Who is eligible?
- Must live in the Marketplace's service area
- Be a US citizen or national or
- Be a non-citizen who is lawfully present in the US for the entire period for which the enrollment is sought.
- Must not be incarcerated
Key Enrollment Dates:
- Initial Enrollment starts October 1, 2013 and ends March 31, 2014
- Coverage starts as early as January 1, 2014
- Annual open enrollment period from October 15th to December 7th
- Special enrollment periods are available in certain circumstances (marriage/divorce, birth, errors by the Marketplace, losing employer coverage, etc)
- Before you start you may want to review the Things to Think About When Choosing a Health Plan (pdf) and Get Ready to Enroll (pdf) brochures.
- For PA residents go to healthcare.gov
- Create an account.
- Enter information about you and your family, income, household size, etc. Use this checklist as a guide(pdf).
- Submit the application. (You may also apply by phone or through the mail.)
- Your information will be verified and your eligibility will be determined for:
- Premium tax credit
- Cost-sharing reduction
- Qualified health plans
- Medicaid or CHIP -You will be enrolled in your health plan/Medicaid/CHIP
If you still have more questions about the enrollment process, please call the toll free call center at 1-800-318-2596, 24 hours a day, 7 days a week. Or visit Healthcare.gov for a variety of frequently asked questions. (Help is also available in other languages.) You can also get in-person assistance with the organizations listed here.
The Marketplace is a new way to buy health insurance for qualified individuals and employers. It allows apples-to-apples comparisons of health plans and provides unbiased customer support.
These plans must provide information on premiums, deductibles, and out-of-pockets costs before you enroll. It is also a one-stop shop to determine if you are eligible for:
- health plans through the marketplace
- tax credits to lower premiums
- reduced cost sharing
- Medicaid and CHIP