Health insurance exchanges will be the most visible part of the health-care law in everyday life. How the exchanges will work:
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WHAT'S AN EXCHANGE? It is just another word for marketplace. Each state will have its own exchange serving people who buy their health insurance directly, as well as a separate one for small businesses. Most Republican governors opposed to "Obamacare" are letting Washington run the exchanges in their states. For consumers, the benefits should be the same no matter who runs the exchange. The majority of people now covered by employer plans will not see a change.
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HOW WILL THEY WORK? The exchanges are supposed to have the feel of an online travel site -- think Orbitz or Expedia. Middle-class people will be able to pick from a range of private insurance plans, and most people will be eligible for help from the government to pay premiums. Low-income people will be steered to safety-net programs for which they might qualify. This could be a problem in states that choose not to expand their Medicaid programs under a separate part of the law.
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WHAT'S THE MEDICAID PART? The health-care law also expands the federal-state safety-net program to cover more low-income people. States are free to reject the expansion. In those states, many adults below the poverty level would remain uninsured.
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HOW WILL I KNOW IF I CAN GET HELP WITH MY PREMIUMS? You'll disclose your income to the exchange at the time you apply for coverage and they'll let you know. The law offers sliding-scale subsidies based on income for individuals and families making up to four times the federal poverty level, about $44,700 for singles, $92,200 for a family of four. But read the fine print.
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SOURCE: Associated Press
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