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CMS Finalizes Marketplace Redetermination Rules

The Centers for Medicare & Medicaid Services (CMS) finalized the redetermination process for current health insurance marketplace (exchange) consumers. This final rule confirms that consumers who are happy with their plan and have no changes to their income or family situation can be automatically re-enrolled in the same plan next year. Specifically, consumers who have plans through the federally facilitated marketplace will receive a notice from the marketplace shortly before open enrollment begins explaining auto-enrollment, how to determine whether they qualify for additional financial assistance, and how to shop for plans. Consumers will also receive notices from their insurance company about their new 2015 premium and the amount they may save on their monthly bill with a premium tax credit.

Please contact Xiaoyi Huang, JD, director of policy, at or 202.585.0127 with questions.


About the Author

Matt Buechner is the policy and advocacy associate for America's Essential Hospitals.

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