Skip to main content

Who can buy coverage through the Marketplace?

Explains who can buy Marketplace insurance, including the difference between U.S. citizenship and residency requirements, and outlines related eligibility rules for Medicaid, CHIP, employer plans, and Medicare.

Sam avatar
Written by Sam
Updated over 2 weeks ago

You may be able to buy Marketplace coverage if:

  • You live in the United States

  • You are a U.S. citizen, U.S. national, or lawfully present immigrant

    • Please note, DACA recipients are not eligible for Marketplace coverage as of August 25, 2025

  • You are not incarcerated (other than pending disposition)

Citizenship vs. Residency

To qualify for Marketplace coverage, you must meet both requirements:

  • Citizenship or immigration status β€” You must be a U.S. citizen, U.S. national, or have an eligible lawful presence status.

  • Residency β€” You must physically live in the United States and intend to reside here.
    A U.S. citizen living abroad does not meet the residency requirement and cannot enroll in a Marketplace plan until they return to live in the U.S.

Special notes

  • You can apply even if you already have employer coverage, but you may not qualify for subsidies (premium tax credits) unless your job-based plan is unaffordable or does not meet minimum value.

  • Medicaid and CHIP are open to those who qualify, based on income and household size. Additionally, you will be dual screened for Medicaid/CHIP as well as Marketplace coverage when you apply through HealthSherpa.

  • Medicare is separate β€” people with Medicare are not eligible for Marketplace plans.

Quick tip

Start a Marketplace application to see your options. The system will tell you whether you qualify for a Marketplace plan, Medicaid/CHIP, or other programs.

Did this answer your question?