What is the Insurance Marketplace?
The health insurance marketplace, also known as the health insurance exchange, is a platform where individuals and families can shop for and enroll in health insurance plans, often with the potential to receive financial assistance. It was established under the Affordable Care Act (ACA) to make health insurance more accessible and affordable


What are the basic requirements to enroll in health coverage through the marketplace?

To be eligible to enroll in health coverage through the marketplace, you must meet the following criteria: - You must live in the United States. - You must be a U.S. citizen or national, or be lawfully present in the country. You can learn more about eligible immigration statuses. - You cannot be incarcerated in prison or jail.

What patient protections does the Affordable Care Act (ACA) provide for those insured through the health insurance marketplace?

Under the Affordable Care Act (ACA), you have special protections when you are insured through the health insurance marketplace, including: - Insurers cannot refuse to offer coverage based on sex or a pre-existing condition. - There are no lifetime or annual limits on coverage for essential health benefits. - Young adults can remain on their family’s insurance plan until they reach the age of 26.

What does it mean to be lawfully present in the United States?

Being lawfully present refers to individuals who have the legal right to reside in the United States, which includes various immigration statuses such as lawful permanent residents, refugees, and certain types of visa holders. For detailed information on eligible immigration statuses, please refer to official resources or consult with an immigration expert.

How does the ACA protect individuals with pre-existing conditions?

The ACA ensures that insurers cannot deny coverage or charge higher premiums based on an individual’s pre-existing conditions. This means that regardless of your health history, you can obtain health insurance coverage.

Are there any limits on coverage for essential health benefits under the ACA?

No, the ACA prohibits insurers from placing lifetime or annual limits on coverage for essential health benefits. This ensures that essential medical services are available to you without worrying about exhausting your insurance benefits.

What options do young adults have regarding their family’s insurance coverage?

Young adults can remain on their family’s health insurance plan until they turn 26 years old. This allows them to stay covered while they pursue education or enter the job market.

How can I find more information about enrolling in health coverage?

You can visit the official health insurance marketplace website or contact a local health department for resources and assistance regarding the enrollment process and available plans.

person holding pencil near laptop computer
person holding pencil near laptop computer

Questions you may have about the Marketplace