Don’t miss the ACA Marketplace enrollment deadline! If you want health coverage for 2026, you must enroll by January 15. After that date, you might not get coverage unless you qualify for a Special Enrollment Period due to reasons like losing your health plan or changes in your income. Insurance Commissioner Trinidad Navarro is sharing vital information to help consumers secure comprehensive health coverage.
Many people, especially small business owners and self-employed individuals, are facing challenges. Congress has yet to extend the enhanced premium tax credits that have helped over 24 million Americans, including 42,000 in Delaware, afford health insurance. If Congress doesn’t act, the tax credits available in 2026 will be less supportive.
If your income is below $62,600 for individuals, $84,600 for couples, or $128,600 for a family of four, you may still qualify for tax credits to lower your premium costs next year.
Plans in the ACA Marketplace vary by metal levels: bronze, silver, gold, and platinum. Bronze plans come with lower monthly costs but higher costs when you need care. Gold plans are the opposite, with higher premiums but lower out-of-pocket costs. Silver plans strike a balance, with insurers covering about 70% of costs.
If your income allows, silver plans may also provide additional savings known as “cost-sharing reductions,” which lower your deductibles and copays. It’s a good idea to consult a navigator or learn more about these reductions to see if you qualify.
All Marketplace plans cover essential benefits like pre-existing conditions, emergency services, and mental health care. Importantly, coverage cannot be canceled due to a change in health status.
As you look for coverage, remember these points:
- Reliable coverage beats uncertain costs. Even if a bronze plan is all you can afford right now, it’s better than risky alternatives like short-term plans.
- Current customers should check their options. If you’re enrolled and haven’t decided on your plan for 2026, go to HealthCare.gov or CuidadodeSalud.gov to evaluate your choices naturally and quickly.
- Keep your options open. If you’re already enrolled and wish to change your plan, you have until January 15, 2026.
- New customers should consider enrolling. If you lack affordable coverage, start your application now to avoid missing the enrollment period.
Commissioner Navarro encourages Delaware residents to reach out to state navigators or verified insurance brokers for comprehensive help. The aim is to simplify the health insurance process. A helpful resource is the Smart Buyer’s Guide to Individual Health Insurance, designed to assist consumers in recognizing misleading tactics.
Recently, there has been an uptick in scams during the ACA Open Enrollment period. Predatory tactics include enrolling people in coverage without consent. The Smart Buyer’s Guide helps you verify offers and ensures you’re dealing with legitimate agents.
Delawareans can access free assistance from trained specialists at Westside Family Healthcare throughout the state. For more information, visit HealthCare.gov or call 1-800-318-2596.
With recent data from the Kaiser Family Foundation highlighting that nearly half of Americans are unaware of their healthcare coverage options, it’s crucial to seek reliable guidance and stay informed about your choices. Don’t wait—make your health insurance decisions now!
