A few details help us prepare a useful conversation. “Unsure” is a valid answer.
Marketplace screening
Eligibility and household information
For an initial estimate, use projected tax-household income for the selected coverage year. Do not enter Social Security numbers or upload documents.
For this question, incarceration means being held after conviction; it does not include being held while awaiting a disposition.
Medicaid eligibility does not automatically disqualify someone from unsubsidized coverage.
Enrollment timing
Did something change recently?
Special enrollment eligibility is determined by the Marketplace. Select the closest match, or choose none/unsure.
A loss of coverage may qualify when it is a qualifying plan loss. Voluntary cancellation or nonpayment may not qualify; an agent will review the details.
Medicaid or CHIP coverage loss may have a time-limited enrollment window. The Marketplace may request the date and proof of the change.
For marriage, prior coverage generally means coverage for at least one day during the 60 days before the event, for either spouse. Exceptions may apply.
A move may count when it provides access to new Marketplace plans and you had qualifying prior coverage. A temporary trip or medical vacation is not treated as a move.
Birth, adoption, or foster placement may create an enrollment opportunity. The Marketplace confirms who may enroll and the effective date.
Divorce or legal separation is relevant here when it caused a loss of health coverage.
A household member's death may qualify when it caused a loss of coverage.
A change in immigration status may create a new enrollment opportunity; no documents are collected in this form.
Release from incarceration may create an enrollment opportunity. The Marketplace will determine timing and eligibility.
An individual coverage HRA or QSEHRA offer can affect enrollment options and timing. Please have the offer details available for an agent.
Tribal membership may provide additional Marketplace enrollment opportunities. This screening does not request membership documentation.
Exceptional circumstances are reviewed by the Marketplace individually and are not guaranteed to qualify.
For marriage, this may be coverage held by either spouse.
Do not upload or send sensitive documents through this form.
An agent must verify event details. The Marketplace may request proof, and this screening does not guarantee a Special Enrollment Period or coverage.
Official information:
HealthCare.gov eligibility,
Special Enrollment Periods,
Georgia Access SEP.