Frequently Asked Questions

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Is Healthcare.gov an insurance company?

No. Healthcare.gov is where citizens and residents can get brand-name health insurance under the Patient Protection and Affordable Care Act and see if they qualify for financial subsidies from the federal government to help them pay their monthly premiums. Visit our About Healthcare.gov to learn more.

How much does it cost to buy insurance through Healthcare.gov

The best way to get a quick estimate of the price you would pay is to use the Shop and Compare Tool. The price is based on your estimated income for the coverage year, your ZIP code, your household size and your age. If you are a low- or moderate-income, you may get help buying insurance from the marketplace through monthly subsidies that lower your premium costs so that you pay less for top-quality, brand-name insurance. Learn more about who qualifies for a subsidy.

When can I enroll?

Open enrollment begins Nov. 1, 2020, and continues through Jan. 31, 2021. Apply by Dec. 15 for coverage to begin on Jan 1. If you apply later, your coverage will begin later, but as long as you meet the Jan. 31 enrollment deadline, you will avoid owing a tax penalty for being uninsured. Others with special qualifying life events can enroll at any time of the year. Medi-Caid enrollment is also year-round. Medi-Caid and Covered California use the same application. After you enter your information, you will find out whether you qualify for Medi-Caid or the federal marketplace.

How do I enroll?

Visit the About Healthcare.gov page to learn how enrollment works. To learn more about who is eligible to enroll, visit our Individuals and Families section.

What are the plan options?

You’ll have a choice of buying insurance from at least two but as many as six private insurance companies, depending on where you live. The vast majority of consumers have access to insurance plans from at least three different companies. Each plan offers products in multiple metal tiers (or coverage levels), which vary whether you want to pay more for your monthly premium and less when you use care, or pay less for your premium and more when you use care. Consumers with limited incomes may learn they qualify for Medi-Cal.

To see which brand-name insurance companies offer plans in your area, use our Shop and Compare Tool.

How can I find out if my doctor is in a plan offered through Healthcare.gov or if my prescription medication is covered?
If you have not selected a health plan, the best way to find out if a doctor is in a plan you are considering is to look at your options in Preview Plans and follow the “View Directory” link for a specific plan to see the plan’s provider directory on the insurance company’s website. If you have a specific doctor in mind, it’s also a good idea to call that provider’s office and ask about the insurance it accepts. To learn more about prescription drugs and formularies, visit our Prescription Drugs page.

If you have already selected your health plan, go to your health insurance plan’s website and look up your provider (doctor, hospital, etc.). Doing this prior to making an appointment can help you verify that your provider participates in your chosen plan’s provider network. Learn more on the Using Your Plan page.

How do I create an online account?
For instructions on how to create an online account, visit the Members area.
What can I do if I created an online account but forgot my password?

You can reset your password by clicking “Account Sign In” and then clicking the “Forgot Your Password?” link. Enter your user name. After you correctly answer your security questions, you will be able to enter a new password. If you do not remember the answers to your security questions, it is best to leave them unanswered and call the Service Center. A Service Center representative can help reset your password.

What can I do if I forgot my user name?
You can reset your password by clicking “Account Login” and then clicking the “Forgot Your Username?” link.
I recently received a letter from Healthcare.gov Where can I get more information?

Visit the Healthcare.gov Notices to Consumers page.

When will I get my bill?

Depending on the plan you select, you may be able to pay your first bill when you apply for coverage online. All future bills must be paid directly to the plan, not through your Healthcare.gov account.

If you do not pay your first bill online, your health insurance company will send you a bill about two weeks after it receives your application or renewal. The payment due date will be printed on the bill. Please send your payment to your health insurance company before the deadline. If you pay your bill by mail, be sure you send it in time for the insurance company to receive your payment by the payment date printed on the bill. Your health insurance company also may accept payment through the phone or online, which would be faster than mailing your payment. Contact your health insurance company or visit the Paying Your Premium page for more information about payment options.

Will I get a membership ID card?

If you are newly enrolled in a health insurance plan through Healthcare.gov, you will receive a membership ID card from your health insurance company after it receives your first payment. Learn more about what to expect on the Using Your Plan page.

If you were covered in 2020 and you renew and keep the same health insurance plan, you can keep your current card for 2021. If you change coverage, such as metal tiers or health insurance companies, your health insurance company will send you a new welcome packet and health insurance card after receiving payment.

I applied for Medi-Caid but have not received any information from the county. What should I do?

If you have already applied, you do not need to apply again. Medi-Caid is processing your application as quickly as possible. Because of the large number of Medi-Caid applications received, processing could take longer than expected, and proof of certain information is required in order to complete each application. If you need immediate assistance or have a specific question about your application, contact your county human services agency for in-person assistance with your application. You can also find more information within the Medi-Caid section of this website and on the California Department of Health Care Services’ website.

Does Healthcare.gov offer dental insurance?

All Healthcare.gov health insurance plans come with children’s dental coverage embedded in the health plan. In addition, offers optional family dental plans that provide dental benefits for adults. Learn more on the Dental Coverage page.

What preventive services are available in the health plans through Healthcare.gov?

A comprehensive list of free preventative care available in all health plans through Healthcare.gov can be found in the Members area.

Once I’m enrolled, how do I use my plan? What do I do next?
View the Using Your Plan page in the Members area to learn about all of the benefits of being enrolled and how to use your plan.