HealthCare.gov Content API

{
  "articles": [
    {
      "url": "/quality-ratings",
      "content": "<p>To help you compare Marketplace plans, we offer quality ratings (or “star ratings”).</p><p>Each rated health plan has an overall \"star rating\" from 1 - 5 stars (5 is the highest performing health plan). A health plan's overall rating is based on the quality of health care services and members' experiences with their health plan. You'll find this overall rating for the health plan and additional ratings for each of these 3 categories:</p><ul><li><strong>Member experience:</strong> Based on surveys of member satisfaction with:<ul><li>Their health care and doctors</li><li>Ease of getting appointments and services</li></ul></li><li><strong>Medical care:</strong> Based on how well the plan's network providers manage member health care, including:<ul><li>Providing regular screenings, vaccines, and other basic health services</li><li>Monitoring some conditions</li></ul></li><li><strong>Plan administration:</strong> Based on how well the plan is run, including:<ul><li>Customer service</li><li>Access to needed information</li><li>Network providers ordering appropriate tests and treatment</li></ul></li></ul><p>All health plan ratings are calculated the same way, using the same information sources.</p><ul><li>Ratings for this year are based on data from last year.&nbsp;</li><li>In some cases — like when plans are new or have low enrollment — ratings aren’t available. This doesn’t mean the plans are low quality.</li></ul><h2>More information on picking a plan</h2><ul><li><a href=\"/choose-a-plan\" data-entity-type=\"node\" data-entity-uuid=\"8ed4cc6f-e8db-415f-b721-b5eb689c8a07\" data-entity-substitution=\"canonical\" data-entity-id=\"37866\" data-entity-bundle=\"explainer\" data-internal-href=\"/choose-a-plan/\" title=\"How to pick a health insurance plan\">3 things to know before you pick a health plan</a></li><li><a href=\"/using-marketplace-coverage/getting-medical-care\" data-entity-type=\"node\" data-entity-uuid=\"0e6b6ddf-ea67-490e-8c20-9b3b73722dd4\" data-entity-substitution=\"canonical\" d…",
      "tags": [],
      "title": "Quality ratings of health plans",
      "categories": [],
      "lang": "en",
      "layout": "With Sidebar"
    },
    {
      "url": "/retirees",
      "content": "<p>If you’re retired and need health coverage, you can use the Marketplace to buy an insurance plan.</p><p>If you have retiree health coverage, you have different choices to consider.</p><div class=\"box-content information-lightweight\"><p><strong>Have Medicare?</strong> Learn about <a href=\"/medicare/medicare-and-the-marketplace\" data-entity-type=\"node\" data-entity-uuid=\"46eb367d-9187-4119-886c-45222ff72ba9\" data-entity-substitution=\"canonical\" data-entity-id=\"37976\" data-entity-bundle=\"article\" title=\"If you have Medicare\">Medicare and the Marketplace</a>.</p></div><h2>If you retire before age 65 without health coverage</h2><p>If you retire before you’re 65 and lose your job-based health plan when you do, you can use the <a href=\"/quick-guide\" data-entity-type=\"node\" data-entity-uuid=\"71648c46-3417-41e6-a462-3bfac09b7e01\" data-entity-substitution=\"canonical\" data-entity-id=\"38046\" data-entity-bundle=\"explainer\" title=\"A quick guide to the Health Insurance Marketplace®\">Health Insurance Marketplace®</a> to buy a plan.</p><p>Losing health coverage qualifies you for a Special Enrollment Period. This means you can enroll in a health plan even if it’s outside the annual <a href=\"/glossary/open-enrollment-period\" title=\"glossary\" data-entity-type=\"node\" data-entity-uuid=\"dd95eb75-9e95-4e1d-88e8-6c70c556128a\" data-entity-substitution=\"canonical\" data-entity-bundle=\"glossary\" data-entity-id=\"35241\" data-internal-href=\"/glossary/open-enrollment-period/\">Open Enrollment Period</a>.</p><p>If you want to enroll because you lost your job-based coverage, see our <a href=\"/coverage-outside-open-enrollment/special-enrollment-period\" data-entity-type=\"node\" data-entity-uuid=\"6d0c88c0-b2fd-4690-a0cf-93c8856af3f5\" data-entity-substitution=\"canonical\" data-entity-id=\"37296\" data-entity-bundle=\"article\" title=\"Special Enrollment Periods\">Special Enrollment Period page</a> for more information.</p><p>When you fill out a Marketplace application, you'll find out if you qualify for a priva…",
      "tags": [],
      "title": "Health coverage for retirees",
      "categories": [],
      "lang": "en",
      "layout": "With Sidebar"
    },
    {
      "url": "/what-if-im-pregnant-or-plan-to-get-pregnant",
      "content": "<p>All Marketplace and Medicaid plans cover pregnancy and childbirth. This is true even if your pregnancy begins before your coverage starts.</p><p>Maternity care and newborn care — services provided before and after your child is born — are <a href=\"/coverage/what-marketplace-plans-cover\" data-entity-type=\"node\" data-entity-uuid=\"15f5701d-728d-4893-b2b6-c27a19b51ce4\" data-entity-substitution=\"canonical\" data-entity-id=\"37336\" data-entity-bundle=\"article\" title=\"What Marketplace health insurance plans cover\">essential health benefits</a>. This means all <a href=\"/glossary/qualified-health-plan\" title=\"glossary\" data-entity-type=\"node\" data-entity-uuid=\"91193990-1171-4bd7-b3d6-7cfc015b7318\" data-entity-substitution=\"canonical\" data-entity-bundle=\"glossary\" data-entity-id=\"35106\" data-internal-href=\"/glossary/qualified-health-plan/\">qualified health plans</a> inside and outside the Marketplace must cover them.</p><p>Choose your situation below for more information:</p><ul><li><strong>If you’re pregnant or planning to get pregnant:</strong><ul><li><a href=\"#pregnocoverage\">If you don’t have health coverage</a></li><li><a href=\"#pregmarketcoverage\">If you currently have Marketplace coverage</a></li><li><a href=\"#pregchip\">If you may qualify for Medicaid or the Children’s Health Insurance Program (CHIP)</a></li></ul></li><li><strong>If you recently gave birth:</strong><ul><li><a href=\"#birthnocoverage\">If you don’t have health coverage</a></li><li><a href=\"#birthmarketcoverage\">If you currently have Marketplace coverage</a></li><li><a href=\"#birthchip\">If you have Medicaid or CHIP</a></li></ul></li></ul><h2>If you’re pregnant or planning to get pregnant:</h2><h3 id=\"pregnocoverage\"><span>If you don’t have health coverage</span></h3><ul><li>Health coverage makes it easier to get the medical check-ups and screening tests to help keep both you and your baby healthy during pregnancy.</li><li>If you qualify for a <a class=\"ck ck-tooltip\" href=\"/node/39946\" data-entity-type=\"n…",
      "tags": [],
      "title": "Health coverage if you're pregnant, plan to get pregnant, or recently gave birth",
      "categories": [],
      "lang": "en",
      "layout": "With Sidebar"
    },
    {
      "url": "/married-same-sex-couples-and-the-marketplace",
      "content": "<p>An insurance company that offers health coverage to opposite-sex spouses must do the same for same-sex spouses.</p><h2>Protections against discrimination</h2><p>As long as a couple is married in a jurisdiction with legal authority to authorize the marriage, an insurance company can’t discriminate against them when offering coverage. This means that it must offer to same-sex spouses the same coverage it offers to opposite-sex spouses.</p><p>This is true regardless of the state where:</p><ul><li>The couple lives</li><li>The insurance company is located</li><li>The plan is sold, issued, renewed, or in effect</li></ul><h2>Married same-sex couples and lower costs</h2><p>The Marketplace also treats married same-sex couples the same as married opposite-sex couples when they apply for premium tax credits and lower out-of-pocket costs on private insurance plans. This is true in all states.</p><p>In most cases, a married couple has to file a joint federal tax return to be eligible for a premium tax credits and other savings on a Marketplace plans. Get details on <a href=\"/income-and-household-information/household-size\" data-entity-type=\"node\" data-entity-uuid=\"4d3355f0-94b1-4335-80ab-e413200655e9\" data-entity-substitution=\"canonical\" data-entity-id=\"37416\" data-entity-bundle=\"article\" title=\"Who to include in your household\">who to include in your household</a> and <a href=\"/income-and-household-information/how-to-report\" data-entity-type=\"node\" data-entity-uuid=\"33862067-12c6-4d4d-8f21-37fad141bd24\" data-entity-substitution=\"canonical\" data-entity-id=\"37421\" data-entity-bundle=\"article\" title=\"How to estimate your expected income\">estimating your expected income</a>.</p><p>When you apply for coverage in the Marketplace, you’ll be asked if you’re married. If you and your spouse plan to file a joint federal tax return, select “yes.”</p>",
      "tags": [],
      "title": "Health care coverage options for same-sex couples",
      "categories": [],
      "lang": "en",
      "layout": "With Sidebar"
    },
    {
      "url": "/veterans",
      "content": "<p>If you're enrolled in TRICARE or the Veterans health care program, you're considered covered under the health care law. You don't have to make any changes.</p><p>If you don’t have veterans or other health coverage, you can use the Marketplace to enroll in a plan. <a href=\"/screener\">Check if you can enroll now.</a></p><h2>Veterans programs that meet coverage requirements</h2><p>If you're enrolled in (or are a beneficiary of) any of the programs listed below, you’re considered to have qualifying health coverage under the health care law. This means you don't need to get additional coverage.</p><ul><li><a href=\"http://www.va.gov/healthbenefits/\">Veterans health care program</a></li><li><a href=\"https://www.va.gov/COMMUNITYCARE/programs/dependents/champva/index.asp\">VA Civilian Health and Medical Program (CHAMPVA)</a></li><li><a href=\"https://www.va.gov/COMMUNITYCARE/programs/dependents/spinabifida/index.asp\">Spina bifida health care benefits program</a></li><li><a href=\"http://www.tricare.mil/\">TRICARE</a></li></ul><p>If you're a veteran without VA health care, visit the <a href=\"http://www.va.gov/health/\">VA health care website</a>. You may learn that you qualify for VA coverage.</p><p>For more important information on veterans and the Affordable Care Act, visit the <a href=\"http://www.va.gov/health/aca/\">Department of Veterans Affairs website</a>.</p><h2>If you don’t have veterans coverage</h2><p>If you’re a veteran who <strong>isn’t</strong> enrolled in VA benefits or other veterans health coverage, you can get coverage through the <a href=\"/quick-guide\" data-entity-type=\"node\" data-entity-uuid=\"71648c46-3417-41e6-a462-3bfac09b7e01\" data-entity-substitution=\"canonical\" data-entity-id=\"38046\" data-entity-bundle=\"explainer\" data-internal-href=\"/quick-guide/\" title=\"A quick guide to the Health Insurance Marketplace®\">Health Insurance Marketplace®</a>.</p><p>Depending on your household size and income, you may be able to <a href=\"/lower-costs/save-on-monthly-premium…",
      "tags": [],
      "title": "Health care coverage options for military veterans",
      "categories": [],
      "lang": "en",
      "layout": "With Sidebar"
    },
    {
      "url": "/incarcerated-people",
      "content": "<p>If you’re incarcerated, you can’t buy a Marketplace plan. Once you’re released, you can use the Marketplace to get health coverage.</p><p>For the Marketplace, “incarcerated” means serving a term in prison or jail.</p><p>You're not incarcerated if you're:</p><ul><li>On probation, parole, or house arrest — living at home, in a residential facility, or halfway house (under supervision of the criminal justice system or voluntarily).</li><li>In jail or prison pending disposition of charges (being held but not convicted of a crime).</li></ul><h2>Pending disposition of charges</h2><p>If you’re in jail or prison waiting for the outcome of charges, or “pending disposition,” you can <a href=\"/create-account\">create an account</a> or <a href=\"/login\">log in</a> to apply for and if otherwise eligible, enroll in a Marketplace plan.</p><p>If convicted, you’ll no longer be eligible for Marketplace coverage while you’re in jail or prison serving a sentence.</p><h2>After release from incarceration</h2><p>Once released, you have a 60-day <a href=\"/glossary/special-enrollment-period\" data-entity-type=\"node\" data-entity-uuid=\"8770c400-8e37-4ab5-aab0-4dae913960ea\" data-entity-substitution=\"canonical\" data-entity-id=\"35051\" data-entity-bundle=\"glossary\" title=\"Special Enrollment Period (SEP)\">Special Enrollment Period</a> to apply for and select a plan for Marketplace coverage. When you apply for health coverage, you might qualify for <a href=\"/lower-costs/qualifying-for-lower-costs\" data-entity-type=\"node\" data-entity-uuid=\"19ae9afb-dba8-4f26-8db6-0977f0603208\" data-entity-substitution=\"canonical\" data-entity-id=\"38066\" data-entity-bundle=\"article\" title=\"Income levels &amp; savings\">lower costs on monthly premiums and out-of-pocket costs</a>.</p><p>If you plan to file taxes with your spouse or another household member who already has Marketplace coverage, they can update their application to add you to their plan.</p><div class=\"box-content warning-lightweight\"><div class=\"content\">…",
      "tags": [],
      "title": "Health coverage for incarcerated people",
      "categories": [],
      "lang": "en",
      "layout": "With Sidebar"
    },
    {
      "url": "/keep-or-change-plan-info",
      "content": "<p>Open Enrollment for 2023 is over. You now have limited opportunities to change your health plan.</p><h2>Change health plans: Only with a Special Enrollment Period</h2><p>You can change health plans based on estimated household income or if you experience a <a href=\"/glossary/qualifying-life-event\" title=\"glossary\" data-entity-type=\"node\" data-entity-uuid=\"e5dd709b-8a7b-4251-b104-f3db15b40ed8\" data-entity-substitution=\"canonical\" data-entity-bundle=\"glossary\" data-entity-id=\"34726\" data-internal-href=\"/glossary/qualifying-life-event/\">qualifying life event</a> — like losing other coverage, having a baby, moving, or getting married — that makes you eligible for a <a href=\"/glossary/special-enrollment-period\" title=\"glossary\" data-entity-type=\"node\" data-entity-uuid=\"8770c400-8e37-4ab5-aab0-4dae913960ea\" data-entity-substitution=\"canonical\" data-entity-bundle=\"glossary\" data-entity-id=\"35051\" data-internal-href=\"/glossary/special-enrollment-period/\">Special Enrollment Period.</a></p><div class=\"box-content information-heavyweight\"><p><strong>Find out if you qualify to change plans</strong></p><p>Answer a few fast questions. We'll tell you if you qualify for a Special Enrollment Period. If you do, you can change your health plan.<br>&nbsp;</p><div><a class=\"ds-c-button ds-c-button--success\" href=\"/screener/\">Check if you qualify</a></div></div><p><strong>Ready to change plans?</strong> <a href=\"/login\">Log in to your account.</a></p><h2>Update your health plan: Report changes, keep plan up-to-date</h2><p>If you experience a change to your income or household — like a pay raise, a new household member, or a dependent getting other coverage — you must update your Marketplace application.</p><ul><li>Some changes will qualify you for a Special Enrollment Period, allowing you to change your plan.</li><li>Some changes, like an increase or decrease in income, may affect your savings or coverage eligibility. If you don’t update, you may miss out on additional savings or pay …",
      "tags": [],
      "title": "How to change, update, or cancel your Marketplace plan",
      "categories": [],
      "lang": "en",
      "layout": "With Sidebar"
    },
    {
      "url": "/2016-exemptions",
      "content": "<p>If you’re interested in claiming exemptions for the <strong>2016</strong> tax year <strong>only</strong>, select the links below.</p><div class=\"box-content information-lightweight\"><p><strong>Note:</strong>&nbsp;The links on this page take you to pages about health coverage exemptions that apply for the 2016 tax year. Planning ahead for exemptions?&nbsp;<a href=\"/health-coverage-exemptions\" data-entity-type=\"node\" data-entity-uuid=\"eb1035b3-0f18-43e8-b27f-f146bbb1c5ac\" data-entity-substitution=\"canonical\" data-entity-id=\"37591\" data-entity-bundle=\"explainer\" data-internal-href=\"/health-coverage-exemptions/\" title=\"Health coverage exemptions: Forms &amp; how to apply\">See exemption information for the&nbsp;<strong>2017</strong>&nbsp;tax year</a>. Your 2017 taxes are due in April 2018.</p></div><h3>2016 income-related exemptions</h3><ul><li>The lowest-priced coverage available to you, through either a <a href=\"/health-coverage-exemptions/exemptions-from-the-fee#/results/2016/details/marketplace-affordability\" data-entity-type=\"node\" data-entity-uuid=\"502e1f0b-ce3d-4282-bb3f-1f8a098849bd\" data-entity-substitution=\"canonical\" data-entity-id=\"37406\" data-entity-bundle=\"article\" data-internal-href=\"/health-coverage-exemptions/exemptions-from-the-fee/\" title=\"Exemptions\">Marketplace</a> or <a href=\"/health-coverage-exemptions/exemptions-from-the-fee#/results/2016/details/employer-affordability\" data-entity-type=\"node\" data-entity-uuid=\"502e1f0b-ce3d-4282-bb3f-1f8a098849bd\" data-entity-substitution=\"canonical\" data-entity-id=\"37406\" data-entity-bundle=\"article\" data-internal-href=\"/health-coverage-exemptions/exemptions-from-the-fee/\" title=\"Exemptions\">job-based plan</a>, would cost more than 8.05% of your household income</li><li>You don’t have to file a tax return because <a href=\"/health-coverage-exemptions/exemptions-from-the-fee#/results/2016/details/income-below-threshold\" data-entity-type=\"node\" data-entity-uuid=\"502e1f0b-ce3d-4282-bb3f-1f8a098849bd\" data-entity-…",
      "tags": [],
      "title": "Health coverage exemptions for the 2016 tax year only",
      "categories": [],
      "lang": "en",
      "layout": "With Sidebar"
    },
    {
      "url": "/2017-exemptions",
      "content": "<p>If you’re interested in claiming exemptions for the <strong>2017</strong> tax year <strong>only</strong>, select the links below.</p><div class=\"box-content information-lightweight\"><p><strong>Note:</strong>&nbsp;The links on this page take you to pages about health coverage exemptions that apply for the 2017 tax year. Planning ahead for exemptions?&nbsp;<a href=\"/health-coverage-exemptions\" data-entity-type=\"node\" data-entity-uuid=\"eb1035b3-0f18-43e8-b27f-f146bbb1c5ac\" data-entity-substitution=\"canonical\" data-entity-id=\"37591\" data-entity-bundle=\"explainer\" data-internal-href=\"/health-coverage-exemptions/\" title=\"Health coverage exemptions: Forms &amp; how to apply\">See exemption information for the&nbsp;<strong>2018</strong>&nbsp;tax year</a>. Your 2018 taxes are due in April 2019.</p></div><h3>2017 income-related exemptions</h3><ul><li>The lowest-priced coverage available to you, through either a <a href=\"/health-coverage-exemptions/exemptions-from-the-fee#/results/2017/details/marketplace-affordability\" data-entity-type=\"node\" data-entity-uuid=\"502e1f0b-ce3d-4282-bb3f-1f8a098849bd\" data-entity-substitution=\"canonical\" data-entity-id=\"37406\" data-entity-bundle=\"article\" data-internal-href=\"/health-coverage-exemptions/exemptions-from-the-fee/\" title=\"Exemptions\">Marketplace</a> or <a href=\"/health-coverage-exemptions/exemptions-from-the-fee#/results/2017/details/employer-affordability\" data-entity-type=\"node\" data-entity-uuid=\"502e1f0b-ce3d-4282-bb3f-1f8a098849bd\" data-entity-substitution=\"canonical\" data-entity-id=\"37406\" data-entity-bundle=\"article\" data-internal-href=\"/health-coverage-exemptions/exemptions-from-the-fee/\" title=\"Exemptions\">job-based plan</a>, would cost more than 8.05% of your household income</li><li>You don’t have to file a tax return because <a href=\"/health-coverage-exemptions/exemptions-from-the-fee#/results/2017/details/income-below-threshold\" data-entity-type=\"node\" data-entity-uuid=\"502e1f0b-ce3d-4282-bb3f-1f8a098849bd\" data-entity-…",
      "tags": [],
      "title": "Health coverage exemptions for the 2017 tax year only",
      "categories": [],
      "lang": "en",
      "layout": "With Sidebar"
    },
    {
      "url": "/address-questions",
      "content": "<p>Where you live can affect what health coverage you’re eligible for and your eligibility for savings based on your income.</p><h2>Apply in the state where you live</h2><p>Generally, people must live in a state to be considered residents and get help paying for health coverage there. If someone is living out of state temporarily, they can still be considered a resident of the state.</p><p>You’ll be asked if everyone on your application lives at the same permanent home address in your state.</p><h2>Your permanent home address</h2><p>When you apply, you’ll be asked to enter your permanent home address. Give the permanent home address where everyone on your application lives. This can’t be a P.O. Box. We’ll use this address to determine if you’re a resident of the state where you’re seeking health coverage.</p><ul><li>If a child splits time between 2 parents who don’t live together, use the address where the child spends most of their nights.</li><li>You’ll be asked if your mailing address is the same as your permanent address. Select “no” if you have a different mailing address.</li><li>You’ll also be asked if you’re applying for coverage for yourself. You can select \"no\" if you aren’t applying for yourself, but you are applying for other people in your household who have the same permanent home address.</li></ul>",
      "tags": [],
      "title": "Reporting your permanent home address",
      "categories": [],
      "lang": "en",
      "layout": "With Sidebar"
    },
    "… 426 more items"
  ]
}