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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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  • The Inequity Of The Medicaid Coverage Gap and Why It Is Hard To Fix It

    Perspective

    In this column for the JAMA Health Forum, Larry Levitt explores why the Medicaid "coverage gap" still exists in 12 states that have not expanded their Medicaid programs under the Affordable Care Act, why it matters, and why eliminating it could prove challenging.

  • ¿Qué pasa si quiero dejar mi plan de salud del mercado durante el año?

    FAQs

    Es importante que se comunique con su mercado y con el plan de salud y les informe que ya no necesita cobertura. El enlace que se proporciona aquí ofrece detalles sobre cómo cancelar la cobertura del mercado en los estados que utilizan CuidadoDeSalud.gov. Los mercados de seguros estatales pueden tener su propio proceso para cancelar la cobertura. Si reside en uno de estos mercados, haga clic aquí para acceder al enlace que lo llevará al…

  • My husband would like to get a vasectomy, but when I checked with our insurer, they told me that the plan would cover my sterilization without cost-sharing, but we would have to pay part of the costs fo...

    FAQs

    The ACA requires most private health plans to cover birth control, including sterilization, for women, but they are not required to cover sterilization (vasectomies) for men. However, nine states (CA, IL, MD, NJ, NM, NY, OR, VT, and WA) require certain health plans in those states to cover vasectomies, at no cost to the patient. Check with your insurance plan or state insurance department for more information.

  • My eligibility notice on HealthCare.gov says I am eligible to buy a Marketplace plan, but the Marketplace cannot verify my immigration status. What should I do?

    FAQs

    HealthCare.gov will try to verify your citizenship or immigration status in real time as you submit your application. If it can’t, you may see a notice online that says you are temporarily eligible to buy a Marketplace plan, but you must submit additional information by a deadline. If this happens, first check your application to be sure you correctly entered all requested identifying information, including your name, date of birth, social security number, or alien…

  • I’m low-income and currently enrolled in subsidized Marketplace coverage. I just found out I’m pregnant. Under my state’s rules, I now qualify for Medicaid. Do I have to drop out of the Marketplace cove...

    FAQs

    In nearly all states, pregnancy-related Medicaid provides the same (or similar) benefits as Medicaid for other adults and so is considered minimum essential coverage (MEC). In general, people who are eligible for other MEC are not eligible for advance premium tax credits (APTC). However, a special rule allows people who are already receiving APTC and who become pregnant and eligible for pregnancy-related Medicaid to choose whether to stay in their Marketplace plan with APTC or…

  • Soy un trabajador migrante estacional. ¿Puedo comprar un seguro de salud en el mercado donde vivo ahora? Si me mudo a otro estado durante el año, ¿puedo conservar el plan que compré aquí o tendré que co...

    FAQs

    La elegibilidad para comprar cobertura en el mercado se basa en el lugar donde establezca su residencia permanente. Algunas aseguradoras ofrecerán redes más grandes que otros planes y pueden ofrecer redes de proveedores regionales o nacionales. Una vez que comienza la inscripción abierta, verifique los planes disponibles en su mercado para ver si hay un plan con cobertura de proveedores en las áreas en las que trabaja. Si su mudanza durante el año es permanente,…

  • Health Coverage in a Period of Rising Unemployment

    Issue Brief

    This policy brief reviews the public and private options available to help people maintain coverage if they become unemployed during a downturn and cannot get employer-sponsored coverage through a spouse. Specifically, it examines COBRA, non-group insurance and Medicaid. And it explains why, despite such options, more people will become uninsured as unemployment rises. Recent analysis predicts that each 1 percentage point increase in unemployment will lead to 1.1 million more uninsured adults. Issue Brief (.pdf)

  • Pulling It Together: A Public Opinion Surprise

    Perspective

    Medicaid is the nation’s primary health insurance program for low-income people and people with disabilities, covering more than 60 million people this year.  And it's about to get a lot of attention: it's likely to be a prime target for spending reductions by "deficit hawks" in debate over the budget; governors are arguing that federal rules requiring them to maintain coverage under Medicaid tie their hands at a time when they are trying to crawl…

  • Community Coalitions: Pursuing Better Quality Health Care One Locality at a Time

    Event Date:
    Event

    Stakeholders in dozens of communities around the nation are taking action to improve quality of care locally by engaging in one or more collaborations. What does each program offer? What goals do they have in common? How do they relate to a national quality strategy? This briefing, cosponsored by the Alliance for Health Reform and the Robert Wood Johnson Foundation, addressed these questions and more. Full Video   Speakers for this session: The panel is…

  • Pulling it Together: 2012: The ACA, and More

    From Drew Altman

    What is remarkable about 2012 (and the current era in health policy) is how many big health policy issues and marketplace changes will be in play at the same time: HEALTH REFORM: There is the implementation of a historic but fragile health reform law, with a Supreme Court decision pending and so much hanging in the balance. MEDICARE AND MEDICAID: There are continuing debates about potentially big changes in Medicare and Medicaid, driven by the…