Who is eligible for coverage on the Health Insurance Marketplace?

The eligibility for coverage on the Health Insurance Marketplace is primarily aimed at individuals who are lawfully present in the United States. This includes permanent residents, who are not only permitted to reside in the country but also have the ability to participate in federal programs like the Health Insurance Marketplace. Being a lawful permanent resident signifies that the individual has met specific immigration criteria and, as such, is entitled to access the Marketplace to obtain health coverage.

In contrast, a U.S. citizen living abroad does not qualify for Marketplace coverage because the program is intended for individuals residing within the United States. Similarly, someone who has Medicare coverage may not be eligible for Marketplace plans, as Medicare is a separate program specifically for older adults and certain younger individuals with disabilities. Meanwhile, a U.S. citizen who is incarcerated also does not qualify for Marketplace health insurance while they are in prison, as eligibility is generally restricted to those who are not currently detained.