Under a new federal rule, DACA (Deferred Action for Childhood Arrivals) recipients became ineligible to enroll in Affordable Care Act Marketplace coverage (with or without subsidies), effective August 25, 2025.| healthinsurance.org
State health insurance Marketplaces – or exchanges – vary in terms of enrollment platforms, carrier availability, rates and more. Learn more about your Marketplace.| healthinsurance.org
Minnesota, New York, and Oregon have implemented a Basic Health Program – a coverage for people ineligible for Medicaid and with incomes up to 200% of FPL (250% in New York), and for legal immigrants who aren't eligible for Medicaid because of the five-year waiting period.| healthinsurance.org
In recent weeks, we’ve seen news reports of Marketplace enrollees’ coverage being switched without their knowledge. Here's what consumers need to know.| healthinsurance.org
A proposed federal rule issued this week would, if finalized, bring wide-ranging changes for the Affordable Care Act’s health insurance Marketplace, including a shorter open enrollment period in all states.| healthinsurance.org
What will happen to Marketplace health insurance subsidy availability and size when the subsidy enhancements instituted under the American Rescue Plan sunset after 2025?| healthinsurance.org
The type of managed care your health plan falls under affects your healthcare costs and plan benefits – including access to medical providers.| healthinsurance.org
The U.S. Department of Health and Human Services has finalized a special enrollment period in states that use HealthCare.gov, granting year-round enrollment in ACA-compliant health insurance if an applicant’s household income does not exceed 150% of the federal poverty level and if the applicant is eligible for a premium tax credit.| healthinsurance.org
Check if you might save on Marketplace premiums, or qualify for Medicaid or Children's Health Insurance Program (CHIP), based on your income. Or, find out who to include in your household and how to estimate income before you apply. Learn if you can save on out-of-pocket medical costs under the new health care law. Visit Healthcare.gov to see all your health insurance options.| HealthCare.gov
A cost-sharing reduction (CSR) is a provision of the Affordable Care Act that reduces out-of-pocket costs for eligible enrollees who select Silver health insurance plans in the marketplace. CSRs – often referred to as cost-sharing subsidies – reduce enrollees' cost-sharing by lowering a health plan's out-of-pocket maximum, and increasing the actuarial value (AV) of the plan.| healthinsurance.org
According to Kaiser Family Foundation data, there are about 1.9 million people in the coverage gap across nine states (this does not include North Carolina, as Medicaid expansion will take effect there in late 2023). They aren't eligible for Medicaid, nor are they eligible for premium subsidies in the exchange.| healthinsurance.org
A list of the open enrollment deadlines for enrollment in 2025 ACA-compliant health insurance in every state. Open enrollment runs from November 1 to January 15 in most states, but some state-run exchanges have different schedules.| healthinsurance.org
From 2015 through 2021, the IRS did make an annual change — usually quite small — to the percentage of income that you have to pay for self-purchased (individual/family) health coverage. But there’s a lot more to it than just the percentage of income that the IRS says you have to pay for the benchmark plan.| healthinsurance.org