You can enroll in Marketplace health coverage February 15 through May 15 due to the coronavirus disease 2019 (COVID-19) emergency. You may also still be able to enroll for 2021 any time these two ways: with a Special Enrollment Period or through Medicaid or the Children's Health Insurance Program (CHIP).
Our fight for the health of every person in every Williamson County community begins with helping individuals and families connect to the healthcare options available across Central Texas.
United Way of Williamson County has Certified Application Counselors available on staff to educate and assist central Texans with the enrollment process. Certified Application Counselors are federally certified to provide unbiased information and assistance for individuals and families the following:
- Inform the public about their health coverage options.
- Help families and individuals find health coverage that fits their health needs and budget.
- Educate individuals about health coverage.
- Connect low-income individuals and children to Texas Benefits including CHIP, Medicaid, SNAP, and TANF.
What to Bring to Your Appointment
Please bring the following items with you to your appointment.
- Social Security number and birthdate for everyone on your tax return.
- Income information (pay stubs, Social Security or SSDI statement, self-employment ledger, etc.).
- Your most recent tax return.
- Details and costs of health insurance offered to you and/or your spouse by an employer.
- List of medications (name and dosage) taken by family members who need insurance.
- A list of primary care providers or physicians you might want in your new provider network.
- If applicable, immigration documents or Naturalization Certificates.
- If applicable, bring your sign in information for Healthcare.gov including email address, username, and password.
Important things to know about the Health Insurance Marketplace:
The Affordable Care Act is still in effect and remains the law.
Healthcare.gov connects uninsured individuals and families with health coverage.
United Way of Williamson County will provide Certified Application Counselors to educate, answer questions and help you enroll in the Marketplace. Counselors cannot provide recommendations on care choices for individuals. Instead, they can help you make informed decisions about coverage that best suits your needs and your budget.
- United Way of Williamson County is not able to fund individuals or provide financial assistance for insurance premiums.
- When you complete the enrollment application, Counselors can tell you if you qualify for a plan through the Marketplace, Medicaid or Children's Health Insurance Plan (CHIP). If you qualify for a marketplace plan, they may be able to tell you if you qualify for lower costs based on household size and income.
- You are considered covered if you have a marketplace plan, Medicare, Medicaid, CHIP, an employer-provided plan, a qualified plan you purchased yourself, COBRA, or retiree coverage.
- If you currently have an employer-provided plan, you can consider switching to a Marketplace plan. However, you won't qualify for lower costs based on your income unless the job-based insurance is unaffordable or doesn't meet minimum requirements. You may also lose any contribution your employer makes to your premium.
- If you do not enroll during the open enrollment period, you may be able to qualify in two other ways. If you qualify, you may enroll for coverage through Medicaid or CHIP. You may also qualify for a Special Enrollment Period if you have qualifying life events, such as getting married, having a baby or losing health coverage. Call one of our Certified Application Counselors at (512) 961-7349 or (512) 827-2574 for details.
United Way of Williamson County has bilingual Certified Application Counselors available to help customers work through the enrollment process. Call (512) 827-2574 to schedule an appointment.
Call 2-1-1 or visit 211texas.org for more information about getting enrollment help in Central Texas.
Affordable Care Act resource page and Texas Health Options from the Texas Department of Insurance are resources designed to help Texans enroll in health plans, and answers questions about insurance rights for individuals and small businesses.
The Texas Department of Insurance Resources for ACA provides basic resources for people and employers including information about the federal Patient Protection and Affordable Care Act (PPACA).
The U.S. Department of Health and Human Services provides information about how the Affordable Care Act affects you. For specific information about the Marketplace and enrollment, visit Healthcare.gov or U.S. Department of Health and Human Services.
Who is eligible for enrollment under the ACA? To be eligible for health coverage through the Marketplace, you:
- must live in the United States
- must be a U.S. Citizen or national (or be lawfully present)
- can't currently be incarcerated
How long does the enrollment process take?
There are four steps in the enrollment process and the time it takes to complete the process may vary. However, we recommend that you plan at least 2 hours to complete the process. The first step is to set up an account. The second step is to complete the applications. The third step is to compare the plans for which you qualify. The final step is to enroll. You MUST pay the first months premium for coverage to start.
What if I already have insurance through my employer?
If you have job-based health insurance you like, you can keep it. You're considered covered. However, you may be able to change to Marketplace insurance if you want to. If you would like to explore Marketplace coverage options you can, but if your job-based coverage is considered affordable (less than 9.56% of annual household income) and meets the minimum requirements you won't be able to secure lower costs on premiums or Premium Tax Credits in the Marketplace.
Can I get insurance as part of my parent's plan?
Young adults may be able to stay on their parents' plan until they're 26, get covered by their school's or employer's health insurance plan, or enroll in Medicaid or a Marketplace plan. Having coverage will protect you from large healthcare costs such as an accident, having a baby or unexpected illness.