What is an ACA-compliant Individual Insurance plan?

I have to have Individual Health Insurance to qualify for ICHRA, what does that mean?

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Written by Support
Updated over a week ago

You'll see us reference "Individual Health Insurance" or "Major Medical Individual Coverage" a lot- but what does this mean? What type of insurance do I need to have to qualify for ICHRA reimbursement?

When we reference these types of plans, we're talking about the plans you would find on Healthcare.gov. These plans must meet certain standards established by the Affordable Care Act, and are also subject to certain regulations. Also, these plans legally must be the same price, regardless of where they are purchased (Healthcare.gov, state exchange, broker, Take Command Health, the insurance company itself, etc.). They are also ICHRA-compliant, regardless of where you purchased it.

But what if my plan covers my entire family, not just me? Does it still count as Individual Coverage?

Yes! The word "Individual" simply means that the coverage was purchased by you individually, and was not provided through an employer/association, or the government (like Medicaid).

Any plan purchased using our shopping tool will be an individual major medical plan, so you can rest assured that you'll qualify for ICHRA reimbursement if you purchase a plan using our platform!

Another good indicator that your plan is major medical is the name- these plans will typically include a metallic tier (bronze, silver, gold, etc.). You can read more about those here!

Still not sure if your plan qualifies? Reach out to us! We'll be happy to confirm for you.

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