A one-page guide to the Health Insurance Marketplace

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Nelson Vergel

Founder, ExcelMale.com
The Health Insurance Marketplace helps uninsured people enroll in health coverage. Fill out a Marketplace application and we'll tell you if you qualify for:
Private health insurance with savings based on your income. Plans cover essential health benefits, pre-existing conditions, and preventive care. Most people who apply through the Marketplace qualify for premium tax credits and savings on out-of-pocket costs based on household size and income.

Medicaid and the Children's Health Insurance Program (CHIP). These programs provide free or low-cost coverage to millions of families with limited income. Many states are expanding Medicaid to cover more people. Find out what Medicaid expansion means for you.

Fees, exemptions, and qualifying coverage

Most people must have health coverage or pay a fee. If you don't have coverage in 2015, you'll pay a penalty of either 2% of your income, or $325 per adult ($162.50 per child) — whichever is higher.
You're considered covered under the health care law if you have any job-based plan, any plan you bought yourself, Medicare, Medicaid, CHIP, and many other kinds of coverage. See a full list of plans and programs that meet the health law's coverage requirement.
Some people qualify for an exemption from the fee based on income or other situations.


3 more things to know

If you're eligible for job-based insurance, you can consider switching to a Marketplace plan. But you'll qualify for premium tax credits and other savings based on your income only if the job-based insurance isn't considered affordable or doesn't meet minimum value requirements.
If you have Medicare, you're considered covered and don't have to make any changes. If you have Medicare, you can't use the Marketplace to buy a supplemental plan or dental plan.
You can buy a plan outside the Marketplace and still meet the health care law's coverage requirements. But if you buy outside the Marketplace, you won't be eligible for premium tax credits or other savings based on your income.
https://www.healthcare.gov/get-coverage/
 
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