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13 qualifying life events that trigger ACA special enrollment
Outside of open enrollment, a special enrollment period allows you to enroll in an ACA-compliant plan (on or off-exchange) if you experience a qualifying life event.

Latest News & Topics

Latest News & Topics

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Featured
6 lessons Mary Lou Retton’s health scare can teach us about coverage
Mary Lou Retton’s health scare story included some important lessons for consumers, many of whom may assume that the celebrity’s health scare is a sign of barriers to affordable health coverage.
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Frequently-asked questions by tag

Are smokers unable to afford insurance under the ACA? photo

Are smokers unable to afford insurance under the ACA?

February 26, 2024 – The surcharge is thought to impede access to health insurance for smokers in many states. But Medicaid and state-based regulations are…

How does the IRS calculate premium tax credits for self-employed people when their AGI depends on their health insurance premium amount? photo

How does the IRS calculate premium tax credits for self-employed people when their AGI depends on their health insurance premium amount?

February 12, 2024 – For self-employed Americans, premium amounts affect modified adjusted gross income, which in turn affects premium amounts. But the IRS has…

If your income last year was higher than expected, do you have to pay back some of the advance premium tax credits that you received for Marketplace coverage? photo

If your income last year was higher than expected, do you have to pay back some of the advance premium tax credits that you received for Marketplace coverage?

February 9, 2024 – If you received advance payments of the premium tax credit for health insurance that you purchased last year on HealthCare.gov (or a…

Can health insurance policies still have lifetime or annual benefit maximums? photo

Can health insurance policies still have lifetime or annual benefit maximums?

January 19, 2024 – All new individual and small-group plans have covered essential health benefits (EHBs) since 2014, and there cannot be dollar limits on…

Does every business with 50 or more employees pay a penalty if it doesn’t offer ‘affordable, comprehensive’ insurance? photo

Does every business with 50 or more employees pay a penalty if it doesn’t offer ‘affordable, comprehensive’ insurance?

January 10, 2024 – Businesses with 50 or more full-time equivalent (FTE) employees are required to offer comprehensive, affordable health insurance coverage…

Do student health policies have to cover birth control without co-pays? photo

Do student health policies have to cover birth control without co-pays?

January 9, 2024 – Although schools with religious objections to contraception are not required to include contraceptive coverage in their student health…

Do student health care plans have to cover preventive care at no charge? photo

Do student health care plans have to cover preventive care at no charge?

January 9, 2024 – Student health insurance plans must include preventive care and cannot impose any cost-sharing for recommended preventive…

I purchased health insurance under the Affordable Care Act in Texas, but I have moved to Colorado. How do I transfer my coverage? photo

I purchased health insurance under the Affordable Care Act in Texas, but I have moved to Colorado. How do I transfer my coverage?

December 21, 2023 – If you purchased ACA-compliant health insurance in Texas and you're moving to Colorado, you'll need to select a new Colorado plan rather…

What type of health insurance exchange does my state have? photo

What type of health insurance exchange does my state have?

December 4, 2023 – As of the 2024 plan year, there will be 19 fully state-run health insurance marketplaces (SBMs), three state-based marketplaces that use…

My employer offers insurance, but I think it’s too expensive. Can I apply for a subsidy to help me buy my own insurance? photo

My employer offers insurance, but I think it’s too expensive. Can I apply for a subsidy to help me buy my own insurance?

September 11, 2023 – You cannot qualify for a health insurance premium subsidy unless the insurance your employer offers would force you to kick in more than…

Will my father’s premiums go up if I get coverage through his plan instead of my university’s plan? photo

Will my father’s premiums go up if I get coverage through his plan instead of my university’s plan?

July 31, 2023 – Young adults under 26 can get coverage through a parent’s plan even if their school (or their own employer) offers health insurance.…

Are dental benefits included in ACA’s marketplace health plans? photo

Are dental benefits included in ACA’s marketplace health plans?

April 7, 2023 – Pediatric dental is one of the ACA's essential health benefits. But there's no requirement that dental care for adults be…

We’re a family of four with an income of $50,000 a year. What kinds of subsidies are available to help us purchase insurance through the exchanges? photo

We’re a family of four with an income of $50,000 a year. What kinds of subsidies are available to help us purchase insurance through the exchanges?

February 28, 2023 – The government offers two types of subsidies for people who buy their own insurance in the state’s marketplaces (a.k.a. health insurance…

Do plans sold in the health insurance exchanges cover abortion? photo

Do plans sold in the health insurance exchanges cover abortion?

January 10, 2023 – In more than half the states, ACA-compliant health insurance plans are not allowed to cover abortions except for circumstances involving…

We claim our son, but not our daughter, on our taxes. How are premium subsidies calculated for families like ours? photo

We claim our son, but not our daughter, on our taxes. How are premium subsidies calculated for families like ours?

December 5, 2022 – Subsidy eligibility is based on modified adjusted gross income (MAGI). For your family, your MAGI will include income for yourself and your…

Can I purchase a Platinum policy and also get a premium subsidy? photo

Can I purchase a Platinum policy and also get a premium subsidy?

July 12, 2022 – You can buy a Platinum plan and also get a premium subsidy. The size of the subsidy is based on the cost of a Silver plan, but you can…

If I decide to gamble and go without insurance, isn’t that my business? photo

If I decide to gamble and go without insurance, isn’t that my business?

August 18, 2021 – An individual's decision to "gamble" and go without health insurance can result in uncompensated care – a financial burden on hospitals…

My health insurance options from my employer are on an exchange. Is this part of Obamacare? photo

My health insurance options from my employer are on an exchange. Is this part of Obamacare?

July 31, 2021 – If the health insurance options from your employer are on an exchange, it could be a private exchange – not the Affordable Care Act's…

I understand that subsidies come in the form of tax credits. But I’m unemployed and probably won’t owe any taxes. How would the subsidy help me? photo

I understand that subsidies come in the form of tax credits. But I’m unemployed and probably won’t owe any taxes. How would the subsidy help me?

June 7, 2021 – The premium subsidy offered through the exchanges is a tax credit, but it differs from some other tax credits in two important ways. First…

I work part-time. Am I eligible for a premium subsidy to help me buy insurance? photo

I work part-time. Am I eligible for a premium subsidy to help me buy insurance?

May 27, 2021 – Your eligibility for a premium subsidy isn't tied to how many hours you work. As long as you meet the income requirements for the premium…

If I have access to health insurance, can my husband’s company deny me coverage? photo

If I have access to health insurance, can my husband’s company deny me coverage?

January 22, 2021 – The ACA requires employers with 50 or more workers to offer coverage to employees and their children (until age 26), but not a spouse. But…

If someone decides to not buy health insurance and is injured in accident, what happens? photo

If someone decides to not buy health insurance and is injured in accident, what happens?

January 22, 2021 – When a patient arrives at the emergency room and is uninsured and unable to pay for his care, staff there are required by law only to…