Healthcare Exchanges/Marketplaces Frequently Asked Questions

What health Insurance options are available to college students?

College students may be eligible for the following health insurance options:

  • Coverage as a dependent on Parents’ health insurance plan to the age of 26
  • Coverage through Medicaid based on expanded eligibility requirements in some States
  • Coverage through the Exchange/Marketplace; with premium tax credit, or subsidy, if income requirements’ are met
  • Catastrophic Plan offered through the Exchange/Marketplace
  • School Sponsored Student Insurance Plan
  • Coverage through an individual Health Plan offered outside of the Exchange/Marketplace

When is open enrollment?

  •  Open enrollment for plans offered through the Exchange/Marketplace starts October 1, 2013 with coverage going into effect as early as January 1, 2014.

Can a student who attends College outside of their State of Residency apply for an Exchange/Marketplace plan in the State in which their College or University is located?

  • No, individuals interested in purchasing coverage through the Exchange/Marketplace may only apply for plans available in the State where he/she is a resident. Each State has its own residency definition and requirements which must be met for a person to legally be considered a resident.

Are International Students eligible to purchase a plan through the exchange/marketplace?

  • International students who are legally in the United States are eligible to purchase a plan through the Exchange/marketplace, but are not eligible for premium tax credit.

What kinds of health insurance options are available through the Exchanges/Marketplaces?

  • There is a menu of plan designs that are based on actuarial value levels of benefits offered through the Exchange/Marketplace.  These plans are categorized as: Bronze (60%), Silver (70%), Gold (80%) and platinum (90%), and are often structured through limited provider networks.
  • Once enrolled in an Exchange/Marketplace plan, one must continue enrollment in the same plan throughout the policy year unless a qualifying life event occurs, such as moving to a new state, certain changes in income, or changes in family size (i.e., marriage, divorce, or birth of a child).

For More Information

www.coveroregon.com

younginvincibles.org/issues/health-care

www.healthcare.gov/young-adults