ACA Marketplace FAQs

Most U.S. citizens and lawfully present immigrants are eligible for ACA coverage. Income level, family size and state of residence all play a role in what plans and savings you may be eligible for.

In Michigan, the Open Enrollment Period runs from Nov. 1 to Jan. 15. You can shop plans and see prices during October, but you can't enroll until Nov. 1.

• If you enroll between Nov. 1 and Dec. 15, your coverage will start Jan. 1
• If you enroll between Dec. 16 and Jan. 15, your coverage will start Feb. 1

If you miss the Open Enrollment Period (OEP), you will have to wait until the next OEP unless you qualify for a Special Enrollment Period (SEP) due to a life event such as losing other coverage, getting married, having a baby or moving.

You can apply online at healthcare.gov, through an agent or broker, by phone, in person, or directly through a participating Marketplace provider like Priority Health.

Compare:

• Monthly premium: What you pay each month to have health insurance, regardless of whether you use any medical services
• Deductible: What you pay out of pocket before your health insurance starts covering costs
• Out-of-pocket costs: What you pay when you receive care, like copays and coinsurance
• Out-of-pocket maximum: The most you'll pay in a year for covered services
• Covered services: Medical treatments your health insurance plan agrees to pay for, fully or partially
• Provider networks: A group of health care providers that work with your insurance company at discounted rates

Learn more about how to compare health plans.

Metal tiers reflect how you and your plan share costs, not the quality of care.

• Bronze generally means lower monthly premiums but higher out-of-pocket costs when you receive care.
• Silver generally means moderate monthly premiums and moderate out-of-pocket costs when you receive care.
• Gold generally means higher monthly premiums but lower out-of-pocket costs when you receive care.

You can only switch your Marketplace plan if you qualify for a Special Enrollment Period or during the annual Open Enrollment Period.

If you qualify for subsidies, financial help is available in the form of:

• Premium tax credits to lower monthly costs
• Cost-sharing reductions to lower deductibles and copays

Savings depend on income, household size and other factors.

Learn more about how to save on health coverage.

For 2027 plans, most people earning up to 400% of the 2026 federal poverty level qualify for federal subsidies. That's $63,840 for an individual or $132,000 for a family of four.

When you get a quote for a MyPriority plan, we'll check to see if you qualify for financial assistance.

To reconcile your tax credit:

1. Get your Form 1095-A, also known as the Health Insurance Marketplace Statement. You will receive it in the mail or retrieve it from your healthcare.gov account.
2. Print Form 8962 and instructions
3. Use the information from your 1095-A form to complete Part II of Form 8962
4. Submit Form 8962 with your tax return

Full instructions are available on healthcare.gov.

To update your information:

1. Log in to your account at healthcare.gov.
2. Go to your application or dashboard.
3. Select “Report a Life Change” or “Update Application”.
4. Enter your updated income, household size, or other relevant details.
5. Review and submit your changes to make sure your coverage and savings stay accurate.

Keeping your info up to date helps avoid incorrect subsidies or unexpected costs.

Update your Marketplace application yearly to confirm eligibility, financial subsidies and avoid surprises.