Guide · 4 min read

Marketplace vs. private plans: which fits you?

Both can be the right answer. It depends on your income, your health and when you need coverage.

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The quick comparison

Marketplace plans

  • Priced on household income
  • Tax credits if your income is in range
  • Pre-existing conditions always covered
  • Enroll during open enrollment or a special enrollment period

Private plans

  • Priced on age and health
  • No income limits, no tax credits
  • Health questions to apply
  • Many can start any month

When the Marketplace usually wins

  • Your income qualifies you for a meaningful tax credit.
  • You or someone in your household has ongoing health needs.
  • You want every plan to cover the same core benefits.

When a private plan is worth comparing

  • You earn too much for tax credits and pay the full Marketplace price.
  • Your household is generally healthy.
  • You want a PPO network or need to switch or start coverage soon.

Why compare both

Prices change every year, and so does who qualifies for help. The only way to know which is cheaper for you is to see real numbers for your household side by side.

That is what your agent does. You see both options, and you decide.

General information only. Plan details, prices and rules vary by state and can change. A licensed agent can confirm what applies to you.

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See if it’s a good fit.

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