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Resources for Adults

Health coverage helps pay costs when you need care
No one plans to get sick or hurt, but most people need medical care at some point. Health coverage helps pay for these costs and protects you from very high expenses.

What is health insurance?
Health insurance is a contract between you and an insurance company. You buy a plan, and the company agrees to pay part of your medical costs when you get sick or hurt.

The Health Insurance Marketplaces offer a variety of health plans available under the Affordable Care Act
Your household size and income will help determine your eligibility and your monthly premium for health insurance. The Health Insurance Marketplaces (Marketplaces) can tell you if you qualify for low- or no-cost coverage available through Florida’s Medicaid program. All private health insurance plans offered in the Marketplaces provide the same essential benefits. To apply or to learn more, visit www.HealthCare.gov.

Covering Florida can help you enroll in Marketplaces coverage. Navigators are available throughout Florida for appointments to assist you in enrolling and to answer any questions you may have. To find a Navigator, enter your zip code on the “Get Covered Connector” (at right).

When you fill out the Marketplace application, it will tell you if you qualify for:
  • Private insurance plans – You can learn if you qualify for lower costs based on your household size and income. If you don’t qualify for lower costs, you can still use the Marketplace to buy insurance. Plans cover essential health benefits, pre-existing conditions, and preventive care.
  • Medicaid – This program covers millions of families with limited income, disabilities, and other circumstances. If it looks like you qualify, the Marketplaces will provide information with your state Medicaid agency and you will receive information from them.

Additional Resources for Adults
  • Information for people with Medicare, Medicare open enrollment, and benefits
  • Essential Health Benefits covered in the Marketplaces
  • Information to take health care into your own hands, explore insurance coverage options and learn how the Affordable Care Act impacts you
  • Federal Policy Guidance on the Medicaid program
  • Tax penalty calculator
  • Health Reform Frequently Asked Questions
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