Under 65 and still need health insurance for 2025? You still have a few options.
Marketplace enrollment is still open for those desiring a February 1, 2025 effective date. You do have until January 15, 2025 to enroll. The deadline has passed for the January 1, 2025 effective date.
Does you or your spouse’s employer offer coverage?
If you are eligible for coverage through your employer or your spouse’s employer, you may not be eligible for a government Subsidy to help pay for health insurance.
Does your employer’s health insurance meet the Qualified Health Plan requirements?
A qualified health plan (QHP) is an insurance policy that meets the requirements of the Affordable Care Act (ACA):
Essential health benefits: QHPs must provide essential health benefits (EHBs), including:
Cost-sharing limits: QHPs must follow established limits on cost-sharing, such as deductibles, copayments, and out-of-pocket maximum amounts.
Is your employer’s health insurance considered affordable?
The affordability threshold is the maximum amount that the employee's share of the premium can be. To calculate this, multiply the employee's household income by 9.02%. For example, if the employee's household income is $50,000, the affordability threshold would be $4,510 ($50,000 x 9.02%) or $375.83 per month.
Do you have health insurance available through an association or club?
Some groups have health insurance as a perk of being a member. Look at all of your groups and clubs to see if health insurance is available.
Would short term health insurance help you?
If you’re facing a gap in coverage, short term health insurance may help. Short term insurance can be used for up to 4 months. This might be helpful during a gap in employment or while waiting for Medicare to begin.
You do have options for getting health insurance now. Contact your licensed and certified Health Insurance Agent or Broker for more information.
This article is for information only and should not be considered a recommendation. Talk with a licensed Health Insurance Professional about your specific circumstances. For more information you can go to The Texas Department of Insurance.
