The Affordable Care Act and You

A Message from John Fox, president and CEO, Emory Healthcare

We are very pleased that you have entrusted Emory Healthcare with your health and the health of your family. We know you want the best for your family – and getting the best means understanding your options. You probably have questions about the new Patient Protection and Affordable Care Act, commonly referred to as the Affordable Care Act (ACA) and wonder what it means for your family and the care you receive at Emory Healthcare. I wanted to take a moment to provide you with an overview and address some of the questions you may have.

What is the ACA?

  • The Affordable Care Act (ACA) was created by the government to make medical insurance available to all Americans.
  • Beginning October 1, 2013, Americans who do not have medical insurance through their jobs or a government plan (like Medicare) can enroll in insurance through the federal Health Insurance Marketplace, also referred to as the exchange.
  • The exchange provides a variety of medical insurance plans at different costs and coverage. Each plan includes specific hospitals, clinics and providers you may use; not all plans include the same hospitals, clinics and providers. As of January 1, 2014, Americans who do not have medical insurance will have to pay a penalty.
  • Individuals whose annual income is less than four times the federal poverty level and who are not eligible for Medicaid will receive federal tax credits to help pay for their insurance.
  • To view a list of the public federal exchange plans that Emory Healthcare will accept as of January 1, 2015, click here.

Can I still go to Emory Healthcare if I get insurance through the Health Insurance Marketplace?

Yes, but it depends. As a health care provider, Emory Healthcare is participating in insurance products that are offered on the public federal exchange. We are also participating in traditional insurance plans that we have always accepted throughout the Emory Healthcare Network.

  • We remain active with all of our existing insurance contracts for non-exchange products, and almost all Georgia employers continue to offer health insurance that covers care at Emory Healthcare.
  • We will continue to offer our patients broad access to care through our extensive network of more than 200 care facilities throughout Georgia. Patients whose insurance is not purchased on the exchange may continue to seek care at Emory Healthcare. We accept most major insurance plans
  • Furthermore, individuals with Medicare or Medicaid will still be covered for care received through Emory Healthcare.
  • To view a list of the public federal exchange plans that Emory Healthcare accepts, click here.

We are committed to furthering discussions with other insurance carriers regarding their insurance plan offerings through the exchanges in order to help build a long-term, sustainable health care model that will serve the needs of Georgia residents now and in the future.

For more information about the exchange, you can visit HealthCare.gov. You may also read the FAQ section on this website. If you have questions about coverage at Emory in 2014, please call 404-778-7777.

Thank you for choosing Emory Healthcare, and we look forward to caring for you and your family for years to come.

Sincerely,

John T. Fox