You can't be denied insurance for existing health problems
There's no limit on how much care you can get in your lifetime
Young adults can stay on their parents' plan until they turn 26
You get free preventive care, like check-ups and shots
All plans must cover important health services
The Affordable Care Act (ACA) provides health insurance options for:
Individuals and Families needing coverage.
Low-to-Middle Income Households qualifying for premium subsidies.
Self-Employed Individuals without employer insurance.
People with Pre-Existing Conditions who need coverage.
Young Adults up to age 26 staying on their parents' plan.
Residents of All States with access to the Health Insurance Marketplace.
ACA health plans cover a full range of essential health benefits, including:
Check-Ups: Regular visits and preventive care to keep you healthy.
Emergency Care: Hospital visits and ambulance services for emergencies.
Hospital Stays: Costs for being admitted to the hospital and treatments.
Pregnancy and Newborn Care: Care for pregnancy, childbirth, and newborns.
Mental Health: Support and treatment for mental health and substance use.
Prescription Medications: Coverage for medications your doctor prescribes.
Therapies: Services to help you recover or improve skills, like physical therapy.
Lab Tests: Diagnostic tests and lab work.
Kids’ Health: Dental and vision care for children.
How do I pick a plan category?
Total spending on Health Care: Evaluate overall health care costs, not just premiums, and compare plans to estimate total yearly expenses.
Silver Plan: Enroll in a Silver plan if eligible for extra savings, which you’ll discover during the application process.
Premium Tax Credit: Check for premium tax credit eligibility when applying, as it can lower premium costs across all plan categories.
Coverage: All Marketplace plans cover the same 10 essential health benefits, including preventive services and chronic disease management programs.
Quality of care: Compare plans using quality ratings (1-5 stars), noting that category names do not reflect care quality.
Questions People Ask Us
If your income is low, you might qualify for financial assistance to help pay for insurance through the Marketplace. If your income is below a certain level, you may also qualify for Medicaid.
Yes, if you are a lawfully present immigrant, you can buy insurance through the ACA Marketplace and may qualify for financial help. Undocumented immigrants cannot get Marketplace coverage.
Yes, as a small business owner, you can offer health insurance to your employees through the Small Business Health Options Program (SHOP) Marketplace.
There used to be a penalty for not having insurance, but now there is no federal penalty. However, some states may still have their own penalties for being uninsured.
Some immigrants must wait five years after getting their status before they can enroll in Medicaid or CHIP. However, refugees and asylees can get coverage right away.
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