Clear, practical information for your coverage decisions

USA COVERAGE PLAN RESOURCE

Marketplace Eligibility Basics

Understand common factors that may affect Marketplace eligibility and what to prepare for an application.

Eligibility for Marketplace coverage and financial assistance depends on current federal and state rules and the facts in an individual's application. Household details, residence, access to other qualifying coverage, income, and other factors can matter.

Do not use one number as the answer

Income thresholds and program rules can change from year to year and may depend on household size and the type of assistance. A general income estimate or website questionnaire cannot conclusively determine eligibility.

What to prepare

  • Your state and ZIP code.
  • Household members and expected tax filing situation.
  • Expected annual household income using the Marketplace's instructions.
  • Information about any employer-sponsored or other health coverage that may be available.
  • Current insurance details and relevant dates if coverage is ending.

Start with HealthCare.gov coverage information and the official Marketplace for your state. The Marketplace—not this website—determines eligibility from the application and applicable rules.

Get coverage help