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Haves and have-nots as health care markets open

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WASHINGTON (AP) — Having health insurance used to hinge on where you worked and what your medical history said. Entrenched political divisions over "Obamacare," have driven most Republican-led states to turn their backs on the biggest expansion of the social safety net in a half century. If you're uninsured in a state that's opposed, you may not get much help picking the right private health plan for your budget and your family's needs. Health insurance marketplaces in every state will provide options for millions of people who don't have job-based coverage, who can't afford their own plan or have a health problem that would get them turned down. Because of her pre-existing conditions, Fontenot would have a tough time finding affordable individual coverage today. [...] the government will provide sliding-scale tax credits that can make premiums more affordable for households earning between 100 percent and 400 percent of the federal poverty line. After the government verifies her identity, legal residence and income, Fontenot would be able to take her tax credit and use it to pick an insurance plan. [...] with instant feedback via social media, reviews by people switching from existing individual plans could define early consumer sentiment. Procrastinate beyond Mar. 31, and you'll have to wait until the next open enrollment period in Oct. 2014, unless you have a life-changing event like job loss, divorce or the birth of a child. Former Medicare chief Mark McClellan, who oversaw the rollout of seniors' prescription drug benefits for Republican President George W. Bush, says his advice is not to sign up right away, but not to wait too long either. Current low-cost individual market policies are difficult to compare with the new plans, which offer better financial protection and broader benefits. [...] after years of polemic debate and a Supreme Court decision — and even as congressional Republicans keep trying to repeal it — "Obamacare" will finally be in the hands of American consumers. Reported by SeattlePI.com 7 hours ago.

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