The Navigator Resource Guide has not been updated for 2025 Open Enrollment. For more current information please visit:
cms.gov/marketplace/in-person-assisters/information-partners.
QUESTION

If there’s no longer an individual mandate penalty, why should I get coverage?

Individuals with no coverage | Individual Responsibility Requirement (Individual Mandate) |
ANSWER

Beginning January 1, 2019, you will not be charged a tax penalty for failing to have coverage unless you live in a state with an individual mandate (California, the District of Columbia, Massachusetts, New Jersey, or Rhode Island).

Beyond these legal requirements, insurance coverage is an important protection against unexpected, high medical costs. The cost of paying for medical care out of pocket is prohibitively expensive for most people, and while insurance coverage can also present a financial burden, it is far less than the cost of paying for an emergency or treatment for an unforeseen diagnosis without coverage.

To ensure that an insurance product provides comprehensive coverage and adequate financial protection, and to see if you qualify for premium tax credits, visit HealthCare.gov.

Related Tags

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