A quick guide to the Health Insurance Marketplace

5 tips about the Health Insurance Marketplace

Need coverage for the rest of 2015?

The Open Enrollment Period for 2015 health insurance is over. The only way to get coverage for the rest of 2015 is if you qualify for a Special Enrollment Period or for Medicaid or CHIP.

You can apply for 2016 health insurance coverage starting November 1, 2015.

Until then, here’s what you need to know about the Health Insurance Marketplace (sometimes known as the health insurance "exchange" or “Obamacare exchange”).

1. The Health Insurance Marketplace is for people who don’t have health coverage

If you don’t have health insurance through a job, Medicare, Medicaid, the Children’s Health Insurance Program (CHIP), or another source that provides qualifying coverage, the Marketplace can help you get covered.

2. What you pay for insurance depends on your income

Your savings depend on your estimate of your expected income for 2016, not last year’s income. Get a quick idea if your expected income is in the range to save.

Based on the income estimate you put on your application, we’ll tell you if you qualify for one of these:

A health insurance plan with savings

Most people who apply qualify for a premium tax credit that lowers their monthly insurance bill. Some also save on out-of-pocket costs like deductibles and copayments.

The plans are offered by private insurance companies with a range of prices and features. All plans cover:

You can add dental to a health plan, but you don’t have to. You can’t buy a dental plan unless you enroll in a health plan.

Medicaid and the Children’s Health Insurance Program (CHIP)

Medicaid and CHIP provide free or low-cost coverage to millions of people and families with limited income, disabilities, and some other situations.

3. You can apply for coverage 4 ways

You can apply for health insurance any way that works for you:

  • Online
  • By phone
  • With in-person help
  • With a paper application

4. If you don’t have health insurance, you may have to pay a fee

Most people must have qualifying health coverage or pay a fee with their 2016 federal taxes.

  • If you don’t have coverage in 2016, you’ll pay a penalty of either 2.5% of your income, or $695 per adult ($347.50 per child) — whichever is higher. Learn about the fee.
  • In some cases, you might qualify for an exemption from the penalty.

5. Apply starting November 1. Get ready now.

FYI Plans and prices for 2016 will be available by late October.

  • You can apply starting November 1, 2015. Coverage can start January 1, 2016.
  • After January 31, 2016, you can’t buy a health insurance plan for the rest of 2016 unless you have a life change — like having a baby, getting married, or losing other health coverage — that qualifies you for a Special Enrollment Period.
  • See all 2016 deadlines.

Get Ready to Apply