Individual coverage

Empresarios: El mercado para la atención de salud está abierto

Este año, el Plan de Rescate Estadounidense (ARP por sus siglas en inglés) está proporcionando más asistencia financiera para los propietarios de pequeñas empresas, empresarios únicos, y los empleados de pequeñas empresas quienes buscan acceder a atención médica por medio del mercado individual. A través de las mejoras en inversiones del ARP, se estima que 4 de cada 5 consumidores pueden encontrar un plan en CuidadoDeSalud.gov por menos de $10 al mes.

Entrepreneurs: The health insurance marketplace is open

This year, the American Rescue Plan (ARP) is providing more financial assistance for small business owners, self-employed entrepreneurs and small business employees who are looking to access healthcare through the individual marketplace. Through the ARP’s improved investments, it’s estimated that 4 out of 5 consumers can find a HealthCare.gov plan for less than $10 a month. Small business owners will be able to find affordable health insurance plans that cover everything from doctor’s visits to preventive health to prescription drugs.

A completed “Employer Coverage Tool” (this is optional and only applies if anyone in your household has or is eligible for coverage through their employer)

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Quick Overview

You should fill out an “Employer Coverage Tool” for each member of your family who’s eligible for a job-based plan, even if that person isn’t enrolled in the job based plan or isn’t applying for Marketplace coverage. You can get this information from your employer. This optional tool helps you gather information you may need for your application in one spot.

To get a copy of this form, visit HealthCare.gov/downloads/employer-coverage-tool.pdf. Your employer can help you fill this out.

Health coverage information (this only applies if anyone in your household currently has a health plan)

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Quick Overview

Your Marketplace application will ask if anyone in your household is currently enrolled in health coverage, including Medicaid, the Children’s Health Insurance Program (CHIP), Medicare, TRICARE, VA health care program, Peace Corps, or coverage through individual insurance (including Marketplace coverage) or an employer.

If anyone has coverage now, gather their policy numbers. You can find this information on their insurance card or documents they get from their plan.

Your best estimate of your household income

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Your Marketplace application may ask you to estimate what your household’s income will be in the year you’ll be covered.

If you’re not sure, it’s okay to make your best estimate. If your income changes, or is different than what you estimated, you’ll need to update this information later. For more information, visit HealthCare.gov/reporting-changes/why-report-changes.

To help you make a ballpark estimate of your household income, visit HealthCare.gov/income-and-household-information/how-to-report.

Employer & income information for everyone in your household

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Quick Overview

Your Marketplace application may ask you about the income, expenses, and deductions of everyone in your household, even those not applying for coverage.

The Marketplace accounts for income sources, including:

  • Wages and salaries, as reported on your W-2 form and pay stubs
  • Tips
  • Net income from any self-employment or business
  • Unemployment compensation
  • Social Security payments, including disability payments (but not Supplemental Security Income (SSI))
  • Alimony
  • Retirement or pension income, including most IRA or 401k withdrawals
  • Investment income, like dividends or interest
  • Rental income
  • Other taxable income

For more information on income or what income sources to include, visit HealthCare.gov/income-and-household-information/income.

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