We've Got
You.

What Does Access Health Insurance CT Cover?

what does affordable care act cover
Connecticut’s official health insurance marketplace, Access Health CT, offers state residents and small business owners a range of health care coverage options from public health care programs and health insurance carriers. It’s also the only place where qualified families, individuals, and employers can get financial assistance with their health care costs.
Essential Health Benefits
Established to fulfill the requirements of the Affordable Care Act, Access Health CT provides coverage for a wide array of treatments, tests, and services, including the following essential health benefits:
● Ambulatory services and outpatient care
● Hospitalization (surgery, etc.)
● Emergency services
● Maternity care
● Newborn care
● Pediatric care
● Prescription medications
● Laboratory work
● Wellness and preventive services
● Chronic disease management
● Habilitative and rehabilitative devices and services related to disabilities, injuries or chronic conditions
● Substance use disorders and mental health services including psychotherapy, counseling, and other behavioral health treatments
Additional Coverage
In addition to the above minimum services, some plans offer additional benefits or reduced cost sharing for certain services. Access Health CT allows applicants to choose a Gold, Silver, or Bronze plan based on their individual needs and capabilities. Each of these plans provides different levels of benefits under differing terms. Plans may vary based on the specific carrier; however, in accordance with the Affordable Care Act’s requirements, all plans must provide coverage for minimum or essential health benefits, regardless of the specific carrier or policyholder.
Dental Coverage
All Access Health CT health plans offer some coverage for pediatric dental needs, and certain preventive pediatric dental services are free from cost sharing. Applicants can also purchase stand-alone dental coverage in addition to their existing health insurance plans. Although pediatric dental coverage is considered an essential health benefit, insurers are not required to offer adult dental coverage.
Catastrophic Coverage
Connecticut residents under the age of 30 can also attain “catastrophic” health plans via Anthem, ConnectiCare, and Healthy CT. These plans protect patients from exceedingly high medical costs related to unanticipated events. They also include coverage for yearly visits to a primary care physician and preventive benefits. Catastrophic plans offer lower premiums when compared to traditional health insurance plans; however, they provide fewer benefits and require higher cost sharing. Catastrophic plan policyholders are ineligible for the tax credits that policy holders of traditional coverage health plans may use to lower premium costs.
When Can I Enroll?
Because open enrollment for 2014 ended March 31, applicants will have to wait for the next enrollment period between November 15, 2014 and February 15, 2015. Connecticut residents can either apply through a certified insurance broker or in person at a local Enrollment Center or at one of the Enrollment Fairs held throughout the state. Connecticut residents can also use www.accesshealthct.com to compare plans, apply for financial assistance, and enroll in health care coverage starting on November 15, 2014.

Health News + Events

Should Your Child Get a COVID Test Before Going Back to School?

As you prepare for your child to return to in-person schooling this fall, one of the questions on your mind is probably whether you should get them tested for COVID-19. Certain sch  Read More

What to Expect With COVID-19 & Back-to-School Protocols

First-day jitters are nothing new. As the end of summer approaches each year, kids start worrying about making friends, meeting new teachers, and getting through the homework assig  Read More

What Are the Three Most Common STDs?

Sexually transmitted diseases (STDs) are infections that are spread from one person to another typically during vaginal, anal, or oral sex. In 2018, there were 26 million new repor  Read More

What Our Patients Are Saying

Rating 4.4
Rating 4.2
Rating 4.6
Rating 5.0

"The overall care I received was excellent! I also appreciate your affiliation with Yale New Haven Hospital."

Patient
Derby, CT

"Throughout the visit I felt like the staff really cared. The Doctor took his time talking with me about my symptoms, and I felt like he listened to all my concerns and took that into consideration when recommending the right treatment. Thank you!"

Patient
Hamden, CT

"I had to take my son in for an ear infection following a sudden change in temperament at daycare. He was inconsolable the entire car ride but when we got there and by the time we left this care facility he was back to his normal happy go lucky little two year old boy. I highly recommend PhysicianOne Urgent Care."

Patient
Westwood, MA

"I wanted to take a moment to thank you for the attention you gave me last week. My son was started on antibiotics and ear drops. Within 24 hours he began to feel better. The poor kid had been going to school in tears because he was afraid of missing any more days, but feeling (and looking) just awful! He's not been able to even think about lacrosse practice, but thanks to starting him on antibiotics, he was thrilled to return to practice today."

Patient
Somers, NY