Marketplace Coverage

Basics and Eligibility

Engaging Clients in Conversations About Coverage

Enrolling Clients in Marketplace Coverage

These resources are updated annually before Open Enrollment for Marketplace Coverage.

Using Coverage and Staying Covered

  • Making the Most of Your Coverage - Resource for People with HIV
    This resource is intended to help newly enrolled clients get started with using their health insurance benefits. Topics include identifying important health insurance documents, defining key insurance terms, anticipating potential health care costs, knowing where to go for care, and making the most of each medical visit. This resource is also available in Spanish and Haitian Creole.
  • "Covered" Video Series
    The “Covered” video series is a collection of short videos for people with HIV that provides tips for RWHAP clients on how to make the most of their health insurance. Topics include: key health insurance terms, what’s covered by insurance, where to go for care, and how RWHAP and ADAP can help. The “Covered” video series is also available in Spanish.
  • My Health Insurance Works for Me - Stay Covered Poster Series
    This poster series was designed to help people with HIV understand what they need to do in order to maintain their health insurance coverage throughout the year. The poster series is also available in Spanish and Haitian Creole.  
  • Stay Covered All Year Long - Resource for People with HIV
    This resource for people with HIV is designed to help them understand what they can do to maintain their health coverage, including paying premiums on time, reporting income and household changes, and what to do if they lose their coverage. This resource is also available in Spanish and Haitian Creole

Taxes and Financial Help

  • eLearning Module: Understanding Premium Tax Credits and Cost-Sharing Reductions
    This eLearning module is a self-paced, interactive tool designed to help RWHAP program staff understand the basics of premium tax credits (PTCs) and cost-sharing reductions (CSRs) as well as how they can help RWHAP clients pay for their Marketplace insurance and reduce out-of-pocket costs.
  • FAQ: Premium Tax Credits and Cost-Sharing Reductions
    This FAQ provides information about the two main types of financial support available for many people with HIV who get health coverage through the Marketplace: premium tax credits (PTCs) and cost-sharing reductions (CSRs).
  • Taxes and Health Coverage - Resource for People with HIV
    This tool is designed to help people with HIV understand the relationship between Marketplace health coverage and taxes and how to reconcile advance premium tax credits (APTCs) through tax filing. This resource is also available in Spanish and Haitian Creole.
  • Financial Help and Taxes
    This resource provides an overview of the tax filing process for individuals with Marketplace coverage, including guidance for reconciling advance premium tax credits (APTCs) and information on state-specific individual mandates.