I live in one state but work in a different state. What Marketplace should I use to buy coverage?
Generally, you should buy coverage in the Marketplace in the state where you live.
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This analysis of insurers’ initial rate filings for Affordable Care Act Marketplace plans in all 50 states and DC finds the median proposed increase for 2026 is 18%, more than double last year’s proposed increase. The analysis also shows proposed rate changes by state and insurer.
President and CEO Drew Altman shows how proposals contained in the House reconciliation bill could result in a one-third reduction in ACA Marketplace enrollment. “While all eyes are on the big Medicaid cuts being proposed in the House,” he writes, “significant changes are also being proposed that together would dramatically reduce enrollment in the ACA Marketplaces.”
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Generally, you should buy coverage in the Marketplace in the state where you live.
You should buy coverage in the state where you officially reside. Most states consider you a resident if you intend to make that state your permanent home.
Yes. Your child can join your Marketplace family plan, even if they live out of state. However, your child may need to return home to access care within your plan’s network.
In general, you can only enroll in Marketplace health plan coverage during the Open Enrollment period. For 2025 coverage, the Open Enrollment period in Healthcare.gov states begins November 1, 2024 and closes at the end of the day on January 15, 2025 (Pacific Time). The following states have different Open Enrollment end dates: -ID: Dec.
During Open Enrollment in HealthCare.gov and some other states, if you enroll in a private health insurance plan by December 15 and make your first premium payment by the due date specified by your plan, your new health coverage starts January 1.
Yes. You can switch to a different plan at any time during Open Enrollment.
It is important that you contact both the Marketplace and the health plan and let them know you no longer need coverage. In HealthCare.gov states, you can log into your Marketplace account, select the “terminate coverage” option, and enter the required information.
Small employers can buy coverage for their employees through the SHOP Marketplace at any time during the year. HealthCare.gov no longer operates a SHOP Marketplace website for small employers.
In general, you can have a special enrollment opportunity to sign up for Marketplace coverage during the year, other than during Open Enrollment period, if you have a qualifying life event. Some examples of qualifying life events include marriage, gaining a dependent, or loss of employment.
Yes, in some cases. When you apply for Marketplace coverage and qualify for a Special Enrollment Period, the Exchange may request additional documents to confirm that you qualify for coverage in your Marketplace Eligibility notice. If you apply for Marketplace coverage following loss of other coverage, HealthCare.
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