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While overall opinion of the Affordable Care Act has been more favorable than unfavorable since 2017, there remain deep partisan divides. See how public opinion on the ACA has changed from the inception of the law to the present. This interactive tool highlights key moments when views shifted and trends based on party identification, income, age, gender, and race/ethnicity.

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  • Does being lesbian, gay, bisexual, or transgender (LGBT) affect my health insurance coverage and options? What if I am married to my same-sex partner?

    FAQs

    You cannot be turned away or charged more for being lesbian, gay, bisexual, or transgender. You also can’t be denied coverage or charged more because of any pre-existing health condition, such as HIV status. Insurers can’t have any annual or lifetime limits on how much they’ll spend on your medical care. Additionally, health programs that receive federal funding, such as Marketplace plans, Medicaid, and Medicare, cannot discriminate based on sex. Notably, though, the legal landscape is evolving.…

  • Do Marketplace plans or Medicaid cover abortions?

    FAQs

    It depends on where you live and what type of coverage you have. For Marketplace plans, there is no federal requirement for plans to cover abortion. About half of states prohibit Marketplace plans from covering abortion. However, other states require plans to cover abortion services and do not permit cost sharing. For Medicaid enrollees, federal law only allows the use of federal funds for abortion in cases of rape, incest, or life endangerment of the pregnant…

  • Does my health plan have to cover all birth control methods with a prescription? Do I have to pay a copay?

    FAQs

    Most employer plans and all Marketplace plans must cover at least one form of all FDA-approved, granted, or cleared birth control (“contraceptive”) services and supplies for women, without cost sharing. This includes sterilization services, insertion and removal of long-acting reversible birth control methods, and follow-up services. While some birth control methods are available over the counter without a prescription, plans typically require a prescription to trigger coverage. Though it is up to an insurer’s discretion,…

  • When can I apply for Marketplace premium tax credits when other coverage is available?

    FAQs

    In general, if you have or are offered other comprehensive, affordable coverage, you may not be eligible for premium tax credits on the Marketplace. However, there are several circumstances where you may be eligible. This chart lays out examples of different coverage types and whether or not they will disqualify you for premium tax credits.

  • Is there any reason the Marketplace wouldn’t automatically adjust and continue my premium tax credit at renewal time?

    FAQs

    Yes. If you live in a state that uses HealthCare.gov, when you first applied for coverage, you had the opportunity to authorize the Marketplace to check online income data about you, including from your tax returns, for another 1 to 5 years. If you did not authorize this, your financial assistance will NOT be automatically continued for next year and you will have to re-apply for financial assistance in order to keep receiving it. If…

  • Do Marketplace plans cover dental care?

    FAQs

    It depends on your age. Dental coverage for children ages 18 and under is an "essential health benefit," meaning it must be available to any children you have, either as part of a health plan or through a separate dental plan, though you are not required to buy it. Dental coverage for adults is not considered an essential health benefit, so Marketplace plans don’t have to offer it.

  • Who can buy coverage in the Marketplace?

    FAQs

    Most people can shop for coverage in the Marketplace. To be eligible you must live in the state where your Marketplace is, you must be a citizen of the U.S. or be lawfully present in the U.S., you must not currently be incarcerated, and you cannot currently be enrolled in Medicare. Deferred Action for Childhood Arrivals (DACA) is no longer considered an eligible immigration status for health coverage through the Marketplaces. Not everybody who is…

  • Mi empleador ofrece un plan de salud pero con beneficios muy limitados. Solo cubre servicios preventivos y algunas visitas médicas al año. Quiero una cobertura mejor. ¿Puedo aplicar para seguro y subsid...

    FAQs

    Sí, puede solicitar cobertura en el mercado, y puede calificar para créditos fiscales para pagar sus primas si su plan de empleador no cumple con el estándar de la Ley del Cuidado de Salud a Bajo Precio (ACA) para un valor mínimo. Si el plan de su empleador solo cubre servicios preventivos y unas pocas visitas al médico, probablemente no cumpla con el estándar de valor mínimo, por lo que podría ser elegible para créditos…

  • ¿Cuáles son las sanciones para mí, como empleador, si no proporciono beneficios de salud a mis trabajadores temporales?

    FAQs

    Si es un gran empleador, enfrentará una multa si no ofrece una cobertura asequible que cumpla con el valor mínimo para todos sus empleados de tiempo completo y sus hijos dependientes. Si, como empleador, no está seguro de si sus trabajadores temporales son o no empleados a tiempo completo, puede usar un período de medición especial (un período de retrospectiva de tres a doce meses, a su criterio) para decidir si sus empleados son temporales…