Coverage for individuals and families

Health Insurance Marketplace

The first step toward finding coverage

We begin by reviewing Health Insurance Marketplace options so you can compare coverage, benefits, and costs based on your situation.

The same coverage, different names

What is the Health Insurance Marketplace?

It is the system where individuals and families can apply for health coverage, compare available plans, and find out whether they may qualify for financial assistance.

ACA, Marketplace, Health Insurance Marketplace, and Obamacare are common terms used for this type of coverage. “Obamacare” is the popular name for the Affordable Care Act, or ACA.

Our starting point

Why start by reviewing ACA coverage?

The Marketplace brings together important consumer protections and available plans before other alternatives are considered.

Comprehensive medical coverage

Plans designed to address a broad range of healthcare needs.

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Essential benefits

Includes the Essential Health Benefit categories established by the ACA.

Preexisting conditions

You cannot be denied coverage or charged more because of a preexisting condition.

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Potential financial assistance

Some individuals and families may qualify for help lowering coverage costs.

Although ACA coverage is often our starting point, the right option depends on each individual’s or family’s needs and circumstances.
Comprehensive protection

What do ACA plans cover?

ACA-compliant plans include ten categories of Essential Health Benefits.

01

Outpatient care

Medical services received without hospitalization.

02

Emergency services

Care for medical emergencies.

03

Hospitalization

Services related to a covered hospital stay.

04

Maternity and newborn care

Care during pregnancy, delivery, and for newborns.

05

Mental health

Mental health and substance use disorder services.

06

Prescription drugs

Coverage for medications included under the plan.

07

Rehabilitative services

Covered rehabilitative and habilitative services and devices.

08

Laboratory services

Certain covered laboratory tests and services.

09

Preventive and wellness care

Preventive, wellness, and chronic disease management services.

10

Pediatric services

Pediatric care, including dental and vision coverage for children.

Specific services, provider networks, medications, costs, and terms vary by plan.

Could I receive financial assistance?

Some individuals and families may qualify for premium tax credits or other assistance based on estimated income, household composition, and applicable rules.

Consult an agent

When can I enroll?

Open Enrollment Period

The annual period established to apply for or change Marketplace coverage.

Special Enrollment Period

Certain life events may allow enrollment outside the regular period. Eligibility depends on the circumstances.

Review whether I can enroll
How we help

Clear information before you choose

We can also help if you already have Marketplace coverage and want to review your current plan or available alternatives.

STEP 01

We review your situation

We learn about your needs, household, and circumstances.

STEP 02

We compare options

We review available plans using your information.

STEP 03

We explain coverage and costs

We clarify key benefits and responsibilities.

STEP 04

You decide

You choose with information and support throughout the process.

Every situation is different

Do you need to consider other coverage alternatives?

If Marketplace coverage does not fit your circumstances, budget, or desired coverage period, we can help you understand other available options.

Explore coverage alternatives

Have more questions?

Find answers about ACA, the Marketplace, Obamacare, financial assistance, enrollment, and coverage.

View frequently asked questions

Ready to review your options?

A licensed agent can help you understand available plans and their benefits and costs before you choose.

Eligibility, costs, premium tax credits, and plan availability depend on the applicant’s information, household, and service area. Completing an application does not guarantee eligibility, financial assistance, or enrollment.