Marketplace Basics

What is the health insurance Marketplace?

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Health Insurance Marketplaces (also known as Exchanges) are organized markets where individuals and families can shop for and enroll in health insurance online, over the phone, or in-person.  Marketplaces offer a choice of different health plans, certify plans that participate, provide information to help consumers understand their options and apply for coverage.

There is a health insurance Marketplace in every state. Some are operated by the State and have a special state name (such as Covered California or The Maryland Health Benefit Exchange.) In other states the federal government runs the Marketplace, called HealthCare.gov. Click here to find out what type of Marketplace is available in your state.

The Marketplace also makes financial assistance, such as premium tax credits and cost sharing reductions, available to enrollees based on their income. People with very low incomes can also find out through the Marketplace if they are eligible for coverage through Medicaid and CHIP. Additionally, small businesses in some states can buy coverage for their employees through Small Business Health Options Program (SHOP) Marketplace plans.

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.