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Under 65 Insurance

Q: What is the health insurance Marketplace?

A: Health Insurance Marketplaces are organizations set up to create more organized and competitive markets for buying health insurance. Through the Marketplace, individuals and families can shop for coverage if they need to buy health insurance on their own. You can access the Marketplace through healthcare.gov.

Q: Who can buy coverage in the Marketplace?

A: Most people can shop for coverage in the Marketplace. To be eligible you must live in the state where your Marketplace is, you must be a citizen of the U.S. or be lawfully present in the U.S., and you must not currently be incarcerated. 

Q: I'm eligible for health benefits at work. Can I shop for a plan on the Marketplace?

A: You can shop for coverage on the Marketplace, assuming you meet other eligibility requirements, but if you have access to job-based coverage, you might not qualify for premium tax credits.

Q: Who is eligible for Marketplace premium tax credits?

A: Premium tax credits will be available to U.S. citizens and lawfully present immigrants who purchase coverage in the Marketplace and who have income between 100% and 400% of the federal poverty level. In addition, to be eligible for the premium tax credits, individuals must not be eligible for public coverage—including Medicaid, the Children's Health Insurance Program, Medicare, or military coverage.

Q: Is there help for me in the Marketplace for cost sharing?

A: Yes. If your income is between 100% and 250% of the federal poverty level, you can also qualify for cost sharing reductions. These will reduce the deductibles, copays, and other cost sharing that would otherwise apply to covered services.

 

 

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