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ACA individual market plans

Health insurance policies for individuals or families. These policies come with consumer protections required by the Affordable Care Act (ACA), including coverage of the essential health benefits and no limitations on coverage for pre-existing conditions.

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Off-exchange plans

Individual market plans that are not sold through a public marketplace. Off-exchange plans must comply with the same rules as on-exchange plans.  In some markets off-exchange plans may be cheaper than on-exchange plans, and in some cases they may offer a different provider network or plan benefits. Individuals who enroll in off-exchange plans are not eligible for premium tax credits.

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On-exchange plans

Individual market plans that are sold through a public marketplace.  Premium tax credits are available to eligible individuals who purchase on-exchange plans.

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Premium tax credit

Tax credit that lowers your monthly insurance premium when you purchase a plan through a public marketplace.  To qualify for this tax credit, your household income must fall between 100% and 400% of the federal poverty level.

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