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through the federal marketplace.

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Some are frustrated, telling Plummer, "We thought this was gonna help us."

classmates from A B Tech have started a company called Extra Bits Studios LLC to create mobile apps, and he hopes to get that going. But in the meantime, he hasn't been able to afford insurance on his own.

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"Of course, I'm very disappointed I'm not able to access the Affordable Care Act in any way," Moncus said. "To me, the point was we cover our citizens with health care, and that's not happening."

"They are below 100 percent of the federal poverty level or Converse Navy High Tops

Some were left uninsured and driven out of work by a down economy. Others could be childless, working adults who make too little to qualify for subsidies through Obamacare, while at the same time falling into a category without access to Medicaid coverage.

"I think basically the people who fall into the gap are individuals who right now don't have insurance and generally would continue to face the consequences of being uninsured," Rudowitz said.

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The federal government would pay 100 percent of the cost to expand Medicaid to those newly eligible Medicaid recipients for the first three years of expansion. Supreme Court ruling allowed states to opt out of Medicaid expansion, and North Carolina lawmakers did just that.

"I think the law as written did not anticipate this situation that really came about from the Supreme Court decision," Rudowitz said.

They didn't realize that North Carolina lawmakers had decided earlier this year not to expand Medicaid, she said.

Moncus is able to get care at Western North Carolina Community Health Services.

they have no income whatsoever," Plummer said.

As of now, North Carolina is among 25 states that have said they don't plan to expand Medicaid, according to the foundation. But that number has been changing.

Robin Rudowitz, analyst with the Kaiser Family Foundation, a nonprofit focused on health care policy, said those uninsured people in the coverage gap will continue to have limited options to access health care.

It does not provide coverage to childless adults unless they are disabled.

Medicaid debateCurrently, Medicaid in North Carolina only covers certain categories of low income people including pregnant women below a certain income level, children of low income families, parents of children younger than 18 if their income is less than half of the federal poverty rate and the elderly and disabled.

ASHEVILLE Jerry Moncus lost his health insurance when he lost his job in a layoff.

Moncus said his friend also won't qualify for help Converse Pink High Tops

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"He simply can't afford it (to go to the doctor)," Moncus said.

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For him, passage of the Affordable Care Act brought hope for coverage while he worked toward a degree and retraining at Asheville Buncombe Technical Community College.

Plummer says she's encountered some residents who don't qualify for help.

For those who fall below 100 percent of the federal poverty level, the Affordable Care Act specifically prevents them from getting subsidies that will be available to other low income and moderate income people buying insurance on the Health Insurance Marketplace.

But like 319,000 people in North Carolina, according to an estimate by the Kaiser Family Foundation, Moncus falls into a "coverage gap" resulting from the state's decision not to expand Medicaid.

But he has a friend who is uninsured who doesn't have a health care provider.

With the launch Converse For Men Black of the Health Insurance Marketplace on Oct. 1, some of those in the coverage gap are finding out now that they don't qualify for help. navigator program coordinator at Mountain Projects, has been helping people in Western North Carolina review health care options through the federal marketplace.

Health 'coverage gap' affecting WNC residents

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Nationwide, the Kaiser Family Foundation estimates around 4.8 million poor, uninsured non elderly adults will fall into the gap in those states not expanding Medicaid.

The Affordable Care Act included a provision to cover anyone below 138 percent of the federal poverty level by expanding Medicaid.

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