Sarasota Health Insurance 941-366-5656

Health Insurance Marketplace

health-insurance marketplace

Health Insurance Marketplace

The Health Insurance Marketplaces, also called health exchanges, are organizations set up to facilitate the purchase of health insurance in each state in accordance with the Affordable Care Act (ACA).  Marketplaces provide a set of government-regulated and standardized health care plans from which individuals may purchase health insurance policies eligible for federal subsidies.

Important: Marketplace Open Enrollment ended March 31. You can still buy a Marketplace health plan only if you qualify for a special enrollment period. You can apply for Medicaid and CHIP any time. Find out if you qualify for a Special Enrollment Period or Medicaid and CHIP. Open Enrollment for 2018 coverage starts November 1, 2017.

What kind of Insurance is on the Marketplace?

  • Private health insurance. Plans cover essential health benefits, pre-existing conditions, and preventive care.
  • Lower costs based on your household size and income. You can preview plans available in your area right now, with prices based on your income and household size. Most people who apply will qualify for lower costs.

Open Enrollment:  For coverage starting in 2018, the proposed Open Enrollment Period is November 1, 2017-January 31, 2018. Individuals may also qualify for Special Enrollment Periods outside of Open Enrollment if they experience certain events. (See Special Enrollment Period and Qualifying Life Event)

Special Enrollment Period: A time outside of the open enrollment period during which you and your family have a right to sign up for job-based health coverage. Job-based plans must provide a special enrollment period of 30 days following certain life events that involve a change in family status (for example, marriage or birth of a child) or loss of other job-based health coverage.

Qualifying Life Event: A change in your life that can make you eligible for a Special Enrollment Period to enroll in health coverage. Examples of qualifying life events are moving to a new state, certain changes in your income, and changes in your family size (for example, if you marry, divorce, or have a baby).