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Marketplace health insurance, with the savings you qualify for.

Most households that buy their own coverage get a premium tax credit that cuts the monthly cost, sometimes to near zero. Here is how it works and how to enroll.

Parents and children looking at a tablet together

How the subsidy works

The Marketplace estimates your household income for the coming year and caps what you pay for a benchmark plan at a percentage of that income. The government pays the rest directly to the insurance company each month. Your income and household size decide the amount, not your health.

For example, a family of four earning around $60,000 might see the monthly price of a mid-level plan drop by several hundred dollars. Lower incomes can also unlock cost-sharing reductions, which shrink deductibles and copays on Silver plans.

What you will need

  • An estimate of next year's household income
  • Dates of birth and Social Security numbers for everyone enrolling
  • Your immigration document numbers if you are not a U.S. citizen
  • A list of your doctors and prescriptions, so we can check the network

When you can enroll

Open Enrollment runs November 1 through January 15. Enroll by December 15 for coverage starting January 1.

Outside of that, a life event opens a 60-day Special Enrollment Period. Common triggers:

  • Losing coverage from a job, COBRA, Medicaid or a parent's plan
  • Moving to a new ZIP code or state
  • Getting married, having a baby or adopting
  • A change in immigration status or gaining lawful presence
  • Release from incarceration
  • Household income under 150% of the federal poverty level, which allows monthly enrollment in most states

Not sure whether you qualify? Text us the situation and we will tell you within business hours.

Two ways to enroll. Both are free.

Enroll yourself online

Our HealthSherpa enrollment page connects to the federal Marketplace. Compare plans, see your subsidy and enroll in about 15 minutes. We are attached as your agent, so you can call us any time after.

Start my application

Enroll with a licensed agent

We do the application with you by phone or video, in English or Spanish, check your doctors and prescriptions, and handle documents and renewals through the year.

About this website. This website is owned and operated by Phil-Am Insurance Agency LLC, a licensed health insurance agency. It is not HealthCare.gov or the Health Insurance Marketplace. Eligibility for premium tax credits and cost-sharing reductions depends on your household income and size and is determined by the Marketplace. Examples on this page are illustrations, not quotes.

Lost coverage or moving? You may have 60 days to enroll. Don't wait.

Call or text and a licensed agent walks through what you have and what you might be missing. Monday to Friday, 9 to 4 Central, with help in English, Spanish and Tagalog.

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