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What the ACA's expiring tax credits mean for North Carolinians

A photo of pages from the U.S. Affordable Care Act health insurance website healthcare.gov as seen on a computer screen.
Patrick Sison
/
AP
Pages from the U.S. Affordable Care Act health insurance website healthcare.gov.

The federal shutdown has officially ended without a deal in place to extend the expiring Affordable Care Act enhanced premium tax credits.

They were first introduced in 2021 and increased financial assistance for eligible enrollees. Now, Americans are choosing their health plans for next year with the credits set to expire on December 31st.

WFDD’s DJ Simmons recently spoke with North Carolina Justice Center’s Senior Health Policy Advocate Rebecca Cerese.

Interview highlights

On how increasing costs impact the healthcare system:

"It's going to lead to more people choosing not to get health coverage, especially if they're healthy. And of course, the way insurance works is you have a big, giant risk pool, right? And the reason that prices are not even higher than they are is because you have healthy people in that risk pool, along with sick people, and the more healthy people that are in there, that actually drives costs down."

On the help available for people facing more expensive coverage:
"We have an amazing group called the NC Navigator Consortium, and they offer free, unbiased help to fill out the application on healthcare.gov, and they will actually go through your different options. So before you just assume that you can't afford health coverage or there's no options for you, I would actually suggest going to ncnavigator.org, and actually trying to make an appointment with a navigator to actually see if you do qualify for any assistance."
On how costs are growing for health care even with the credits:

"The truth of the matter is that even with those enhanced tax credits, health insurance, I should say, is really not affordable for a lot of people. Unfortunately, a lot of insurance plans, and not just ones on the marketplace by the way, these are employer-based plans as well. These insurance companies, because unfortunately, many of them are profit-centered instead of patient-centered, have found ways, very clever ways, to move more and more of the out-of-pocket costs to the patient."

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