HealthSherpa

If I file married separately/head of household, can I get a subsidy?

I got denied Medicaid and do not qualify for a subsidy, what are my options?

What is HealthSherpa?

How much does HealthSherpa cost?

What are Qualifying Life Events?

What is the Children's Health Insurance Program (CHIP)?

What is Medicare?

Do you offer dental/vision benefits?

Both ICHRAs and QSEHRAs are ways that employers can help employees pay for health coverage, but there are important differences.

What is the difference between an ICHRA and a QSEHRA?

No, missing your employer’s Open Enrollment window by itself does not qualify you for a Special Enrollment Period. But you may still have options through the Marketplace or other programs.

I missed my employer’s Open Enrollment to sign up for health coverage. Can I get Marketplace coverage?

Employers can help employees pay for health insurance through two types of tax-free reimbursement arrangements — ICHRA (Individual Coverage Health Reimbursement Arrangement) and QSEHRA (Qualified Small Employer Health Reimbursement Arrangement).

ICHRA vs. QSEHRA: Understanding Employer Reimbursements and Marketplace Savings

The ACA requires individual and small-group health plans to cover 10 essential health benefits (EHB), but assisted reproductive technology / infertility is not categorized as an EHB unless a state…

Does the marketplace cover infertility?

Children who qualify for the Children's Health Insurance Program (CHIP) are not eligible for premium tax credits on a Marketplace health plan.

My kids are eligible for CHIP. Can I enroll them in our marketplace health plan and get premium tax credits for them instead?

When applying, it's important to include everyone in your "tax household" on your application. Information about your entire tax household is needed to determine your eligibility.

Who should I include in my application?

When applying for financial assistance, you'll need to provide your estimated Modified Adjusted Gross Income (MAGI) for the application year. This includes your MAGI, your spouse's, and any dependents who…

What income should I include on my application for financial help?

Find out when you can buy a Marketplace dental plan, what’s included, and how standalone dental coverage works.

Do you offer standalone dental plans?

Learn about the different types of health insurance networks—HMO, PPO, EPO, and POS—and how each affects your choice of doctors, specialists, and out-of-network care. See how to filter plans by…

Understanding Health Insurance Network Types (HMO, PPO, EPO, and POS)

A Flexible Spending Arrangement (FSA) is a special account that lets you set aside money from your paycheck before taxes to pay for eligible medical expenses. FSAs are usually offered…

What is a Flexible Spending Arrangement (FSA)?

An HSA is a special savings account you can use to pay for qualified medical expenses, like doctor visits, prescriptions, and certain procedures.

What is a Health Savings Account (HSA)?

Learn what to do if your employer offers a QSEHRA. Find out how to enter your QSEHRA information during your Marketplace application, adjust your premium tax credit (APTC), and understand…

What happens if I get a QSEHRA letter from my employer?

Explains how employer coverage affects Marketplace eligibility, including the 2026 affordability limit and family glitch fix.

Am I eligible for a Marketplace plan if my employer offers insurance?

This article shows you how to complete your insurance plan enrollment when your agent sends you a link from HealthSherpa.

How to complete your health plan enrollment after receiving a link from your agent

What is a subsidy?

I want to see plans online but I am being told to call and enroll.

My employer coverage is too expensive if I add my family, can I get a subsidy?

How do I estimate my household income if I’m the only one getting insurance?

How do I get a quote ?

Who is considered part of my household?

Rachel Guo

Zachary Ortiz

Sammi Lane

Enrollment & Eligibility

Find answers and get help from Intercom Support and Community Experts

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