What are
ACA Marketplace Plans?
The Affordable Care Act (ACA) Marketplace offers health insurance plans for individuals and families who may not have employer-sponsored coverage. Depending on your income and household size, you may qualify for reduced monthly premiums or even $0 monthly plan options.
HealthShield Solutions helps simplify the enrollment process and explains your available coverage options clearly.
Who May Qualify?
ACA Marketplace plans may be available for:
Individuals and families
People who need health coverage for themselves or their household outside of an employer-sponsored plan.
Part-time workers
Employees who may not receive full benefits from their employer and need separate health coverage.
Early retirees
People who retired before becoming eligible for Medicare and need coverage during the gap period.
Individuals no longer eligible for Medicaid
People who retired before becoming eligible for Medicare and need coverage during the gap period.
Self-employed individuals
People who run their own business or work independently and need to purchase their own health insurance.
Students
who need affordable health insurance while attending school or college.
Those losing employer coverage
People who recently left a job, were laid off, or lost work-based health insurance and need a new plan.
What ACA Plans May Cover
Services such as checkups, screenings, and vaccines that help prevent illness or detect health problems early.
Preventive care
Appointments with primary care doctors or specialists for diagnosis, treatment, and follow-up care.
Doctor visits
Immediate medical care for serious or life-threatening conditions that require urgent attention.
Emergency services
Medical care for children, including wellness visits, vaccinations, and treatment for childhood illnesses.
Pediatric care
Coverage for inpatient care when a person needs to stay in the hospital for treatment, surgery, or recovery.
Hospitalization
Medicines ordered by a doctor to treat, manage, or prevent health conditions.
Prescription medications
Care for emotional, psychological, or behavioral health needs, including counseling, therapy, and psychiatric treatment.
Mental health services
Health services related to pregnancy, childbirth, and postpartum care for the mother and baby.
Maternity coverage
Coverage varies by plan and carrier.
Enrollment
Enrollment Assistance We help clients:
- Compare available plans
- Understand deductibles and copays
- Check subsidy eligibility
- Complete enrollments
- Update existing Marketplace coverage
- Review renewal options
Special Enrollment Periods
You may qualify for a Special Enrollment Period if you recently experienced:
- Loss of coverage
- Marriage or divorce
- Birth or adoption
- Moving to a new state
- Income changes