ACA Marketplace

Insurance

The Affordable Care Act (ACA) Marketplace (HealthCare.gov or state exchanges) is where individuals and families without employer coverage can buy health insurance. Plans are categorized by metal tier: Bronze (60% actuarial value), Silver (70%), Gold (80%), Platinum (90%). Premium Tax Credits (PTCs) subsidize premiums for households earning up to 400% of federal poverty level — under the American Rescue Plan, expanded to 600%+. Cost-sharing reductions (CSRs) further lower out-of-pocket costs for Silver plans at lower income levels. Open enrollment runs Nov 1 to Jan 15; special enrollment periods trigger for qualifying events. Self-employed and early retirees rely heavily on the marketplace.