Let's go over how coverage works
How comfortable are you navigating Affordable Care Act (ACA) insurance ... or insurance at all?
No matter where you’re at, we’ve covered what you need to know for open enrollment on November 1.
Is ACA coverage right for you?
If you don’t have insurance through your job or a government program like Medicare, take a look at ACA plans. They’re available for almost everyone. And they can help you take care of your most important asset — you.
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I work at a part-time job that doesn’t offer insurance.
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I lost my job and my health insurance coverage.
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I run my own business, but I don’t have employees.
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I’m a freelancer, gig worker or consultant.
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I work at a part-time job that offers insurance.
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I’m retired, but not old enough for Medicare.
Let’s dig into ACA coverage
All ACA individual & family plans must cover 10 essential benefits like hospitalization, preventive care and mental health services. Some plans offer extras like dental and vision.
Every plan is assigned what is known as a metal tier: Platinum, Gold, Silver or Bronze. Metal tiers have nothing to do with the quality of care you receive. They determine how you and your plan split costs.
You can apply for ACA coverage and financial help through companies with direct enrollment sites, like us, or on the federal Marketplace. If you shop off the Marketplace, you won’t get financial help.
When you enroll in a plan on the Marketplace, you may be eligible for discounts on your monthly bill or extra savings on your out-of-pocket medical costs.
The top insurance terms you'll want to know
Let's go over some common insurance terms you might see during your coverage search.
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Copay
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Deductible
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Coinsurance
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Out-of-pocket maximum
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Referral
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Network
Save the date: ACA enrollment periods
When is the Open Enrollment Period?
The time to choose an ACA individual & family plan is right around the corner. The Open Enrollment Period for 2025 opens on November 1, 2025 and ends January 15, 2026. Enroll by December 15, 2025 for coverage that starts January 1, 2026.
The Open Enrollment Period is the time of year when you can explore plan options, see if your doctor participates in the plan, apply for financial help and purchase health plan coverage. So you don’t want to miss out.
If I miss the deadline, can I still sign up for ACA coverage?
Life won’t wait for open enrollment. So certain life events — called qualifying events — let you sign up for coverage outside the typical open enrollment window.
What’s an example of a qualifying life event?
Maybe you no longer have health care coverage because you’ve lost your job. Or maybe you’re getting married or having a baby or moving to a new state. These life events — and others — all give you the right to sign up for a health plan outside the Open Enrollment Period as long as you do so no more than 60 days after the event.
Now that’s innovation
Innovation Health is transforming the health care journey. Through innovative programs, coordinated care, and convenient access, our health plans are personalized to fit our members’ needs. Discover how we are helping members achieve their health ambitions right in their community.