Marketplace Enrollment FAQ
Find answers to the more common Health Insurance Marketplace enrollment questions. If you have a question that is not answered here, contact us, and we’d be happy to help find your answers.
Open Enrollment begins November 1, 2022, and should last until December 15, 2022. Outside of this time, you may qualify for a Special Enrollment Period if you’ve had a life qualifying event. These include loss of coverage from an employer or Medicaid, a permanent move in residence, getting married, having a baby, etc. See a complete list: Special Enrollment Period.
The cost of the plan to you depends on your age, where you live, and your income. You can shop now to get an estimate by using the preview tool.
More than 90% of Floridians receive help for their coverage. In order to qualify, you need to estimate a taxable income. Because of the changes in the American Rescue Plan Act (ARPA), there is no longer a maximum income to qualify for tax credits (financial help). For more in-depth information about how ARPA will affect Marketplace coverage, click here.
- Gross wages from a job
- Self-employment income
- Unemployment benefits
- Social Security or Social Security Disability Income (SSDI)
- Rental or royalty income
- Retirement or pension income or capital gains
- Taxable scholarships
- Alimony (if divorced was final before Jan 1, 2019)
There are three ways to enroll:
1) Schedule an appointment with one of our local navigators. Schedule an appointment
2) Internet: Visit www.healthcare.gov
3) Marketplace Call Center: 1-800-318-2596
You’ll need to have the names, birthdates, and social security/ITN numbers of all the people in your household, even the ones who do not need health insurance. You’ll also need an estimate of your income, which is found on your latest tax return and/or recent pay stubs.
If you were not born in the U.S., we strongly encourage you to have ready a copy of your U.S. Passport, a Permanent Resident Card, or other documents that demonstrate your immigration status.
If someone in your household has health insurance offered by an employer, you’ll need the employer’s name, address, and phone number as well as the monthly cost of the lowest-priced plan.
Once you’re on a parent’s job-based plan, in most cases you can stay on it until you turn 26. If you’re covered by a parent’s job-based plan, your coverage usually ends when you turn 26. But check with the employer or plan. Some states and plans have different rules.
If you miss the Open Enrollment Period, there are several situations that will allow you to enroll later. These include loss of coverage from an employer, a permanent move in residence, getting married, having a baby, etc. See a complete list: Special Enrollment Period.
If your employer offers you health insurance and the lowest priced plan that has comprehensive benefits does not cost you more than 9.61% of your salary, you could purchase a plan on the Marketplace but would not receive any financial help. Generally, you will pay less for your employer’s plan because your employer is contributing to the cost.
In Central Florida, we have many clinics that provide care to those without insurance. The list is found here: Medical Homes.