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Open enrollment under the Affordable Care Act (ACA) – when individuals can buy or switch health insurance plans in the marketplace – is typically limited to a specific time period during the year, unless there are certain special circumstances.

Open enrollment for 2022 closed on January 15, 2022 in most states. Some states have later deadlines. 

In response to COVID-19, California, New York and Washington, DC have opened a special enrollment period to allow people to purchase insurance through the health insurance marketplaces outside of the typical open enrollment period.

Use the dropdown below for more information about coverage options available in your state.

Individuals purchasing coverage through the ACA marketplace cannot be denied or charged more for coverage because of a pre-existing condition, including HIV or COVID-19. Click here for 3 things to know about COVID-19 and your marketplace coverage.

Those with low to moderate incomes may qualify for federal subsidies to buy a new plan through the marketplace. In some cases, you may pay no premium at all.

People who lose their job and with it their employer-sponsored insurance, as well as those in other special circumstances (e.g. marriage, divorce, a move, birth of a child), may be allowed to enroll outside of the open enrollment period. If you anticipate a coverage loss, you can apply for special enrollment in the ACA up to 60 days in advance. 

Additionally, some people may be eligible for Medicaid. Eligibility is typically determined based on monthly household income, so people completely out of work or losing hours may newly qualify. Enrollment in Medicaid is ongoing throughout the year.

To find out more about health insurance options in your state, including buying or changing plans through the ACA, use this tool.

While every effort has been made to provide accurate and current information, please contact the marketplace or Medicaid agency in your state to confirm options in your area. The website is a product of the Kaiser Family Foundation, a nonprofit health care organization not affiliated with Kaiser Permanente.