Barack Obama signing the Patient Protection an...
Barack Obama signing the Patient Protection and Affordable Care Act at the White House (Photo credit: Wikipedia)

The Patient Protection and Affordable Care Act, has been upheld by the Supreme Court.

The law will stay intact as it is.

In 2014 we will see the full effect of the law and the true impact on every US Citizen.  The Individual and small group health insurance markets will have the big change. Residents will now benefit from the guaranteed issue in the individual market. This means that no one can be declined coverage because of pre existing conditions. Residents will also see the establishment of either a stated based or federal health insurance exchanges.  Within these exchanges Indianapolis residents may qualify for federal subsidies. Depending on income, the federal government could a pay a portion of the health insurance premium.

The fear is that we will see health insurance premiums sky rocket. The middle class will be impacted the most especially if they do not qualify for subsidies.

Here at Nefouse & Associates we will continue to find the best options for our clients in both the exchanges and the private market.  It will be very interesting to compare both market.