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FAQs: Health Insurance Marketplace and the ACA

This list of more than 300 Frequently Asked Questions (FAQs) covers the Affordable Care Act’s health insurance Marketplace (aka exchange), individual mandate, open enrollment, premiums and more. It provides answers to questions about specific groups, such as young adults, smokers, the uninsured, and non-traditional households.

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Ask KFF

Ask KFF: Karen Pollitz Answers 3 Questions on Why Insurers Deny Claims

Karen Pollitz, senior fellow for health reform and private insurance at KFF, answers three questions about denied claims and how the federal government may change the data insurers are required to report on this issue.

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Data Note: Further Reductions in Navigator Funding for Federal Marketplace States

On Sept. 12, 2018, CMS released funding awards for the federal marketplace Navigators for 2018-2019, which reduced funding to $10 million. This brief reviews data presented by CMS as well as other data sources to assess the work and effectiveness of Navigators.

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Community Health Centers’ Experiences in a More Mature ACA Market

Community health centers provide comprehensive primary care services in some of the most underserved communities in the nation. This brief summarizes findings from the Kaiser Family Foundation/Geiger Gibson Program in Community Health Policy 2018 Health Center Survey to provide a snapshot of health centers’ outreach and enrollment activities as well as changes in service capacity, and overall financial condition since implementation of the ACA.

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The Henry J. Kaiser Family Foundation

National ACA Marketplace Signups Dipped a Modest 3.7 Percent This Year

Overall ACA marketplace signups for 2018 dropped by 3.7 percent compared to last year’s enrollment period, a new analysis from the Kaiser Family Foundation finds. 11,760,533 people signed up for 2018 health insurance coverage on the ACA individual marketplaces, amid steep reductions in federal funding for outreach and navigators, an…

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The Henry J. Kaiser Family Foundation

Who can still sign up for 2018 coverage after December 15?

This fact sheet highlights the states and situations where consumers can still sign up for a 2018 marketplace plan even though the Dec. 15 deadline for enrolling in healthcare.gov states has passed. It includes consumers in states who have extended open enrollment periods, people whose 2017 plan was discontinued, and people who live in or moved from counties affected by this year’s major hurricanes.

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Implications of Navigator Funding Changes on People with HIV: Navigator Perspectives

This issue brief analyzes funding data and findings from stakeholder interviews with navigators serving people with HIV to assess the potential impact of navigator grant cuts on this population.

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The Henry J. Kaiser Family Foundation

Survey: Adjusting to Sudden Reduction in Federal Funds, ACA Navigators Expect to Decrease Services

Many navigator organizations responsible for helping consumers understand and sign up for health coverage in 2018 Affordable Care Act (ACA) marketplaces say steep federal funding reductions that recently took effect will likely force them to limit their geographic service area, cut back outreach and public education, lay off staff members,…

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Data Note: Changes in 2017 Federal Navigator Funding

This data note analyzes federal funding changes for Affordable Care Act (ACA) marketplace navigators in 2017 and discusses the implications for both the navigators and consumers. It presents results of a Kaiser Family Foundation online survey of federal marketplace (FFM) navigator programs and includes insights from a roundtable meeting of more than 40 navigators co-hosted by the Robert Wood Johnson Foundation and Kaiser Family Foundation.

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Understanding Health Insurance

These resources are for anyone shopping (or helping someone shop) for health coverage within the health insurance marketplaces created through the Affordable Care Act (also known as the ACA or Obamacare).

In healthcare.gov states, the open enrollment period begins on Friday, November 1, 2019 and ends on Sunday, December 15, 2019. Some state-run Marketplaces will hold longer open enrollment periods.

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