How health insurance marketplaces will help early retirees

Published 9:30 am Friday, May 3, 2013

Dear Savvy Senior,

What can you tell me about the new Obamacare health insurance exchanges that begin next year? I am interested in retiring early at age 61, but need to find some affordable health insurance until my Medicare benefits begin at 65.

~ Ready to Retire

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Dear Ready,

The new health insurance exchanges – also known as Health Insurance Marketplaces – that begin in 2014 will be a welcome benefit to millions of Americans who need health insurance, especially uninsured baby boomers and pre-Medicare retirees who often have a difficult time finding affordable coverage.

How it will work

As part of the Affordable Care Act, starting Oct. 1 you will be able to shop and compare health insurance policies in your area, and enroll in one directly through your state’s Health Insurance Marketplace website. The policies will go into effect on Jan. 1, 2014.

You’ll also be happy to know that federal law dictates that Marketplace insurers cannot deny you coverage or charge you higher rates based on pre-existing health conditions, and they can’t charge women more than men. But, they can charge older customers more than younger ones – up to three times more.

Every state will have a Marketplace, but each state can choose how it will operate. Seventeen states and the District of Columbia will run their own state-based Marketplace, seven states will partner with the federal government, and 26 states will offer federal Marketplaces. The differences between federal and state programs will be subtle. You will be able to access your state’s Health Insurance Marketplace at healthcare.gov.