• Access to Health Care

    Talk to Your Patients About the Health Insurance Marketplace Open Enrollment

    As a family physician, you have the opportunity to help your patients understand the changing health care landscape so they can make coverage decisions that are appropriate for their health care needs. During patient visits, discuss the insurance options available through the marketplace and remind them to enroll.

    Enrollment for Coverage

    Patients can enroll for health insurance coverage during open enrollment through the Health Insurance Marketplace. The Health Insurance Marketplace offers uninsured patients options to research, compare, and purchase comprehensive health insurance plans.

    Marketplace Overview

    • Low-cost coverage options are available through the marketplace.
    • All marketplace plans offer a comprehensive set of essential benefits
    • Plans can no longer deny coverage due to pre-existing conditions.
    • People who don't have health care coverage will have to pay a fee

    Essential Benefits Covered

    • Outpatient care
    • Trips to the emergency room
    • Hospital treatment
    • Maternity and newborn care
    • Mental health care services
    • Pediatric health care services
    • Prescription drug coverage
    • Care for injuries, disabilities, or chronic conditions
    • Lab tests

    Preventive Services Covered

    • Immunizations
    • Obesity screening and counseling
    • Blood pressure screening
    • Type 2 diabetes screening for adults who have hypertension
    • Cholesterol screening for at-risk adults

    See all covered preventive services

    Access Resources

    For Physicians

    The ACA Pocket Guide for Providers gives you at-a-glance information about ACA covered services for your patients.