You’ve Got 5 Days to Enroll in Obamacare. Get an Affordable Plan Now Before It’s Too Late
Main points
- The final deadline to sign up for a 2025 Marketplace health insurance plan is January 15 for most states. However, a handful of states (California, Massachusetts, New Jersey, New York, Rhode Island) and Washington, D.C., have further pushed back the deadline.
- Expanded consumer subsidies can bring your monthly premiums to as low as $10.
- If you miss the ACA health insurance plan enrollment deadline, you may have other coverage options, including COBRA or short-term health insurance.
Cost of Market Health Plans in 2025
There are some changes Affordable Care Act (ACA, often called Obamacare) 2025 Health Insurance Plan. Premiums generally rise, but there are considerable price differences based on region and plan level.
Out-of-pocket expense (MOOP) maximumOn the other hand, there has been a decline. MOOP limits the amount you have to spend before you get 100% coverage, so if you have care frequently during the year, a lower MOOP is better for your wallet. Combined, these price changes could make your overall health care costs higher or lower in 2025, depending on your plan and health care spending.
How to sign up and get the best deals
To compare plans to get the one that best suits your needs, first check whether your state uses Healthcare.gov or the state-run marketplace. Once on the appropriate website, you can compare options for different plans. You can filter options based on coverage, Premiummaximum out-of-pocket expenses, etc.
After selecting a program, the website will guide you through the application process. If you are eligible for premium tax creditthe market may provide you with an estimate of how much you can save on your premiums. according to Centers for Medicare and Medicaid Services (CMS)about 80 percent of enrollees qualify for subsidies that would lower their premiums to as low as $10 per month.
You can choose whether to get Prepaid Premium Tax Creditapplied to your monthly premiums or receive a one-time premium credit when you file your tax return.
Expanded premium tax credit to expire after 2025
While the premium tax credit to subsidize health care premiums has been in place since 2014, it was enhanced in 2021 and extended through 2025. These provisions expand eligibility to more families and provide larger subsidies to make coverage more affordable.
As a result, ACA markets are experiencing record enrollment growth. By 2025, 11.6 million more people will have health insurance than in 2021, and enrollment isn’t over yet.
However, these positive results may not last. The expanded subsidies are set to expire at the end of this year. The Congressional Budget Office projects that if Congress does not extend those deadlines this year, enrollment will decline as premiums rise in every state and at every income level.
President Biden has urged Congress to extend premium tax credits, but some conservatives believe the credits are too costly. If made permanent, they could increase the deficit by $335 billion between 2025 and 2034, the Congressional Budget Office said.
What happens if you miss a deadline?
While most states have a January 15 deadline, some have later deadlines. California, New Jersey, New York and Washington, D.C. all have deadlines of January 31. Massachusetts’ deadline is January 23, while Rhode Island’s was extended to February 28 due to a data security breach.
If you miss the deadline, you still have some insurance options. If you participated in qualifying rounds, you may be eligible for special enrollment period. Qualifying rounds include:
- get married or divorce
- Give birth or adopt a child
- Become 26 or older and lose your parents’ health insurance
- Lose existing health insurance
- Lose eligibility for Medicare, Medicaid, or CHIP
- Death in the family
- Change place of residence
- Become a U.S. Citizen
Continuing health insurance through COBRA
If you just lost your health insurance due to a job change, you may be eligible for COBRA Health Benefits. COBRA allows you to continue your existing health insurance plan by paying the full premium, including the portion your employer previously paid. This usually makes the plan much more expensive than it was when you were employed, but COBRA can help keep you covered as long as you apply for it within 60 days of the qualifying event.
Short-term health insurance with limited coverage
If you are between enrollment periods and COBRA is not an option, you can use Short-Term Health Insurance (STHI) Let’s move you to the next registration period. You can purchase an STHI plan at any time, but these plans don’t offer the same protections as ACA plans. Short-term health insurance coverage is often limited and may not include coverage for pre-existing conditions or serious medical services, such as maternity care.
As of September 2024, STHI plans can only cover up to four months. The incoming Trump administration These rules may be reinstated Back to the 364-day limit implemented in 2018.
While STHI and COBRA aren’t ideal options for long-term health insurance, if you miss the ACA’s January deadline, they may be your only options heading into the next enrollment period.