Eligibility

  • During Open Enrollment, to qualify for the Marketplace in Pennsylvania you must be residing legally in the United States with a Social Security Number, a resident of Pennsylvania, not currently incarcerated, and not currently enrolled in Medicare, Medicaid, or insurance through your employer.
  • In order to qualify for financial assistance, additional eligibility requirements apply based on income and tax filing status.
  • In order to qualify for a Special Enrollment Period outside of Open Enrollment, you must have one of the following Qualifying Life Events: losing health coverage in last 60 days or recently lost health coverage, got married, had a baby, got divorced and lost insurance, adopted a child or had a child placed with you in foster care, death in the immediate family, moved zip codes, had a change in income, gained legal immigration status, recently released from incarceration.

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