Employer-Sponsored Health Coverage and the Marketplace

My employer offers a plan with very limited benefits. It only covers preventive services and a few doctor visits each year. I want better coverage. Can I apply for coverage and subsidies in the Marketplace?

Published: Oct 15, 2024

Yes, you can apply for coverage in the Marketplace, and you may qualify for premium tax credits if your employer plan doesn’t meet the Affordable Care Act’s standard for minimum value. If your employer plan only covers preventive services and a few doctor visits, it probably doesn’t meet the minimum value standard, so you could be eligible for premium tax credits to help buy a Marketplace plan. However, if another plan option your employer offers would be affordable and meet the minimum value standard, then you will not qualify for premium tax credits in the Marketplace.

Click here for more information on the minimum value standard.