Filling the need for trusted information on national health issues
Yes, leaving your job and losing eligibility for job-based health coverage will trigger a special enrollment opportunity that lasts for 60 days. You can apply for Marketplace health plans and (depending on your income) for premium tax credits and cost sharing reductions during that period. If you enroll in COBRA…
You should buy group coverage through the SHOP Marketplace in State B, where your business is located. If your business is located in a HealthCare.gov state, there is no SHOP Marketplace website. Instead, you should contact insurers directly or work directly with a broker to buy a small group policy. …
If you are receiving advanced premium tax credits, the insurer is required to pay your claims during the first 30 days of the grace period. After that, during the second and third month of the grace period, the insurer is allowed to hold your claims and only pay them if…
No, companies that sell Marketplace plans are prohibited from selling these plans to you if they know you are covered by Medicare. If you do not live in a state that requires insurance companies to sell Medigap policies to people under age 65, some insurance companies still may voluntarily sell…
Yes, you can keep your Medicare and you do not need to make any changes to your coverage because of the ACA. Browse more questions in the Marketplace Eligibility section.
Citizen and lawfully present family members can get health insurance coverage through Medicaid, CHIP, and Marketplaces even if other family members are not lawfully present. Family members who are not lawfully present, including undocumented immigrants, may apply for health insurance for citizen and lawfully present family members. For example, an…
You can always 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. Browse more questions in the Employer-Sponsored Health Coverage section.
If you are not a U.S. citizen, a U.S. national, or an alien lawfully present in the U.S., you are not eligible to buy a plan on the health insurance Marketplace. However, you can shop for health insurance outside of the Marketplace in the non-group market. Insurers outside of the…
Millions of low-income Americans currently covered by Medicaid likely would become uninsured if the Supreme Court were to strike down the Affordable Care Act in California v. Texas, a legal challenge the high court is scheduled to hear in early November, KFF experts explain in a new Policy Watch post.…
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 for 2021 coverage begins on Sunday, November 1, 2020 and runs through Tuesday, December 15, 2020. State-run Marketplaces can set their own dates, and several will have a longer open enrollment period for 2021 coverage.
