You can keep your current plan — or — you can buy coverage through new state-run insurance marketplaces, called “exchanges,� starting in 2014.

If you keep your current plan

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Within six months, the plans will have to stop some practices, like setting lifetime limits on coverage and canceling policy holders who get sick. They will also have to allow children to stay on their parents’ policies through age 26 and cover children with pre-existing conditions, but can still deny adults with medical problems until 2014.
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Insurers will have to pay a 40 percent excise tax on high-value group plans – those in which premiums for families are $27,500 or more, for instance – starting in 2014. Experts say the tax will likely be passed on to employees through higher premiums or lower benefits and wages.
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Starting in 2013, flexible spending accounts, which allow users to escape taxes on many medical expenses now, will be limited. There will be a $2,500 maximum on accounts that typically carry $4,000 or $5,000 limits now, and you will no longer be able to use the accounts for over-the-counter medicines.
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High-income earners — families making more than $250,000 – would pay several thousand dollars more in Medicare payroll taxes starting in 2018. Their unearned income, now exempt from the payroll tax, would also be subject to a 3.8 percent levy.

Or you may be eligible to buy insurance through the exchanges

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If your employer’s policy covers less than 60 percent of costs, or you are paying more than 9.5 percent of your income to get it, you can buy subsidized coverage on the exchanges.
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If you receive subsidies and enroll in a health plan that covers abortion, you will have to pay a separate premium for that coverage. And states could prohibit abortion coverage by these plans.
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You can get a voucher from your employer to buy insurance on the exchanges if your income is below $88,000 for a family of four, and your premiums cost between 8 and 9.8 percent of your income.

If you do not buy insurance Top
Starting in 2014, most Americans will be required to buy health insurance or pay a penalty.

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The penalty will be phased in, starting at $95 or 1 percent of income in 2014, whichever is higher, and rising to $695 or 2.5 percent of income in 2016. But families would not pay more than $2,085.
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American Indians don’t have to buy insurance. Those with religious objections or a financial hardship can also avoid the requirement. And if you would pay more than 8 percent of your income for the cheapest available plan, you will not be penalized for failing to buy coverage.
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Those who are exempt, or under 30, can buy a policy that only pays for catastrophic medical costs. It must allow for three primary care visits a year as well.

can somebody splain the stuff holyjaw posted D: