Choosing a Marketplace plan is not the end of the coverage journey. Learn the practical steps that can help activate, understand, maintain and review your coverage throughout the year.
Keep your member ID, plan name and member-service contact information accessible.
Check current network participation before scheduling non-emergency care when network status affects coverage.
Know where to review the plan formulary, drug tiers and applicable medication requirements.
Using Your Coverage →Relevant changes should be reported through the appropriate Marketplace process so coverage and financial-assistance information can be updated when necessary.
Your healthcare needs and your plan can both change. Review the important details each coverage year.
Review premium, deductible, copays, coinsurance, out-of-pocket maximum, network and prescription coverage.
Update household, expected income and other relevant Marketplace information.
Consider whether your doctors, prescriptions, expected care or household priorities have changed.
Continue to BenefitRoute's consumer education resources for practical guidance on networks, prescriptions, EOBs and using health coverage throughout the year.
Understand My ACA Coverage →