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BenefitRoute • ACA Enrollment

Getting Ready to Enroll

Preparing household, income, current coverage and healthcare-priority information before starting a Marketplace application can make the process easier and help reduce avoidable mistakes.

✓ Household checklist✓ Income preparation✓ Coverage priorities
Household preparing information for ACA enrollment
Accuracy matters: Household, income and other coverage information can affect Marketplace eligibility and potential financial assistance. Provide accurate information and update the Marketplace when relevant circumstances change.
Enrollment Checklist

Information Worth Having Ready

1

Household Information

Names, dates of birth, addresses, relationships and who actually needs coverage.

2

Expected Household Income

Marketplace applications can require expected household income for the coverage year under applicable rules.

3

Current Health Coverage

Have information about employer plans, individual coverage, Medicaid/CHIP, Medicare or other current coverage when relevant.

4

Employer Coverage Offer

If someone has access to job-based health coverage, information about that offer can matter for Marketplace financial assistance.

5

Applicable Immigration Information

Lawfully present non-citizens applying for coverage may need applicable immigration-document information.

6

Healthcare Priorities

Doctors, hospitals, prescriptions, expected healthcare use and budget priorities can help when comparing plans.

Income Preparation

Use Expected Income for the Coverage Year

Relevant household income can come from employment, self-employment, certain Social Security income, unemployment compensation and other applicable sources under Marketplace rules.

01Estimate CarefullyUse the best reasonable information available for expected household income.
02Know the HouseholdHousehold composition and applicable tax relationships can matter.
03Keep RecordsHave income and coverage information available if documentation is requested.
04Update ChangesRelevant income or household changes during the year should be reported through the appropriate Marketplace process.
Plan Preparation

Know What You Want From Coverage

Enrollment is easier when you know which plan characteristics deserve attention before you start comparing.

Doctors
Prescriptions
Budget
Expected Care

Illustrative checklist only; bars do not represent plan quality or consumer priority scores.

Ready for the Next Step?

Understand the Coverage Before You Choose It

Compare Plans

Review premium, cost-sharing, provider access and prescriptions together.

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Know Your Enrollment Path

Understand Open Enrollment and potential Special Enrollment circumstances.

Enrollment Overview →
Prepare. Understand. Continue.

Start With Your Coverage Situation

BenefitRoute's preliminary Coverage Navigator can organize the household and coverage factors worth reviewing before your next enrollment step.

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