QUESTION

I have my own health insurance. Why should I consider shopping for a new plan on the health insurance marketplace?

Individuals with coverage | Individual and Marketplace Health Coverage
ANSWER

If you use the health insurance marketplace, you can compare plans and shop with confidence that all the plans displayed have been certified as meeting a minimum standard for coverage and quality, and will qualify as “minimum essential coverage.” If you shop for a plan outside the health insurance marketplace, you will need to do your own research to determine whether the plan provides the kind of financial protection and access to providers that is right for you and your family and qualifies as “minimum essential coverage,” meaning you will be entitled to a special enrollment period if the plan drops you.

Second, premium tax credits and cost-sharing reductions to help lower the cost of coverage are only available through plans purchased in a health insurance marketplace. In addition, even if you are not currently eligible for premium tax credits, if you have a change in household income that may make you eligible for premium tax credits and cost-sharing reductions later in the year, you can only enroll in the subsidies outside the annual open enrollment period if you already have coverage through a health insurance marketplace. (45 C.F.R. § 155.420).


Individuals with no coverage
Individuals with coverage
Coverage for small employers
Post enrollment issues