Affordable Care Act

The ACA Marketplace

2025 KFF Marketplace Enrollees Survey

In 2025, about one in three ACA enrollees said they would be “very likely” to look for a lower-premium Marketplace plan If their premium payments doubled.

Cost Concerns and Coverage Changes: A Follow-Up Survey of ACA Marketplace Enrollees

Following the expiration of the enhanced premium tax credits for people with Affordable Care Act (ACA) Marketplace plans, a new KFF follow-up survey of the same Marketplace enrollees KFF surveyed in 2025 finds half (51%) of returning enrollees say their health care costs are “a lot higher” this year compared to last year, including four in 10 who specifically say their premiums are “a lot higher.”

New AND NOTEWORTHY

Tracking the Public’s Views on the ACA

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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181 - 190 of 2,769 Results

  • What is the health insurance Marketplace?

    FAQs

    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, and 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…

  • I heard the Affordable Care Act’s individual mandate ended. Does it still make sense to sign up?

    FAQs

    While there is no longer a federal tax penalty for being uninsured, some states (CA, MA, NJ, and RI) and DC have enacted individual mandates and may apply a state tax penalty if you lack health coverage for the year. Regardless of any tax penalty, it is still important to have insurance coverage to help reduce the risk of large medical bills if you get sick, to pay for medications, and to pay for check-ups…

  • I’m covered under my parents’ plan and just had a baby. Will my parents’ plan cover my baby after he’s born?

    FAQs

    Your parents' plan, regardless of the source, is generally not required to cover your child as a dependent. Depending on your income, your child may be eligible for coverage under the Medicaid/CHIP program in your state. Or you can buy a family plan through the Marketplace and, depending on your income and whether health insurance is available from your own employer, you may be eligible for a premium tax credit and cost-sharing subsidy to reduce…

  • I am covered by Medicaid, but I’m wondering if I can drop my Medicaid and purchase one of the health plans offered through the Marketplace instead?

    FAQs

    While you are allowed to purchase Marketplace coverage, if you are currently covered by Medicaid or have been told you are eligible for Medicaid, you are not eligible for premium tax credits that make Marketplace coverage more affordable for people with lower incomes. Without the Marketplace tax credits, the cost of a Marketplace plan will likely be unaffordable. Medicaid offers comprehensive coverage with no or low premiums and limited out-of-pocket costs.

  • I’m a few years away from turning 65 and becoming eligible for Medicare, and I would like to sign up for a Marketplace plan in the meantime. I am a lawfully-present immigrant, and I hear there&#82...

    FAQs

    In general, lawfully-present immigrants (except for DACA recipients) are eligible to buy a plan on the ACA Marketplace. The new law does not affect eligibility for Marketplace coverage for lawfully-present immigrants. Currently, depending on your income and household size, you may be eligible for premium tax credits to offset the cost of your premiums. However, beginning in 2027, the types of lawfully-present immigrants eligible for tax credits will become much more limited than it is…

  • ¿Qué ingreso cuenta para determinar mi elegibilidad para recibir subsidios?

    FAQs

    La elegibilidad para los créditos fiscales para las primas (subsidios) se basa en su ingreso bruto ajustado modificado o MAGI. Cuando presenta una declaración federal de impuestos, debe informar su ingreso bruto ajustado (que incluye sueldos y salarios, intereses y dividendos, beneficios por desempleo y varias otras fuentes de ingresos). MAGI modifica su ingreso bruto ajustado añadiéndole cualquier beneficio de Seguro Social sujeto a impuestos que reciba, cualquier interés exento de impuestos que gane y…

  • ¿Qué pasa si no actualizo mi aplicación para asistencia financiera?

    FAQs

    Si no actualiza su solicitud, en la mayoría de los casos, el mercado ajustará automáticamente la cantidad de su crédito fiscal para la prima para el próximo año. Si resulta ser menor que la cantidad para la que realmente es elegible, tendrá que pagar más prima cada mes de lo que hubiera tenido que pagar, aunque puede recibir un reembolso por el resto cuando presente su declaración anual de impuestos. Por otro lado, si el…

  • Soy un adulto joven y necesito seguro de salud. ¿Cuáles son mis opciones de cobertura?

    FAQs

    Hay varias opciones que pueden estar disponibles: Si sus ingresos son de $21.597 o menos en 2026 (138% del nivel federal de pobreza para un adulto solo), puede calificar para cobertura de Medicaid. No todos los estados han optado por ampliar la elegibilidad para Medicaid para este nivel de ingresos. Consulte con un navegador u otro asistente usando la herramienta “Buscar Ayuda Local” en su mercado de seguros para obtener más información sobre la elegibilidad…

  • ¿Pueden los inmigrantes obtener ayuda para pagar las primas y/o los costos compartidos para el seguro de salud en los mercados de seguros?

    FAQs

    Usualmente, la mayoría de los inmigrantes legalmente presentes pueden obtener subsidios para ayudar a pagar las primas y los costos compartidos del seguro de salud obtenido en los mercados. Al igual que los ciudadanos, pueden calificar para créditos fiscales para primas que varían en una escala móvil basada en los ingresos. Por lo general, las personas deben tener ingresos por lo menos del 100% del nivel federal de pobreza ($15,650 para un individuo adulto o…

  • Los individuos a los que se les concedió Acción Diferida bajo el programa de Acción Diferida para los Llegados en la Infancia (DACA) ¿son elegibles para Medicaid, CHIP, y el mercado de seguros de salud?

    FAQs

    No. A algunos jóvenes que entraron al país de niños sin papeles se les otorgó un permiso temporal para permanecer en los Estados Unidos bajo el programa llamado de Acción Diferida para los Llegados en la Infancia (DACA). Estos individuos están legalmente en los Estados Unidos y pueden recibir permiso de trabajo y número de Seguro Social. Sin embargo, ya no son elegibles para Medicaid, CHIP, o el mercado de seguros de salud.