Marketplace Health Plans and Premiums

Can I be charged more if I have a pre-existing condition?

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No. Marketplace health plans are not allowed to charge you more based on your health status or pre-existing condition.  However, some plans, such as short-term policies, that are sold off the Marketplace might turn you down or charge you more based on your health status or pre-existing condition.

While we have made every effort to provide accurate information in these FAQs, people should contact the health insurance Marketplace or Medicaid agency in their state for guidance on their specific circumstances.

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The independent source for health policy research, polling, and news, KFF is a nonprofit organization based in San Francisco, California.