Steps to stay covered

Health insurance is usually a 12-month contract between you and your insurance company. During Open Enrollment (November 1-January 15), be sure to enroll in new health coverage or re-enroll in your current coverage to stay covered for the year ahead.

Understanding dental plan cost and coverage details for SHOP

As you review your dental plan options, you can narrow your results by cost and coverage details. Here’s a list of common terms you’ll see when narrowing your dental plan results.

What if I need to resubmit my application because of changes to my eligibility for state programs?

You may get a letter from your state telling you that someone on your application doesn’t qualify for Medicaid and the Children’s Health Insurance Program (CHIP) in your state.

Medicaid information for Virginia residents only

In 2019, Virginia Medicaid added new coverage for adults. After you update and submit your 2019 Marketplace application, your eligibility notice will display “Results” for each person on your application who’s applying for coverage.

Why do I need to verify my identity?

Before you can enroll in health coverage through the Health Insurance Marketplace®, we need to verify your identity to protect you and your personal information.

What about the people on my application who aren’t applying for health coverage?

If a question asks you about “someone else who isn’t applying for health coverage,” check the box if there’s anyone in your household you haven’t told us about yet. This person may be submitting his or her own Marketplace application or might already have health coverage. We’ll need to know about all the people in your household to tell you how much help people who do want health coverage can get. We won’t ask about citizenship or immigration for household members who don’t want health coverage. It’s also optional for you to tell us their Social Security numbers (SSNs), although entering their SSNs could speed up the process for family members who do want help paying for coverage.

What do I need to enter about each person?

When entering your household members, add adults before adding children. If you get a message that someone you enter on your application needs to file their own application, they'll need to create their own Marketplace account to file their application.

You’ll be asked questions about you and your household. These questions may ask about your federal income tax returns.

What if I currently have health coverage?

Do I have coverage now?

When you apply for Marketplace coverage, you'll be asked if you (or anyone else on your application) currently have health coverage. If you plan to keep another type of coverage, you generally won’t be able to also get savings on a Marketplace plan. 

What help is available?

Even working families can pay less for health coverage. You may be eligible for a free or low-cost plan or a tax credit that can be used to lower your monthly premiums right away. See below for more information on these types of help. You’ll answer questions to see if you qualify for a break on costs.

What if I have a pre-existing condition?

Even if your income may be too high to get help paying for health coverage, you can still get a good deal on coverage through the Marketplace, and you won’t pay higher costs for pre-existing conditions. Pre-existing conditions are health problems a person has before the date a new health insurance policy starts. You can’t be charged more because of a pre-existing condition when you get coverage through the Marketplace.

What if I have coverage through an employer?

You may be asked the questions below. Read the information below each question for more information and/or how to answer.


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