigrants, access to these kinds of benefits is new. Undocumented immigrants are not eligible for any benefits of the ACA. They do not have to pay a penalty if they do not carry health insurance.\u003c/p>\n\u003ch5>I Am in the U.S. Legally, But I Do Not Have a Green Card. I Am Here under a Different Kind of Visa. What Does the Health Law Mean to Me?\u003c/h5>\n\u003cp>U.S. law includes a wide variety of ways in which immigrants can be lawfully present, even if they are not green card holders.\u003c!--more-->\u003c/p>\n\u003cp>The Affordable Care Act provides benefits to immigrants lawfully present under many different kinds of immigration status. You can check \u003ca href=\"https://www.healthcare.gov/immigration-status-and-the-marketplace/\" target=\"_blank\">this list\u003c/a> from the federal government to see if you qualify.\u003c/p>\n\u003cp>If your immigration status is one of those that makes you eligible for ACA benefits, here's what you need to know:\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Depending on your income and the number of people in your family, you may be eligible for subsidies to help you pay for insurance. If you earn less than 400 percent of poverty (about $46,000 for an individual or $94,000 for a family of four), you likely qualify for a sliding scale subsidy.\u003c/p>\n\u003cp>Covered California has a \u003ca href=\"https://www.coveredca.com/shopandcompare/#calculator\" target=\"_blank\">cost calculator\u003c/a> so you can estimate how much you might have to pay for health insurance. The cost calculator will also indicate if you are eligible for Medi-Cal.\u003c/p>\n\u003cp>Even if you make too much money to qualify for a subsidy, you can still purchase health insurance on the Covered California marketplace.\u003c/p>\n\u003ch5>I Am Lawfully Present and Want My Parents to Immigrate. Are They Eligible for Any Benefits?\u003c/h5>\n\u003cp>If your parents are lawfully present, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/10/09/for-legal-immigrants-obamacare-has-options-for-aging-parents/\" target=\"_blank\">they are eligible\u003c/a> to buy insurance on the Covered California marketplace. They may also be eligible for subsidies, depending on their income.\u003c/p>\n\u003ch5>We Are a Mixed-Status Family. How Do We Handle Our Application?\u003c/h5>\n\u003cp>\u003c/p>\n\u003cp>A mixed-status family is a household of individuals present in the United States under different immigration or citizenship statuses. While undocumented immigrants are not eligible for benefits under the health law, lawfully present members of a mixed-status family likely are eligible for benefits. Please consult \u003ca href=\"http://nilc.org/aca_mixedstatusfams.html\" target=\"_blank\">this document\u003c/a> from the National Immigration Law Center.\u003c/p>\n\n",
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"excerpt": "I Am in the U.S. Legally, But I Do Not Have a Green Card. I Am Here under a Different Kind of Visa. What Does the Health Law Mean to Me?\r\n\r\nU.S. law includes a wide variety of ways in which immigrants can be lawfully present, even if they are not green card holders.\r\n\r\nThe Affordable Care Act provides benefits to immigrants lawfully present under many different kinds of immigration status. You can check this list from the federal government to see if you qualify.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_15577\" class=\"wp-caption alignleft\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/172615408.jpg\">\u003cimg class=\"size-large wp-image-15577\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/172615408-640x472.jpg\" alt=\"A view of the the Statue of Liberty. (Timothy Clary/AFP/Getty Images)\" width=\"640\" height=\"472\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A view of the the Statue of Liberty. (Timothy Clary/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor’s note: For people buying on the individual market who want health insurance starting Jan. 1, the deadline to sign up is Monday, Dec. 23. State of Health is running one post a day with questions and answers on both the Affordable Care Act and Covered California until that deadline. This installment comes from \u003ca href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\">KQED’s Obamacare Guide\u003c/a>, written specifically for Californians.\u003c/em>\u003c/p>\n\u003cp>The headline for immigrants is that if you are \"lawfully present\" (the legal term of art), you are eligible for the benefits -- and responsibilities -- of the Affordable Care Act. This means you may qualify for subsidies to purchase insurance, but it also means you may have to pay a penalty if you do not carry health insurance. While naturalized citizens and green card holders may be aware of how Obamacare affects them, for other immigrants, access to these kinds of benefits is new. Undocumented immigrants are not eligible for any benefits of the ACA. They do not have to pay a penalty if they do not carry health insurance.\u003c/p>\n\u003ch5>I Am in the U.S. Legally, But I Do Not Have a Green Card. I Am Here under a Different Kind of Visa. What Does the Health Law Mean to Me?\u003c/h5>\n\u003cp>U.S. law includes a wide variety of ways in which immigrants can be lawfully present, even if they are not green card holders.\u003c!--more-->\u003c/p>\n\u003cp>The Affordable Care Act provides benefits to immigrants lawfully present under many different kinds of immigration status. You can check \u003ca href=\"https://www.healthcare.gov/immigration-status-and-the-marketplace/\" target=\"_blank\">this list\u003c/a> from the federal government to see if you qualify.\u003c/p>\n\u003cp>If your immigration status is one of those that makes you eligible for ACA benefits, here's what you need to know:\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Depending on your income and the number of people in your family, you may be eligible for subsidies to help you pay for insurance. If you earn less than 400 percent of poverty (about $46,000 for an individual or $94,000 for a family of four), you likely qualify for a sliding scale subsidy.\u003c/p>\n\u003cp>Covered California has a \u003ca href=\"https://www.coveredca.com/shopandcompare/#calculator\" target=\"_blank\">cost calculator\u003c/a> so you can estimate how much you might have to pay for health insurance. The cost calculator will also indicate if you are eligible for Medi-Cal.\u003c/p>\n\u003cp>Even if you make too much money to qualify for a subsidy, you can still purchase health insurance on the Covered California marketplace.\u003c/p>\n\u003ch5>I Am Lawfully Present and Want My Parents to Immigrate. Are They Eligible for Any Benefits?\u003c/h5>\n\u003cp>If your parents are lawfully present, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/10/09/for-legal-immigrants-obamacare-has-options-for-aging-parents/\" target=\"_blank\">they are eligible\u003c/a> to buy insurance on the Covered California marketplace. They may also be eligible for subsidies, depending on their income.\u003c/p>\n\u003ch5>We Are a Mixed-Status Family. How Do We Handle Our Application?\u003c/h5>\n\u003cp>\u003c/p>\n\u003cp>A mixed-status family is a household of individuals present in the United States under different immigration or citizenship statuses. While undocumented immigrants are not eligible for benefits under the health law, lawfully present members of a mixed-status family likely are eligible for benefits. Please consult \u003ca href=\"http://nilc.org/aca_mixedstatusfams.html\" target=\"_blank\">this document\u003c/a> from the National Immigration Law Center.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_16736\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/154126477-e1387233135649.jpg\">\u003cimg class=\"size-large wp-image-16736\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/154126477-640x412.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"412\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Just a week to go. The deadline to enroll in health insurance starting Jan. 1 is next Monday, Dec. 23.\u003c/p>\n\u003cp>This morning on \u003ca href=\"http://www.kqed.org/a/forum/R201312160900\" target=\"_blank\">KQED's Forum\u003c/a>, Emily Bazar, of the \u003ca href=\"http://centerforhealthreporting.org/project/ask-emily-answers-consumer-questions-about-obamacare\" target=\"_blank\">Center for Health Reporting\u003c/a>, and I answered listener questions about enrolling in insurance via Covered California.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/125166464&color=ff6600&auto_play=false&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\u003cp>Host Michael Krasny started by asking us some of the basics. Yes, you can still buy coverage after Dec. 23; open enrollment runs until Mar. 31, 2014. After that, if you don't have health insurance, you will likely need to pay a penalty, $95 per adult or 1 percent of your income, whichever is greater.\u003c!--more-->\u003c/p>\n\u003cp>But we quickly got into some specifics. One listener said he had been buying a separate health insurance policy for his two young children, but their policy was canceled because it did not comply with the ACA. New policies are significantly more expensive. In addition, he has employer-based insurance for himself -- but his employer's insurance is very expensive for his family.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>It was that last bit of his story that put him into the \"kid glitch.\" If \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/12/09/obamacare-qa-work-based-health-insurance-what-is-the-kid-glitch-consumer-questions-answers-aca/\" target=\"_blank\">your employer offers you \u003c/a>\"affordable\" insurance, and they also offer coverage to your dependents, even if the dependent coverage is very expensive, you do not qualify for subsidies on the Covered California marketplace.\u003c/p>\n\u003cp>Another caller wanted to know if she bought insurance, if her son who goes to college in Portland, OR would be covered. Bazar explained that some plans offer a multi-state option, and consumers should be sure to check what is covered outside California.\u003c/p>\n\u003cp>More than one caller wanted to know a variation of \"\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/12/12/obamacare-faq-determining-your-family-size-household/\" target=\"_blank\">who's in my household?\u003c/a>\" In short, your eligibility for a subsidy is determined by your income and household size. In short, your household is determined by who you claim as a dependent on your federal income tax return. So, if you claim your college student daughter as a dependent, you must also claim any income she might earn.\u003c/p>\n\u003cp>Another caller wanted to know why her children qualified for Medi-Cal but she and her husband did not. While adults who earn up to 138 percent of poverty are eligible for Medi-Cal, for children the threshold is 250 percent of poverty. Here's an example: say a family of four has household income of $55,000. That's much more than 138 percent of poverty -- and just under 250 percent of poverty -- for a family of four. So, the children qualify for Medi-Cal, but the adults must buy on the Covered California marketplace. They will qualify for subsidies to help them afford insurance.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But many people had questions that Bazar and I simply could not answer. If you're having trouble with your specific question, we both encouraged listeners to seek in-person assistance. You can \u003ca href=\"https://www.coveredca.com/enrollment-assistance/\" target=\"_blank\">click here\u003c/a> to visit Covered California's links to find someone near you to help you.\u003c/p>\n\n",
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"excerpt": "Just a week to go. The deadline to enroll in health insurance starting Jan. 1 is next Monday, Dec. 23.\r\n\r\nThis morning on KQED's Forum, Emily Bazar, of the Center for Health Reporting, and I answered listener questions about enrolling in insurance via Covered California.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16736\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/154126477-e1387233135649.jpg\">\u003cimg class=\"size-large wp-image-16736\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/154126477-640x412.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"412\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Just a week to go. The deadline to enroll in health insurance starting Jan. 1 is next Monday, Dec. 23.\u003c/p>\n\u003cp>This morning on \u003ca href=\"http://www.kqed.org/a/forum/R201312160900\" target=\"_blank\">KQED's Forum\u003c/a>, Emily Bazar, of the \u003ca href=\"http://centerforhealthreporting.org/project/ask-emily-answers-consumer-questions-about-obamacare\" target=\"_blank\">Center for Health Reporting\u003c/a>, and I answered listener questions about enrolling in insurance via Covered California.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/125166464&color=ff6600&auto_play=false&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\u003cp>Host Michael Krasny started by asking us some of the basics. Yes, you can still buy coverage after Dec. 23; open enrollment runs until Mar. 31, 2014. After that, if you don't have health insurance, you will likely need to pay a penalty, $95 per adult or 1 percent of your income, whichever is greater.\u003c!--more-->\u003c/p>\n\u003cp>But we quickly got into some specifics. One listener said he had been buying a separate health insurance policy for his two young children, but their policy was canceled because it did not comply with the ACA. New policies are significantly more expensive. In addition, he has employer-based insurance for himself -- but his employer's insurance is very expensive for his family.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>It was that last bit of his story that put him into the \"kid glitch.\" If \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/12/09/obamacare-qa-work-based-health-insurance-what-is-the-kid-glitch-consumer-questions-answers-aca/\" target=\"_blank\">your employer offers you \u003c/a>\"affordable\" insurance, and they also offer coverage to your dependents, even if the dependent coverage is very expensive, you do not qualify for subsidies on the Covered California marketplace.\u003c/p>\n\u003cp>Another caller wanted to know if she bought insurance, if her son who goes to college in Portland, OR would be covered. Bazar explained that some plans offer a multi-state option, and consumers should be sure to check what is covered outside California.\u003c/p>\n\u003cp>More than one caller wanted to know a variation of \"\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/12/12/obamacare-faq-determining-your-family-size-household/\" target=\"_blank\">who's in my household?\u003c/a>\" In short, your eligibility for a subsidy is determined by your income and household size. In short, your household is determined by who you claim as a dependent on your federal income tax return. So, if you claim your college student daughter as a dependent, you must also claim any income she might earn.\u003c/p>\n\u003cp>Another caller wanted to know why her children qualified for Medi-Cal but she and her husband did not. While adults who earn up to 138 percent of poverty are eligible for Medi-Cal, for children the threshold is 250 percent of poverty. Here's an example: say a family of four has household income of $55,000. That's much more than 138 percent of poverty -- and just under 250 percent of poverty -- for a family of four. So, the children qualify for Medi-Cal, but the adults must buy on the Covered California marketplace. They will qualify for subsidies to help them afford insurance.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But many people had questions that Bazar and I simply could not answer. If you're having trouble with your specific question, we both encouraged listeners to seek in-person assistance. You can \u003ca href=\"https://www.coveredca.com/enrollment-assistance/\" target=\"_blank\">click here\u003c/a> to visit Covered California's links to find someone near you to help you.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>As part of the effort to encourage people to sign up for health insurance, a new national campaign -- \u003ca href=\"http://coveredcanews.blogspot.com/2013/12/national-and-state-health-groups-launch.html\" target=\"_blank\">Tell A Friend, Get Covered\u003c/a> -- aims to reach 100 million people.\u003c/p>\n\u003cp>And right out of the block, the campaign has a viral hit. Watch as Obama impersonator Iman Crosson raps as “B-Rock O’Beezy” to Snoop Dogg's \u003ca href=\"http://www.youtube.com/watch?v=GtUVQei3nX4\" target=\"_blank\">Drop It Like It's Hot\u003c/a>. Yes, really.\u003c/p>\n\u003cdiv style=\"overflow: hidden\">\n\u003cdiv class=\"embedly\">\n\u003cp>\u003ciframe src=\"http://www.youtube.com/embed/1GmY8KH03rM?feature=oembed\" frameborder=\"0\" width=\"640\" height=\"360\">\u003c/iframe>\u003c/p>\n\u003cdiv class=\"embedly-clear\">\u003c/div>\n\u003cp>\u003cspan class=\"embedly-powered\" style=\"float: right\">\u003ca title=\"Powered by Embedly\" href=\"http://embed.ly/code?url=http%3A%2F%2Fyoutu.be%2F1GmY8KH03rM\" target=\"_blank\">\u003cimg src=\"http://static.embed.ly/images/logos/embedly-powered-small-light.png\" alt=\"Embedly Powered\">\u003c/a>\u003c/span>\u003c/p>\n\u003cdiv class=\"embedly-clear\">\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003cp>Crosson, who performs as AlphaCat, gets right into it:\u003c/p>\n\u003cp>\"When I'm the Oval Office, call me President Barack, President Barack, President Barack.\u003c/p>\n\u003cp>\"When my critics get an attitude, I tell 'em to stop. I tell 'em to stop. I tell 'em to stop.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"And If you need that new health care, sign up cuz it's hot. Sign up cuz it's hot. Sign up cuz it's hot.\u003c!--more-->\u003c/p>\n\u003cp>\"Don’t stand and diddle, my health care’s the shizzle, It’s chock full of top-notch health care provizzles. We’ll cover all your vizzles, your dizzles and your tizzles. Now, while you figure that out, it's back to the chorizzle.\"\u003c/p>\n\u003cp>I think it will make more sense if you watch the video.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>For those who want coverage that will start on Jan. 1, the deadline to sign up is Monday, Dec. 23. Open enrollment runs until Mar. 31, 2014.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As part of the effort to encourage people to sign up for health insurance, a new national campaign -- \u003ca href=\"http://coveredcanews.blogspot.com/2013/12/national-and-state-health-groups-launch.html\" target=\"_blank\">Tell A Friend, Get Covered\u003c/a> -- aims to reach 100 million people.\u003c/p>\n\u003cp>And right out of the block, the campaign has a viral hit. Watch as Obama impersonator Iman Crosson raps as “B-Rock O’Beezy” to Snoop Dogg's \u003ca href=\"http://www.youtube.com/watch?v=GtUVQei3nX4\" target=\"_blank\">Drop It Like It's Hot\u003c/a>. Yes, really.\u003c/p>\n\u003cdiv style=\"overflow: hidden\">\n\u003cdiv class=\"embedly\">\n\u003cp>\u003ciframe src=\"http://www.youtube.com/embed/1GmY8KH03rM?feature=oembed\" frameborder=\"0\" width=\"640\" height=\"360\">\u003c/iframe>\u003c/p>\n\u003cdiv class=\"embedly-clear\">\u003c/div>\n\u003cp>\u003cspan class=\"embedly-powered\" style=\"float: right\">\u003ca title=\"Powered by Embedly\" href=\"http://embed.ly/code?url=http%3A%2F%2Fyoutu.be%2F1GmY8KH03rM\" target=\"_blank\">\u003cimg src=\"http://static.embed.ly/images/logos/embedly-powered-small-light.png\" alt=\"Embedly Powered\">\u003c/a>\u003c/span>\u003c/p>\n\u003cdiv class=\"embedly-clear\">\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003cp>Crosson, who performs as AlphaCat, gets right into it:\u003c/p>\n\u003cp>\"When I'm the Oval Office, call me President Barack, President Barack, President Barack.\u003c/p>\n\u003cp>\"When my critics get an attitude, I tell 'em to stop. I tell 'em to stop. I tell 'em to stop.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"And If you need that new health care, sign up cuz it's hot. Sign up cuz it's hot. Sign up cuz it's hot.\u003c!--more-->\u003c/p>\n\u003cp>\"Don’t stand and diddle, my health care’s the shizzle, It’s chock full of top-notch health care provizzles. We’ll cover all your vizzles, your dizzles and your tizzles. Now, while you figure that out, it's back to the chorizzle.\"\u003c/p>\n\u003cp>I think it will make more sense if you watch the video.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>For those who want coverage that will start on Jan. 1, the deadline to sign up is Monday, Dec. 23. Open enrollment runs until Mar. 31, 2014.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Obamacare FAQ: When Can You Buy or Switch Insurance?",
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"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_14038\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/08/RS5161_78770400-scr-e1375404453328.jpg\">\u003cimg class=\"size-full wp-image-14038\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/08/RS5161_78770400-scr-e1375404453328.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"368\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/08/RS5161_78770400-scr-e1375404453328.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2013/08/RS5161_78770400-scr-e1375404453328-400x230.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/08/RS5161_78770400-scr-e1375404453328-320x184.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor’s note: For people buying on the individual market who want health insurance starting Jan. 1, the deadline to sign up is Monday, Dec. 23. We are running one post a day with questions and answers on the Affordable Care Act and Covered California until that deadline. Readers can also consult \u003ca href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\">KQED’s Obamacare Guide\u003c/a>, written specifically for Californians.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Emily Bazar\u003c/strong>, \u003ca href=\"http://centerforhealthreporting.org/article/how-will-young-adults-and-college-students-fare-under-obamacare1145\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Q: Our 24-year-old daughter is employed full-time and her employer offers health insurance. Does she have to enroll in one of their plans or can she stay on ours until her 26th birthday?\u003c/strong>\u003c/p>\n\u003cp>A: \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/12/11/obamacare-faq-what-are-options-for-college-students-and-young-adults/\" target=\"_blank\">Young adults and college students\u003c/a> will have more insurance options in the new health care landscape than just about any other group, including both the Covered California marketplace and Medi-Cal, depending on their income.\u003ca href=\"http://centerforhealthreporting.org/article/how-will-young-adults-and-college-students-fare-under-obamacare1145\" target=\"_blank\">\u003cbr>\n\u003c/a>\u003c/p>\n\u003cp>Gwen from San Jose wants to know more about one option, \u003ca href=\"https://www.healthcare.gov/can-i-keep-my-child-on-my-insurance-until-age-26/\" target=\"_blank\">a popular Obamacare provision\u003c/a> that already allows parents to keep their young-adult children on their policies until their kids turn 26.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The good news, Gwen, is that your daughter can stay on your employer-sponsored plan until she’s 26, but … (And there is always a \"but\" … )\u003c!--more-->\u003c/p>\n\u003cp>If your plan does not already offer coverage to children who work and have access to insurance through their jobs, she may have to wait until open enrollment for the 2014 plan year. Starting then, \u003ca href=\"http://www.dol.gov/ebsa/faqs/faq-dependentcoverage.html\" target=\"_blank\">Obamacare will allow\u003c/a> children up to age 26 to stay on their parents’ work-based plans even if they can buy insurance through their own employer.\u003c/p>\n\u003cp>Q: \u003cstrong>If my daughter can stay on our plan, is her 26th birthday a life event that will enable her to enroll in her work-based insurance so there is no gap in coverage, or will she have to wait until her employer’s next open enrollment?\u003c/strong>\u003c/p>\n\u003cp>A: The short answer here is \"yes.\"\u003c/p>\n\u003cp>Losing access to your health plan is what is known as a “qualifying event” in the insurance world, says \u003ca href=\"http://www.morrisgarritano.com/our-team/employee-benefits\" target=\"_blank\">San Luis Obispo insurance broker Dave Morgan\u003c/a>. That means your daughter will be able to enroll in her employer’s coverage outside of the regular open-enrollment period as long as she does so within 30 days of being bounced off your plan, he says.\u003c/p>\n\u003cp>“The 30 days is key,” Morgan adds. “Otherwise it’s a long way till open enrollment.”\u003c/p>\n\u003cp>Other common qualifying events include losing your work-based insurance when you lose a job, marriage, divorce, and the birth or adoption of a child.\u003c/p>\n\u003cp>And depending on where you get your insurance, you may have more than 30 days. For instance, you’ll be eligible for a special enrollment period \u003ca href=\"https://www.coveredca.com/individuals-and-families/\" target=\"_blank\">of 60 days\u003c/a> after a qualifying event if you buy from the state’s health insurance marketplace, \u003ca href=\"http://www.coveredca.com/\" target=\"_blank\">Covered California\u003c/a>.\u003c/p>\n\u003cp>But pay close attention to open enrollment. For most people, that will be the only chance to buy or change your health insurance each year.\u003c/p>\n\u003cul>\n\u003cli>Covered California: \u003ca href=\"http://www.healthexchange.ca.gov/StakeHolders/Documents/(W)EE%205%2010%2013%20Regulations%20Webinar_FINALv%202.pdf\" target=\"_blank\">The open-enrollment period\u003c/a> for individual and family plans will last six months the first year, from Oct. 1 through March 31, 2014. In subsequent years, open enrollment will last from Oct. 15 through Dec. 7.\u003c/li>\n\u003c/ul>\n\u003cp>(Small businesses that buy plans for employee coverage on the exchange, on the other hand, are allowed to sign up for coverage year-round.)\u003c/p>\n\u003cul>\n\u003cli>The open market: If you buy individual or family plans outside of the exchange, a big change is coming. “Previously, people could sign up anytime,” says Fountain Valley health insurance agent Tom Freker.\u003c/li>\n\u003c/ul>\n\u003cp>Not under Obamacare. Beginning with plans that take effect next year, you must sign up during an open enrollment period that will take place \u003ca href=\"https://www.blueshieldca.com/bsca/about-blue-shield/health-reform/navigating-reform/key-topics.sp#OpenEnrollment\" target=\"_blank\">at the same time as exchange open enrollment\u003c/a>.\u003c/p>\n\u003cul>\n\u003cli>Work-based insurance: Open enrollment periods vary by company. Check with your boss.\u003c/li>\n\u003c/ul>\n\u003cul>\n\u003cli>\u003ca href=\"http://www.dhcs.ca.gov/services/medi-cal/Pages/default.aspx\" target=\"_blank\">Medi-Cal\u003c/a>: If you are eligible for the state’s health insurance program for low-income residents, you can enroll at any time.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Q: You’ve said that starting in January, insurance companies can no longer deny coverage to people with pre-existing medical conditions. Does this mean that someone who is uninsured … can, after needing a hospital stay, apply for insurance and cannot be denied? If so, why would anyone pay for insurance until they need an expensive procedure?\u003c/strong>\u003c/p>\n\u003cp>A: While people with pre-existing medical conditions cannot be denied insurance, they must buy during the open enrollment period -- again, that closes on Mar. 31, 2014.\u003c/p>\n\u003cp>As I described above, you won’t be able to sign up for individual or family health plans through Covered California or on the open market outside of open enrollment, unless you experience one of those legitimate change-of-life events.\u003c/p>\n\u003cp>Having a car accident or heart attack is not one of them.\u003c/p>\n\u003cp>“If someone gets sick or has an accident in the meantime, they’d have to pay their own way and/or get stuck with big bills,” explains Marian Mulkey, a health reform expert for the California HealthCare Foundation.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Insurance spreads the risk between the healthy and the not-as-healthy. If people could wait until they got sick to enroll in insurance, there would be far fewer healthy people in the insurance pool and insurance premiums would likely skyrocket.\u003c/p>\n\n",
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"excerpt": "Q: Our 24-year-old daughter is employed full-time and her employer offers health insurance. Does she have to enroll in one of their plans or can she stay on ours until her 26th birthday?\r\n\r\nA: Young adults and college students will have more insurance options in the new health care landscape than just about any other group, including both the Covered California marketplace and Medi-Cal, depending on their income.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_14038\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/08/RS5161_78770400-scr-e1375404453328.jpg\">\u003cimg class=\"size-full wp-image-14038\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/08/RS5161_78770400-scr-e1375404453328.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"368\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/08/RS5161_78770400-scr-e1375404453328.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2013/08/RS5161_78770400-scr-e1375404453328-400x230.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/08/RS5161_78770400-scr-e1375404453328-320x184.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor’s note: For people buying on the individual market who want health insurance starting Jan. 1, the deadline to sign up is Monday, Dec. 23. We are running one post a day with questions and answers on the Affordable Care Act and Covered California until that deadline. Readers can also consult \u003ca href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\">KQED’s Obamacare Guide\u003c/a>, written specifically for Californians.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Emily Bazar\u003c/strong>, \u003ca href=\"http://centerforhealthreporting.org/article/how-will-young-adults-and-college-students-fare-under-obamacare1145\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Q: Our 24-year-old daughter is employed full-time and her employer offers health insurance. Does she have to enroll in one of their plans or can she stay on ours until her 26th birthday?\u003c/strong>\u003c/p>\n\u003cp>A: \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/12/11/obamacare-faq-what-are-options-for-college-students-and-young-adults/\" target=\"_blank\">Young adults and college students\u003c/a> will have more insurance options in the new health care landscape than just about any other group, including both the Covered California marketplace and Medi-Cal, depending on their income.\u003ca href=\"http://centerforhealthreporting.org/article/how-will-young-adults-and-college-students-fare-under-obamacare1145\" target=\"_blank\">\u003cbr>\n\u003c/a>\u003c/p>\n\u003cp>Gwen from San Jose wants to know more about one option, \u003ca href=\"https://www.healthcare.gov/can-i-keep-my-child-on-my-insurance-until-age-26/\" target=\"_blank\">a popular Obamacare provision\u003c/a> that already allows parents to keep their young-adult children on their policies until their kids turn 26.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The good news, Gwen, is that your daughter can stay on your employer-sponsored plan until she’s 26, but … (And there is always a \"but\" … )\u003c!--more-->\u003c/p>\n\u003cp>If your plan does not already offer coverage to children who work and have access to insurance through their jobs, she may have to wait until open enrollment for the 2014 plan year. Starting then, \u003ca href=\"http://www.dol.gov/ebsa/faqs/faq-dependentcoverage.html\" target=\"_blank\">Obamacare will allow\u003c/a> children up to age 26 to stay on their parents’ work-based plans even if they can buy insurance through their own employer.\u003c/p>\n\u003cp>Q: \u003cstrong>If my daughter can stay on our plan, is her 26th birthday a life event that will enable her to enroll in her work-based insurance so there is no gap in coverage, or will she have to wait until her employer’s next open enrollment?\u003c/strong>\u003c/p>\n\u003cp>A: The short answer here is \"yes.\"\u003c/p>\n\u003cp>Losing access to your health plan is what is known as a “qualifying event” in the insurance world, says \u003ca href=\"http://www.morrisgarritano.com/our-team/employee-benefits\" target=\"_blank\">San Luis Obispo insurance broker Dave Morgan\u003c/a>. That means your daughter will be able to enroll in her employer’s coverage outside of the regular open-enrollment period as long as she does so within 30 days of being bounced off your plan, he says.\u003c/p>\n\u003cp>“The 30 days is key,” Morgan adds. “Otherwise it’s a long way till open enrollment.”\u003c/p>\n\u003cp>Other common qualifying events include losing your work-based insurance when you lose a job, marriage, divorce, and the birth or adoption of a child.\u003c/p>\n\u003cp>And depending on where you get your insurance, you may have more than 30 days. For instance, you’ll be eligible for a special enrollment period \u003ca href=\"https://www.coveredca.com/individuals-and-families/\" target=\"_blank\">of 60 days\u003c/a> after a qualifying event if you buy from the state’s health insurance marketplace, \u003ca href=\"http://www.coveredca.com/\" target=\"_blank\">Covered California\u003c/a>.\u003c/p>\n\u003cp>But pay close attention to open enrollment. For most people, that will be the only chance to buy or change your health insurance each year.\u003c/p>\n\u003cul>\n\u003cli>Covered California: \u003ca href=\"http://www.healthexchange.ca.gov/StakeHolders/Documents/(W)EE%205%2010%2013%20Regulations%20Webinar_FINALv%202.pdf\" target=\"_blank\">The open-enrollment period\u003c/a> for individual and family plans will last six months the first year, from Oct. 1 through March 31, 2014. In subsequent years, open enrollment will last from Oct. 15 through Dec. 7.\u003c/li>\n\u003c/ul>\n\u003cp>(Small businesses that buy plans for employee coverage on the exchange, on the other hand, are allowed to sign up for coverage year-round.)\u003c/p>\n\u003cul>\n\u003cli>The open market: If you buy individual or family plans outside of the exchange, a big change is coming. “Previously, people could sign up anytime,” says Fountain Valley health insurance agent Tom Freker.\u003c/li>\n\u003c/ul>\n\u003cp>Not under Obamacare. Beginning with plans that take effect next year, you must sign up during an open enrollment period that will take place \u003ca href=\"https://www.blueshieldca.com/bsca/about-blue-shield/health-reform/navigating-reform/key-topics.sp#OpenEnrollment\" target=\"_blank\">at the same time as exchange open enrollment\u003c/a>.\u003c/p>\n\u003cul>\n\u003cli>Work-based insurance: Open enrollment periods vary by company. Check with your boss.\u003c/li>\n\u003c/ul>\n\u003cul>\n\u003cli>\u003ca href=\"http://www.dhcs.ca.gov/services/medi-cal/Pages/default.aspx\" target=\"_blank\">Medi-Cal\u003c/a>: If you are eligible for the state’s health insurance program for low-income residents, you can enroll at any time.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Q: You’ve said that starting in January, insurance companies can no longer deny coverage to people with pre-existing medical conditions. Does this mean that someone who is uninsured … can, after needing a hospital stay, apply for insurance and cannot be denied? If so, why would anyone pay for insurance until they need an expensive procedure?\u003c/strong>\u003c/p>\n\u003cp>A: While people with pre-existing medical conditions cannot be denied insurance, they must buy during the open enrollment period -- again, that closes on Mar. 31, 2014.\u003c/p>\n\u003cp>As I described above, you won’t be able to sign up for individual or family health plans through Covered California or on the open market outside of open enrollment, unless you experience one of those legitimate change-of-life events.\u003c/p>\n\u003cp>Having a car accident or heart attack is not one of them.\u003c/p>\n\u003cp>“If someone gets sick or has an accident in the meantime, they’d have to pay their own way and/or get stuck with big bills,” explains Marian Mulkey, a health reform expert for the California HealthCare Foundation.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Insurance spreads the risk between the healthy and the not-as-healthy. If people could wait until they got sick to enroll in insurance, there would be far fewer healthy people in the insurance pool and insurance premiums would likely skyrocket.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "State's Insurance Marketplace Enrollment Leads Nation, But Few Latinos Sign up",
"title": "State's Insurance Marketplace Enrollment Leads Nation, But Few Latinos Sign up",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_15369\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/peter-lee-e1380672289238.jpg\">\u003cimg class=\"size-large wp-image-15369\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/peter-lee-640x425.jpg\" alt=\"Covered California executive director Peter Lee speaking to advocates and reporters in San Francisco on Oct. 1, the day the Covered California marketplace opened. (Angela Hart/KQED)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Covered California executive director Peter Lee speaking to advocates and reporters in San Francisco on Oct. 1, the day the Covered California marketplace opened. (Angela Hart/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By April Dembosky\u003c/strong>\u003c/p>\n\u003cp>Enrollment in California’s health insurance exchange rose dramatically in early December as the deadline looms for coverage beginning January 1. An average of 15,000 people per day signed up for plans the first two days of this week, up from 7,000 per day last week -- the first week of December -- and 2,700 people per day in mid-November.\u003c/p>\n\u003cp>“And that momentum is not stopping, it’s building,” said Peter Lee, executive director of Covered California, the state’s marketplace, in a call with reporters.\u003c/p>\n\u003cfigure id=\"attachment_16673\" class=\"wp-caption alignleft\" style=\"max-width: 320px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/obamacare-totals.png\">\u003cimg class=\"size-full wp-image-16673\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/obamacare-totals.png\" alt=\"(Matt Stiles/NPR)\" width=\"320\" height=\"664\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Matt Stiles/NPR)\u003c/figcaption>\u003c/figure>\n\u003cp>California continues to outperform other state and federally-run marketplaces, with more people enrolling for plans in California than any other state. As of the end of November, 109,296 Californians had enrolled in a plan –- representing 30 percent of all enrollees in the country. (See top chart.)\u003c/p>\n\u003cp>Another 179,000 people applied and are likely to be eligible for Medi-Cal, the state's version of Medicaid.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Covered California has been successful in attracting young people to sign up, a critical cohort for balancing insurance pools and keeping the price of premiums low. Eighteen to 34-year-olds represent 21 per cent of enrollees in the marketplace, roughly in line with their representation in the California population.\u003c!--more-->\u003c/p>\n\u003cp>Leslie Foster, a 29-year-old freelance filmmaker in Hollywood, participated in Covered California's conference call. He said he was glad when his existing catastrophic insurance plan was canceled. He said he signed up for a much more comprehensive health plan through Covered California that will cost him $62 a month.\u003c/p>\n\u003cp>“It’s one of the few bills I’m going to be excited about paying,” he said.\u003c/p>\n\u003cp>Covered California has not done so well with Latinos, another critical demographic for the Affordable Care Act. Spanish speakers, which the state is using as a proxy for ethnicity, represent only 5 percent of enrollees, compared to 29 percent of Spanish speakers that live in California. Mr. Lee said the state needs to refine its research methods for tracking ethnicity –- 88 percent of people who enrolled declined to state their ethnicity –- and it needs to evaluate its outreach strategy for the Latino community.\u003c/p>\n\u003cfigure id=\"attachment_16674\" class=\"wp-caption alignleft\" style=\"max-width: 320px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/obamacare-rates-december.png\">\u003cimg class=\"size-full wp-image-16674\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/obamacare-rates-december.png\" alt=\"(Matt Stiles/NPR)\" width=\"320\" height=\"616\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Matt Stiles/NPR)\u003c/figcaption>\u003c/figure>\n\u003cp>“Between now and January, we’re doing focus groups and quantitative research to find out what’s going on,” he said. “Is it because Latinos want to enroll in person versus online? Is it because talking to phone counselors is something they prefer or don’t prefer? So, we’re going to be doing research and we’ll be stepping up what is already a lot of marketing and outreach in the Latino community.\"\u003c/p>\n\u003cp>California also has a lower success rate in attracting the currently uninsured. You can compare states in the second chart, Federal data shows that through the end of November, just under 2 percent of people who had selected a plan do not have insurance right now.\u003c/p>\n\u003cp>Dec. 23 is the deadline to enroll in coverage that begins Jan. 1, but open enrollment continues until Mar. 31.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/124746858&color=ff6600&auto_play=false&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n",
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"excerpt": "Enrollment in California’s health insurance exchange rose dramatically in early December as the deadline looms for coverage beginning January 1. An average of 15,000 people per day signed up for plans the first two days of this week, up from 7,000 per day last week -- the first week of December -- and 2,700 people per day in mid-November.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_15369\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/peter-lee-e1380672289238.jpg\">\u003cimg class=\"size-large wp-image-15369\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/peter-lee-640x425.jpg\" alt=\"Covered California executive director Peter Lee speaking to advocates and reporters in San Francisco on Oct. 1, the day the Covered California marketplace opened. (Angela Hart/KQED)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Covered California executive director Peter Lee speaking to advocates and reporters in San Francisco on Oct. 1, the day the Covered California marketplace opened. (Angela Hart/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By April Dembosky\u003c/strong>\u003c/p>\n\u003cp>Enrollment in California’s health insurance exchange rose dramatically in early December as the deadline looms for coverage beginning January 1. An average of 15,000 people per day signed up for plans the first two days of this week, up from 7,000 per day last week -- the first week of December -- and 2,700 people per day in mid-November.\u003c/p>\n\u003cp>“And that momentum is not stopping, it’s building,” said Peter Lee, executive director of Covered California, the state’s marketplace, in a call with reporters.\u003c/p>\n\u003cfigure id=\"attachment_16673\" class=\"wp-caption alignleft\" style=\"max-width: 320px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/obamacare-totals.png\">\u003cimg class=\"size-full wp-image-16673\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/obamacare-totals.png\" alt=\"(Matt Stiles/NPR)\" width=\"320\" height=\"664\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Matt Stiles/NPR)\u003c/figcaption>\u003c/figure>\n\u003cp>California continues to outperform other state and federally-run marketplaces, with more people enrolling for plans in California than any other state. As of the end of November, 109,296 Californians had enrolled in a plan –- representing 30 percent of all enrollees in the country. (See top chart.)\u003c/p>\n\u003cp>Another 179,000 people applied and are likely to be eligible for Medi-Cal, the state's version of Medicaid.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Covered California has been successful in attracting young people to sign up, a critical cohort for balancing insurance pools and keeping the price of premiums low. Eighteen to 34-year-olds represent 21 per cent of enrollees in the marketplace, roughly in line with their representation in the California population.\u003c!--more-->\u003c/p>\n\u003cp>Leslie Foster, a 29-year-old freelance filmmaker in Hollywood, participated in Covered California's conference call. He said he was glad when his existing catastrophic insurance plan was canceled. He said he signed up for a much more comprehensive health plan through Covered California that will cost him $62 a month.\u003c/p>\n\u003cp>“It’s one of the few bills I’m going to be excited about paying,” he said.\u003c/p>\n\u003cp>Covered California has not done so well with Latinos, another critical demographic for the Affordable Care Act. Spanish speakers, which the state is using as a proxy for ethnicity, represent only 5 percent of enrollees, compared to 29 percent of Spanish speakers that live in California. Mr. Lee said the state needs to refine its research methods for tracking ethnicity –- 88 percent of people who enrolled declined to state their ethnicity –- and it needs to evaluate its outreach strategy for the Latino community.\u003c/p>\n\u003cfigure id=\"attachment_16674\" class=\"wp-caption alignleft\" style=\"max-width: 320px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/obamacare-rates-december.png\">\u003cimg class=\"size-full wp-image-16674\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/obamacare-rates-december.png\" alt=\"(Matt Stiles/NPR)\" width=\"320\" height=\"616\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Matt Stiles/NPR)\u003c/figcaption>\u003c/figure>\n\u003cp>“Between now and January, we’re doing focus groups and quantitative research to find out what’s going on,” he said. “Is it because Latinos want to enroll in person versus online? Is it because talking to phone counselors is something they prefer or don’t prefer? So, we’re going to be doing research and we’ll be stepping up what is already a lot of marketing and outreach in the Latino community.\"\u003c/p>\n\u003cp>California also has a lower success rate in attracting the currently uninsured. You can compare states in the second chart, Federal data shows that through the end of November, just under 2 percent of people who had selected a plan do not have insurance right now.\u003c/p>\n\u003cp>Dec. 23 is the deadline to enroll in coverage that begins Jan. 1, but open enrollment continues until Mar. 31.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/124746858&color=ff6600&auto_play=false&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_16653\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://www.flickr.com/photos/mikeygottawa/398496381/sizes/o/in/photolist-Bdp6g-BBViz-EPCKv-FXkYh-GX1uh-MoFbh-MKaPQ-2egFxZ-2hqZzs-2FTGtW-2QHzWh-2XKsUV-49NrV2-4bme2x-4bnfeR-4e9hqB-4fwRJE-4gjuyq-4m9DFh-4m9DGd-4mc6M8-4nXM53-4o8o2Z-4pDx2q-4uxAcG-4GDVdm-4KZiGJ-4Wov4u-4YxfLb-5gpgNv-5i8uYo-5rGUkb-5vVJhS-5Facdc-5NYbH7-5ViCsf-61iVKE-62PpGg-6ddgFG-6io7bb-6k7FVk-6Po4F4-6PsdCu-6RfRUt-6Sjxxh-6UCR18-7hwrT5-7ibhq7-aQKMS4-9Bvyxw-e31tST/\">\u003cimg class=\"size-full wp-image-16653 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/398496381_2d246202cb_z.jpg\" alt=\"Family size of four? Only your federal tax return knows for sure. (Mikey G Ottawa/Flickr)\" width=\"640\" height=\"503\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/12/398496381_2d246202cb_z.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2013/12/398496381_2d246202cb_z-400x314.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/12/398496381_2d246202cb_z-320x252.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Family size of four? Only your federal tax return knows for sure. (Mikey G Ottawa/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor’s note: For people buying on the individual market who want health insurance starting Jan. 1, the deadline to sign up is Monday, Dec. 23. We are running one post a day with questions and answers on the Affordable Care Act and Covered California until that deadline. Readers can also consult \u003ca href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\">KQED’s Obamacare Guide\u003c/a>, written specifically for Californians.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Emily Bazar\u003c/strong>, \u003ca href=\"http://centerforhealthreporting.org/article/how-will-young-adults-and-college-students-fare-under-obamacare1145\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Q: I have been on the Covered California website and the calculator asks for family size, which I presume means the taxpayer plus number of dependents claimed on federal tax forms. If a consumer claims non-child family members (like aging parents) do they count as part of family size?\u003c/strong>\u003c/p>\n\u003cp>A: What’s a family? In our shifting social landscape, it could be a single-parent household, a domestic partnership, a same-sex marriage, an unwed cohabitating couple and more.\u003c/p>\n\u003cp>But when it comes to Obamacare, as Rich from Santa Ana notes, it’s all about taxes.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>As if Obamacare needed something more to test its popularity. But let’s face it, the law – officially known as the Affordable Care Act – relies heavily on our tax data to determine program eligibility and financial assistance, and also changes some tax rules.\u003c!--more-->\u003c/p>\n\u003cp>“For anyone who purchases their insurance through the exchange (\u003ca href=\"https://www.coveredca.com/\" target=\"_blank\">Covered California\u003c/a>), their returns will be more complicated,” warns Garry Browning, a Certified Public Accountant in Modesto who trains other CPAs in Obamacare matters.\u003c/p>\n\u003cp>Yay.\u003c/p>\n\u003cp>Thankfully, the answer to Rich’s question is relatively straightforward.\u003c/p>\n\u003cp>In general, spouses (as long as they file a joint return) and other relatives are considered part of the household if they’re claimed as tax dependents, Browning says.\u003c/p>\n\u003cp>Kids don’t have to be biological children to be dependents. As long as they meet certain criteria, they can be step-children, siblings, nieces/nephews and grandchildren.\u003c/p>\n\u003cp>That goes for aging parents and other relatives who also meet certain criteria.\u003c/p>\n\u003cp>If you’re applying for a family plan, dependents will figure into the calculation for tax credits, which will defray the cost of insurance premiums for those whose incomes qualify.\u003c/p>\n\u003cp>I know how badly you want to dig further into the nuances, so check out \u003ca href=\"http://www.healthreformbeyondthebasics.org/wp-content/uploads/2013/08/Household-Definitions-Webinar-7Aug13.pdf\" target=\"_blank\">this helpful guide\u003c/a> from the Washington, D.C.-based \u003ca href=\"http://www.cbpp.org/\" target=\"_blank\">Center on Budget and Policy Priorities\u003c/a>, a nonprofit that studies the effects of policy on low- and middle-income families and individuals. The guide\u003cstrong> \u003c/strong>includes several different household scenarios.\u003c/p>\n\u003cp>And please, please, as with this or any other tax issue, consult a tax professional to be sure.\u003c/p>\n\u003cp>\u003cstrong>Q: \u003c/strong>\u003cstrong>I am on Medicare and my wife, who is 61 and not yet eligible for Medicare, will soon be unemployed. … T\u003c/strong>\u003cstrong>he tax credit through Covered California is based on “household income.” Currently, we file a joint tax return. But suppose we decide to file separately. \u003c/strong>\u003cstrong>How is household income then calculated?\u003c/strong> \u003cstrong>Without my income, she would be eligible for a much larger tax credit.\u003c/strong>\u003c/p>\n\u003cp>A: Stan, I have some tough love for you here: If your wife wants a tax credit at all, you can’t file separately.\u003c/p>\n\u003cp>In order to be eligible for tax credits from Covered California, spouses \u003ca href=\"https://www.coveredca.com/FAQs/\" target=\"_blank\">must file their federal tax returns jointly\u003c/a>.\u003c/p>\n\u003cp>That rule applies when both spouses are seeking health coverage. It also applies in cases like this, when just one spouse is buying a plan from Covered California.\u003c/p>\n\u003cp>That means both incomes will be used to determine the amount of tax credits for one plan. So what does that \u003cem>really\u003c/em> mean? It means that the more income in the calculation, the lower the credit.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Just in case you thought you’d get away without a caveat, there’s at least one exception to this rule: If a couple is separated and living apart for the last six months of the year, the spouse who is caring for a dependent child could claim a special filing status that would NOT include the other spouse’s income, says Tara Straw, a senior health policy analyst at the Center on Budget and Policy Priorities\u003cstrong>.\u003c/strong>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16653\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://www.flickr.com/photos/mikeygottawa/398496381/sizes/o/in/photolist-Bdp6g-BBViz-EPCKv-FXkYh-GX1uh-MoFbh-MKaPQ-2egFxZ-2hqZzs-2FTGtW-2QHzWh-2XKsUV-49NrV2-4bme2x-4bnfeR-4e9hqB-4fwRJE-4gjuyq-4m9DFh-4m9DGd-4mc6M8-4nXM53-4o8o2Z-4pDx2q-4uxAcG-4GDVdm-4KZiGJ-4Wov4u-4YxfLb-5gpgNv-5i8uYo-5rGUkb-5vVJhS-5Facdc-5NYbH7-5ViCsf-61iVKE-62PpGg-6ddgFG-6io7bb-6k7FVk-6Po4F4-6PsdCu-6RfRUt-6Sjxxh-6UCR18-7hwrT5-7ibhq7-aQKMS4-9Bvyxw-e31tST/\">\u003cimg class=\"size-full wp-image-16653 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/398496381_2d246202cb_z.jpg\" alt=\"Family size of four? Only your federal tax return knows for sure. (Mikey G Ottawa/Flickr)\" width=\"640\" height=\"503\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/12/398496381_2d246202cb_z.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2013/12/398496381_2d246202cb_z-400x314.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/12/398496381_2d246202cb_z-320x252.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Family size of four? Only your federal tax return knows for sure. (Mikey G Ottawa/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor’s note: For people buying on the individual market who want health insurance starting Jan. 1, the deadline to sign up is Monday, Dec. 23. We are running one post a day with questions and answers on the Affordable Care Act and Covered California until that deadline. Readers can also consult \u003ca href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\">KQED’s Obamacare Guide\u003c/a>, written specifically for Californians.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Emily Bazar\u003c/strong>, \u003ca href=\"http://centerforhealthreporting.org/article/how-will-young-adults-and-college-students-fare-under-obamacare1145\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Q: I have been on the Covered California website and the calculator asks for family size, which I presume means the taxpayer plus number of dependents claimed on federal tax forms. If a consumer claims non-child family members (like aging parents) do they count as part of family size?\u003c/strong>\u003c/p>\n\u003cp>A: What’s a family? In our shifting social landscape, it could be a single-parent household, a domestic partnership, a same-sex marriage, an unwed cohabitating couple and more.\u003c/p>\n\u003cp>But when it comes to Obamacare, as Rich from Santa Ana notes, it’s all about taxes.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>As if Obamacare needed something more to test its popularity. But let’s face it, the law – officially known as the Affordable Care Act – relies heavily on our tax data to determine program eligibility and financial assistance, and also changes some tax rules.\u003c!--more-->\u003c/p>\n\u003cp>“For anyone who purchases their insurance through the exchange (\u003ca href=\"https://www.coveredca.com/\" target=\"_blank\">Covered California\u003c/a>), their returns will be more complicated,” warns Garry Browning, a Certified Public Accountant in Modesto who trains other CPAs in Obamacare matters.\u003c/p>\n\u003cp>Yay.\u003c/p>\n\u003cp>Thankfully, the answer to Rich’s question is relatively straightforward.\u003c/p>\n\u003cp>In general, spouses (as long as they file a joint return) and other relatives are considered part of the household if they’re claimed as tax dependents, Browning says.\u003c/p>\n\u003cp>Kids don’t have to be biological children to be dependents. As long as they meet certain criteria, they can be step-children, siblings, nieces/nephews and grandchildren.\u003c/p>\n\u003cp>That goes for aging parents and other relatives who also meet certain criteria.\u003c/p>\n\u003cp>If you’re applying for a family plan, dependents will figure into the calculation for tax credits, which will defray the cost of insurance premiums for those whose incomes qualify.\u003c/p>\n\u003cp>I know how badly you want to dig further into the nuances, so check out \u003ca href=\"http://www.healthreformbeyondthebasics.org/wp-content/uploads/2013/08/Household-Definitions-Webinar-7Aug13.pdf\" target=\"_blank\">this helpful guide\u003c/a> from the Washington, D.C.-based \u003ca href=\"http://www.cbpp.org/\" target=\"_blank\">Center on Budget and Policy Priorities\u003c/a>, a nonprofit that studies the effects of policy on low- and middle-income families and individuals. The guide\u003cstrong> \u003c/strong>includes several different household scenarios.\u003c/p>\n\u003cp>And please, please, as with this or any other tax issue, consult a tax professional to be sure.\u003c/p>\n\u003cp>\u003cstrong>Q: \u003c/strong>\u003cstrong>I am on Medicare and my wife, who is 61 and not yet eligible for Medicare, will soon be unemployed. … T\u003c/strong>\u003cstrong>he tax credit through Covered California is based on “household income.” Currently, we file a joint tax return. But suppose we decide to file separately. \u003c/strong>\u003cstrong>How is household income then calculated?\u003c/strong> \u003cstrong>Without my income, she would be eligible for a much larger tax credit.\u003c/strong>\u003c/p>\n\u003cp>A: Stan, I have some tough love for you here: If your wife wants a tax credit at all, you can’t file separately.\u003c/p>\n\u003cp>In order to be eligible for tax credits from Covered California, spouses \u003ca href=\"https://www.coveredca.com/FAQs/\" target=\"_blank\">must file their federal tax returns jointly\u003c/a>.\u003c/p>\n\u003cp>That rule applies when both spouses are seeking health coverage. It also applies in cases like this, when just one spouse is buying a plan from Covered California.\u003c/p>\n\u003cp>That means both incomes will be used to determine the amount of tax credits for one plan. So what does that \u003cem>really\u003c/em> mean? It means that the more income in the calculation, the lower the credit.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Just in case you thought you’d get away without a caveat, there’s at least one exception to this rule: If a couple is separated and living apart for the last six months of the year, the spouse who is caring for a dependent child could claim a special filing status that would NOT include the other spouse’s income, says Tara Straw, a senior health policy analyst at the Center on Budget and Policy Priorities\u003cstrong>.\u003c/strong>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_16635\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://www.flickr.com/photos/39274732@N05/4998398713/in/photolist-8BG6Na-cEHJ9d-8F6mwa-8ETDSC-8F6muF-bPP71V-9WHy5y-9WEJE8-9WEQCk-9WHQou-9WHrUf-9WERei-9WHHRj-9WHNc5-9WHEa5-9WHUmq-9WEZzM-9WEHZD-9WHBuL-9WF2Uz-9WEYND-9WHui7-9WHPx9-9WEDna-9WHCuQ-9WHszQ-9WHts7-9WEL62-9WHyUA-9WEUut-9WEPBB-9WHDcL-9WF1BM-9WHJML-9WHNXQ-9WEEtK-9WETP8-9WHG5h-9WHMMs-9WHxmC-9WF2qp-9WENYx-9WHRZN-9WHLUU-cEJAgJ-ce1HnA-bYbpKb-aqzLvN-aM4MWP-82a21N-8ETDVC\">\u003cimg class=\"size-full wp-image-16635\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/4998398713_88352f0375_z.jpg\" alt=\"(Mike Adams/Flickr)\" width=\"640\" height=\"427\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/12/4998398713_88352f0375_z.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2013/12/4998398713_88352f0375_z-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/12/4998398713_88352f0375_z-320x214.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Mike Adams/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor’s note: For people buying on the individual market who want health insurance starting Jan. 1, the deadline to sign up is Monday, Dec. 23. We are running one post a day with questions and answers on the Affordable Care Act and Covered California until that deadline. Readers can also consult \u003ca href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\">KQED’s Obamacare Guide\u003c/a>, written specifically for Californians.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Emily Bazar\u003c/strong>, \u003ca href=\"http://centerforhealthreporting.org/article/how-will-young-adults-and-college-students-fare-under-obamacare1145\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Q: My youngest child is 21 and graduated from college in May. My other daughter is 24 and is still a college student in Stockton. What are my options with them under the Affordable Care Act?\u003c/strong>\u003c/p>\n\u003cp>A: The good news, Simona, is that your daughters may have several options and their coverage could fall into place easily.\u003c/p>\n\u003cp>Or not.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Let’s cross our fingers and begin with “could fall into place easily.”\u003c/p>\n\u003cp>Starting in January, \u003ca href=\"http://centerforhealthreporting.org/article/obamacare%E2%80%99s-insurance-requirement-where-do-you-fit1104\" target=\"_blank\">most Americans\u003c/a> will be required to carry a minimum level of health insurance or pay a tax penalty. That includes your daughters and other young adults 18 and over.\u003c!--more-->\u003c/p>\n\u003cp>\u003ca href=\"https://www.healthcare.gov/how-does-the-health-care-law-protect-me/#part=7\" target=\"_blank\">One provision of Obamacare that already went into effect\u003c/a> allows parents to keep their young-adult children on their insurance policies up to age 26.\u003c/p>\n\u003cp>“I suspect that’s the route that many college students are going to take,” says Steven Bloom, director of federal relations for the American Council on Education.\u003c/p>\n\u003cp>If that’s not an option, many universities offer health insurance that will meet Obamacare requirements, Bloom says.\u003c/p>\n\u003cp>But it could cost. My editor just received a bill for a semester’s worth of health coverage for his daughter, who attends Prescott College in Arizona: $767.\u003c/p>\n\u003cp>So, shop around because two major Obamacare-related changes coming in January could provide new, affordable options to young adults:\u003c/p>\n\u003cul>\n\u003cul>\n\u003cli>\u003ca href=\"http://www.dhcs.ca.gov/Services/medi-cal/pages/whatismedi-cal.aspx\" target=\"_blank\">Medi-Cal\u003c/a>, public health insurance for low-income Californians, will broaden its eligibility requirements, raising the income threshold and opening the program to those who were previously ineligible, such as childless adults.\u003c/li>\n\u003c/ul>\n\u003c/ul>\n\u003cp>This could be promising because young adults often don’t work full time -- whether they’re attending college or not -- and may soon qualify.\u003c/p>\n\u003cp>Please note that if you claim your young-adult child as a tax dependent, your income will count toward your child’s income for Medi-Cal eligibility purposes, says Tony Cava of the state Department of Health Care Services.\u003c/p>\n\u003cp>The result? Your child may not qualify.\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"http://coveredca.com/\" target=\"_blank\">Covered California\u003c/a>, the state's insurance marketplace, begins open enrollment in October sells a variety of health plans. To make those plans more affordable, it also will offer sliding-scale tax credits to Californians earning between 138 percent and 400 percent of the federal poverty level (click \u003ca href=\"http://aspe.hhs.gov/poverty/13poverty.cfm\" target=\"_blank\">here\u003c/a> for FPL guidelines).\u003c/li>\n\u003c/ul>\n\u003cp>Young adults, even those who have access to college health plans, can purchase a plan from Covered California instead. Students \u003ca href=\"http://www.npr.org/blogs/health/2013/07/02/197994339/federal-rule-extends-subsidies-for-college-students\" target=\"_blank\">will be eligible for tax credits\u003c/a> if their incomes fall within the guidelines.\u003c/p>\n\u003cp>But beware the dreaded tax caveat: For a student to be eligible for tax subsidies, no one can claim him or her as a dependent on tax returns.\u003c/p>\n\u003cp>To complicate matters further, the student won’t even qualify for the subsidies if he or she is merely \u003cem>eligible\u003c/em> to be claimed as a dependent, says Anne Gonzales, a Covered California spokeswoman.\u003c/p>\n\u003cp>(One way around that: If you as a parent qualify for tax credits, you can add your young-adult child to a family plan and receive financial assistance for premiums that way, Gonzales notes.)\u003c/p>\n\u003cp>Whew. Now you know what I meant earlier by “Or not.”\u003c/p>\n\u003cp>Here’s one final option: Covered California will offer a low-cost catastrophic plan for young adults under 30 and for individuals who cannot find affordable health coverage. (Click \u003ca href=\"http://www.bcbsm.com/content/microsites/health-care-reform/en/reform-alerts/cms-issues-proposed-rule-catastrophic-plans.html\" target=\"_blank\">here\u003c/a> to learn more about what’s considered “affordable.”)\u003c/p>\n\u003cp>All costs (except for preventive care and the first three office visits each year) will be out-of-pocket until the $6,400 annual deductible is reached.\u003c/p>\n\u003cp>\u003cstrong>Q: What about my daughter who just graduated?\u003c/strong>\u003c/p>\n\u003cp>A: She will have many of the same options as college students. And if she lands a job, her new employer may offer coverage.\u003c/p>\n\u003cp>More campuses also may start allowing graduating students to remain on their health plan for a limited period, such as three to six months, Bloom says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Once that period is over,” he adds, “then former students, like all other Americans, are going to have to find health insurance.”\u003c/p>\n\n",
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"excerpt": "Q: My youngest child is 21 and graduated from college in May. My other daughter is 24 and is still a college student in Stockton. What are my options with them under the Affordable Care Act?\r\n\r\nA: The good news, Simona, is that your daughters may have several options and their coverage could fall into place easily.\r\n\r\nOr not.\r\n\r\nLet’s cross our fingers and begin with “could fall into place easily.”",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16635\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://www.flickr.com/photos/39274732@N05/4998398713/in/photolist-8BG6Na-cEHJ9d-8F6mwa-8ETDSC-8F6muF-bPP71V-9WHy5y-9WEJE8-9WEQCk-9WHQou-9WHrUf-9WERei-9WHHRj-9WHNc5-9WHEa5-9WHUmq-9WEZzM-9WEHZD-9WHBuL-9WF2Uz-9WEYND-9WHui7-9WHPx9-9WEDna-9WHCuQ-9WHszQ-9WHts7-9WEL62-9WHyUA-9WEUut-9WEPBB-9WHDcL-9WF1BM-9WHJML-9WHNXQ-9WEEtK-9WETP8-9WHG5h-9WHMMs-9WHxmC-9WF2qp-9WENYx-9WHRZN-9WHLUU-cEJAgJ-ce1HnA-bYbpKb-aqzLvN-aM4MWP-82a21N-8ETDVC\">\u003cimg class=\"size-full wp-image-16635\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/4998398713_88352f0375_z.jpg\" alt=\"(Mike Adams/Flickr)\" width=\"640\" height=\"427\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/12/4998398713_88352f0375_z.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2013/12/4998398713_88352f0375_z-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/12/4998398713_88352f0375_z-320x214.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Mike Adams/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor’s note: For people buying on the individual market who want health insurance starting Jan. 1, the deadline to sign up is Monday, Dec. 23. We are running one post a day with questions and answers on the Affordable Care Act and Covered California until that deadline. Readers can also consult \u003ca href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\">KQED’s Obamacare Guide\u003c/a>, written specifically for Californians.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Emily Bazar\u003c/strong>, \u003ca href=\"http://centerforhealthreporting.org/article/how-will-young-adults-and-college-students-fare-under-obamacare1145\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Q: My youngest child is 21 and graduated from college in May. My other daughter is 24 and is still a college student in Stockton. What are my options with them under the Affordable Care Act?\u003c/strong>\u003c/p>\n\u003cp>A: The good news, Simona, is that your daughters may have several options and their coverage could fall into place easily.\u003c/p>\n\u003cp>Or not.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Let’s cross our fingers and begin with “could fall into place easily.”\u003c/p>\n\u003cp>Starting in January, \u003ca href=\"http://centerforhealthreporting.org/article/obamacare%E2%80%99s-insurance-requirement-where-do-you-fit1104\" target=\"_blank\">most Americans\u003c/a> will be required to carry a minimum level of health insurance or pay a tax penalty. That includes your daughters and other young adults 18 and over.\u003c!--more-->\u003c/p>\n\u003cp>\u003ca href=\"https://www.healthcare.gov/how-does-the-health-care-law-protect-me/#part=7\" target=\"_blank\">One provision of Obamacare that already went into effect\u003c/a> allows parents to keep their young-adult children on their insurance policies up to age 26.\u003c/p>\n\u003cp>“I suspect that’s the route that many college students are going to take,” says Steven Bloom, director of federal relations for the American Council on Education.\u003c/p>\n\u003cp>If that’s not an option, many universities offer health insurance that will meet Obamacare requirements, Bloom says.\u003c/p>\n\u003cp>But it could cost. My editor just received a bill for a semester’s worth of health coverage for his daughter, who attends Prescott College in Arizona: $767.\u003c/p>\n\u003cp>So, shop around because two major Obamacare-related changes coming in January could provide new, affordable options to young adults:\u003c/p>\n\u003cul>\n\u003cul>\n\u003cli>\u003ca href=\"http://www.dhcs.ca.gov/Services/medi-cal/pages/whatismedi-cal.aspx\" target=\"_blank\">Medi-Cal\u003c/a>, public health insurance for low-income Californians, will broaden its eligibility requirements, raising the income threshold and opening the program to those who were previously ineligible, such as childless adults.\u003c/li>\n\u003c/ul>\n\u003c/ul>\n\u003cp>This could be promising because young adults often don’t work full time -- whether they’re attending college or not -- and may soon qualify.\u003c/p>\n\u003cp>Please note that if you claim your young-adult child as a tax dependent, your income will count toward your child’s income for Medi-Cal eligibility purposes, says Tony Cava of the state Department of Health Care Services.\u003c/p>\n\u003cp>The result? Your child may not qualify.\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"http://coveredca.com/\" target=\"_blank\">Covered California\u003c/a>, the state's insurance marketplace, begins open enrollment in October sells a variety of health plans. To make those plans more affordable, it also will offer sliding-scale tax credits to Californians earning between 138 percent and 400 percent of the federal poverty level (click \u003ca href=\"http://aspe.hhs.gov/poverty/13poverty.cfm\" target=\"_blank\">here\u003c/a> for FPL guidelines).\u003c/li>\n\u003c/ul>\n\u003cp>Young adults, even those who have access to college health plans, can purchase a plan from Covered California instead. Students \u003ca href=\"http://www.npr.org/blogs/health/2013/07/02/197994339/federal-rule-extends-subsidies-for-college-students\" target=\"_blank\">will be eligible for tax credits\u003c/a> if their incomes fall within the guidelines.\u003c/p>\n\u003cp>But beware the dreaded tax caveat: For a student to be eligible for tax subsidies, no one can claim him or her as a dependent on tax returns.\u003c/p>\n\u003cp>To complicate matters further, the student won’t even qualify for the subsidies if he or she is merely \u003cem>eligible\u003c/em> to be claimed as a dependent, says Anne Gonzales, a Covered California spokeswoman.\u003c/p>\n\u003cp>(One way around that: If you as a parent qualify for tax credits, you can add your young-adult child to a family plan and receive financial assistance for premiums that way, Gonzales notes.)\u003c/p>\n\u003cp>Whew. Now you know what I meant earlier by “Or not.”\u003c/p>\n\u003cp>Here’s one final option: Covered California will offer a low-cost catastrophic plan for young adults under 30 and for individuals who cannot find affordable health coverage. (Click \u003ca href=\"http://www.bcbsm.com/content/microsites/health-care-reform/en/reform-alerts/cms-issues-proposed-rule-catastrophic-plans.html\" target=\"_blank\">here\u003c/a> to learn more about what’s considered “affordable.”)\u003c/p>\n\u003cp>All costs (except for preventive care and the first three office visits each year) will be out-of-pocket until the $6,400 annual deductible is reached.\u003c/p>\n\u003cp>\u003cstrong>Q: What about my daughter who just graduated?\u003c/strong>\u003c/p>\n\u003cp>A: She will have many of the same options as college students. And if she lands a job, her new employer may offer coverage.\u003c/p>\n\u003cp>More campuses also may start allowing graduating students to remain on their health plan for a limited period, such as three to six months, Bloom says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Once that period is over,” he adds, “then former students, like all other Americans, are going to have to find health insurance.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"officialWebsiteLink": "/californiareportmagazine",
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"order": 10
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
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},
"city-arts": {
"id": "city-arts",
"title": "City Arts & Lectures",
"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
"officialWebsiteLink": "https://www.cityarts.net/",
"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
"site": "news",
"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
"subscribe": {
"tuneIn": "https://tunein.com/radio/City-Arts-and-Lectures-p692/",
"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
"id": "closealltabs",
"title": "Close All Tabs",
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"info": "Close All Tabs breaks down how digital culture shapes our world through thoughtful insights and irreverent humor.",
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"officialWebsiteLink": "/podcasts/closealltabs",
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"order": 1
},
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"id": "code-switch-life-kit",
"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"meta": {
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"meta": {
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"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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},
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"meta": {
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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"id": "freakonomics-radio",
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"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/4s8b",
"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
"rss": "https://feeds.feedburner.com/freakonomicsradio"
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},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
"info": "Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.",
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"link": "/radio/program/fresh-air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/381444908/podcast.xml"
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"rss": "https://feeds.npr.org/510051/podcast.xml"
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},
"hidden-brain": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"officialWebsiteLink": "https://www.npr.org/series/423302056/hidden-brain",
"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
"id": "how-i-built-this",
"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
"meta": {
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"source": "npr"
},
"link": "/radio/program/how-i-built-this",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/3zxy",
"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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"rss": "https://feeds.npr.org/510313/podcast.xml"
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},
"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"officialWebsiteLink": "/podcasts/hyphenacion",
"meta": {
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"source": "kqed",
"order": 15
},
"link": "/podcasts/hyphenacion",
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"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
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"rss": "https://feeds.megaphone.fm/KQINC2275451163"
}
},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"source": "kqed",
"order": 18
},
"link": "/podcasts/jerrybrown",
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"apple": "https://itunes.apple.com/us/podcast/id1492194549",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
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"source": "npr"
},
"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
"subscribe": {
"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
"npr": "https://www.npr.org/podcasts/464615685/mind-shift-podcast",
"stitcher": "https://www.stitcher.com/podcast/kqed/stories-teachers-share",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/id1567098962",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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"rss": "https://feeds.npr.org/510360/podcast.xml"
}
},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/otm",
"meta": {
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"source": "wnyc"
},
"link": "/radio/program/on-the-media",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
}
},
"pbs-newshour": {
"id": "pbs-newshour",
"title": "PBS NewsHour",
"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pbs.org/newshour/",
"meta": {
"site": "news",
"source": "pbs"
},
"link": "/radio/program/pbs-newshour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2",
"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
"rss": "https://www.pbs.org/newshour/feeds/rss/podcasts/show"
}
},
"perspectives": {
"id": "perspectives",
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