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Health Insurance Marketplace is a federal service that helps individuals, families, and small businesses compare health insurance plans for coverage and price, enroll in or switch a health insurance plan, and get help with questions about health insurance. You can apply for a Marketplace plan as early as 60 days before your Medicaid or CHIP coverage ends to prevent a lapse in coverage. All Marketplace plans cover essential health benefits such as prescription medications, doctor visits, urgent care, and hospitalization.
You can contact the Health Insurance Marketplace by telephone 24/7 with this number: 1-800-318-2596
(TTY: 1-855-889-4325)
Legislated under the Affordable Care Act, Basic Health Programs (BHPs) offer an alternative form of coverage to individuals with incomes between 138% and 200% of the federal poverty level who otherwise would qualify for Marketplace subsidies. BHPs are intended to be less costly and more generous than typical Marketplace coverage with minimal out-of-pocket expenses. States such as Minnesota and New York have implemented BHPs with plans having low or no premiums and significantly reduced cost-sharing.
CHIP provides low-cost or no-cost health coverage to eligible low-income children 18 and younger whose parents earn too much money to be eligible for Medicaid but not enough to pay for private insurance. You can also reapply for Medicaid from your state anytime to determine if you are still eligible. To inquire about eligibility or the status of your application or renewal, phone your state’s Medicaid agency directly via the phone number on our Contacts page.
Employer-Sponsored Insurance (ESI) is the most common type of health insurance found in America, and more than 181 million people across the United States depend upon it. Individuals who have access to health coverage either through their workplace or a family member’s workplace are eligible for ESI. Please consult your employer about whether the plan is available.
Community Health Clinics are nonprofit healthcare providers that offer low-cost or free medical services. Uninsured or underinsured individuals, regardless of immigration status, can qualify for community health clinics. They typically offer services such as primary care (checkups, chronic disease management), preventive services (vaccinations, cancer screenings), mental health and substance use treatment, and prescription medications at discounted rates. This program works on a sliding scale, meaning that fees are based on your household size and income, following federal poverty guidelines.