ACA Health Insurance

ACA Health Insurance

Health insurance plans that provide comprehensive coverage for a variety of medical costs.

 

Get personalized quotes today through our partner, HealthMarkets.

Here's what you need to know

ACA Health Insurance includes plans that are considered comprehensive according to the Affordable Care Act (ACA) and are offered through health exchanges or marketplaces. You can access plans offered by major health insurance carriers that come in a variety of options to suit your personal medical needs and budget. These plans most closely resemble a medical plan offered by a company to their employees, but are available to anyone who does not have this traditional method of obtaining medical insurance.

 

 

Open Enrollment

 

The 2027 Open Enrollment Period (OE) runs from November 1, 2026, through January 15, 2027, in most states. This annual window allows you to enroll in a new medical insurance plan or make changes to your current coverage. Be sure to review your options carefully and update your plan as needed during this time. 

 

Click here to see a complete list of states and their specific open enrollment dates. 

 

 

Do you need medical insurance?

 

Although no longer mandated by the ACA, everyone should have medical insurance. Medical insurance is just like any other type of insurance - you hope you don't need it but it's there to protect you from financial burden if you do. Medical insurance covers a range of expenses, from routine wellness visits, ongoing care for a chronic medical condition, or an unexpected event such as serious illness or accident. Many plans also have some level of coverage for prescription medications and other medical-related treatments like physical therapy.

 

 

I missed my state’s Open Enrollment deadline. Can I still get healthcare coverage? 

 

If you missed the enrollment deadline in your state, it is still possible that you can qualify for a Special Enrollment Period (SEP) that will allow you to apply for health insurance. You can qualify for an SEP if you have experienced a qualifying life event. 

 

Qualifying life events can include:

 

Loss of health coverage

 

  • Losing current health coverage, which may include job-based, individual, and student plans
  • Losing eligibility for Medicare, Medicaid, or CHIP
  • Turning 26 and losing coverage through a parent's plan

 

Changes in household

 

  • Getting married or divorced
  • Having a baby or adopting a child
  • Experiencing a death in the family

 

Changes in residence

 

  • Moving to a different ZIP code or county
  • A student moving to or from their educational institution
  • A seasonal worker relocating to or from their home and workplace
  • Moving to or from a shelter or other transitional housing

 

Other qualifying events

 

  • Changes in income that affect your eligibility for coverage
  • Gaining membership in a federally recognized tribe or becoming a shareholder in an Alaska Native Claims Settlement Act (ANCSA) Corporation
  • Becoming a U.S. citizen
  • Being released from incarceration (jail or prison)
  • AmeriCorps members starting or ending their service

ACA plans come in 3 different tiers with a variety of options and costs:

 

  • Bronze - These plans may suit those who stay relatively healthy. They have a lower monthly cost, but you may pay more out-of-pocket if you need more medical attention than expected.
  • Silver - More benefits and lower out-of-pocket costs, these plans will cost a bit more than Bronze but are a good fit for an individual or family that has more frequent medical needs.
  • Gold - If you expect regular medical expenses, typically due to recurring conditions, these plans may be a good fit due to their lower overall out-of-pocket costs, despite a higher monthly premium.

 

 

Which is right for you?

 

If you want to know all of your options, call our marketplace provider to get personalized quotes.

 

These plans are often more affordable than traditional medical plans and can provide coverage for major medical expenses.

 

Be prepared

Medical emergencies are unexpected - safeguard yourself with insurance to lessen the financial impact.

 

Be proactive

Many medical plans cover standard annual exams, often at no additional cost for you and your family.

 

Keep your doctors

Multiple plans with different networks are available - find one that includes your current doctors.

Mercer Indigo partners with HealthMarkets for health insurance support. When you call Mercer Indigo about healthcare, you’ll be connected to a HealthMarkets agent. These are independent agents who work with many companies, so they may not know your employer by name — but they can still help you with your coverage options.

 

Once connected, the HealthMarkets agent can help you compare available plans, review coverage options and costs, identify a plan that may fit your needs, and—if you decide to enroll—help you complete the application and purchase a plan.

 

HealthMarkets helps individuals shop for ACA Marketplace Plans. These are Qualified Health Plans (QHPs) that may be eligible for government tax subsidies.

 

Important: HealthMarkets does not sell ACA Marketplace plans in New York or Massachusetts. Residents of these states should use the resources below:

  • New York State of Health: 855-355-5777
  • Massachusetts Health Connector: 877-623-6765. 


For more information, visit HealthMarkets.

 

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For information regarding Marsh’s role, recommendations and compensation please refer to our Role & Compensation page.