ACA Marketplace Insurance Premium Assistance

Status

Closed
Closed Funds

This fund is temporarily closed to new patients due to lack of sufficient funding. Please continue to visit our Disease Funds page often, as replenished funds reopen as quickly as possible. If you currently have a grant with HealthWell, your grant will remain active for the entire 12 month grant cycle or until you have exhausted your allocated grant amount, whichever comes first. You can continue to use your pharmacy card or submit requests for reimbursements during your designated grant cycle.

Assistance Type

Insurance Premium

Maximum Award Level

$2,000

Payment Type

Virtual Card

Minimum Copay Reimbursement Amount

Minimum Copay Reimbursement Amount

We encourage you to please use your HealthWell pharmacy card for any applicable charges as possible.

None

Minimum Premium Reimbursement Amount

Minimum Premium Reimbursement Amount

We encourage you to please submit monthly reimbursement claims (even if your premium is paid on a bi-weekly basis).

None

Household Income Limit

200% of the Federal Poverty Level
(adjusted for household size and high cost of living areas)

Fund Alerts

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Covered

  • Aca Marketplace Insurance Premium

Fund Definition

Assistance with insurance premiums for coverage obtained through the ACA Marketplace.

Grant Utilization

HealthWell estimates that patients use an average of $2,000 during their 12-month grant period for this disease area.

Do I Qualify?

To qualify for assistance through the ACA Marketplace Insurance Premium Fund, the following eligibility requirements must be met:

About ACA Marketplace

Enhanced subsidies for Affordable Care Act (ACA) Marketplace plans are set to expire at the end of 2025, unless they are renewed by Congress. Since 2021, these enhanced subsidies have lowered monthly premium payments for the vast majority of Marketplace enrollees, across incomes.  The Inflation Reduction Act’s enhanced subsidies make the reduced cost sharing plans more affordable.

Without enhanced subsidies, an enrollee making just above poverty would be required to pay around 2% of their income for a benchmark silver plan. With enhanced subsidies, however, most enrollees with incomes around the poverty level are eligible for zero-dollar benchmark silver plans. If the enhanced subsidies expire, almost all ACA Marketplace enrollees will experience steep increases in premium payments in 2026, placing health insurance and in effect, access to healthcare out of reach to many.

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