Today, self-purchased coverage is an option in every state, regardless of medical history.

And the ACA also created income-based subsidies that make coverage much more affordable than it would otherwise be.

The ACA has made health insurance coverage a much less challenging situation for people who retire before age 65.

Health Insurance Options for Retirement Before Age 65

Verywell / Michela Buttignol

It would take another act of Congress to extend that into future years.

These plans are allguaranteed-issue.

Enrollment is limited to anannual open enrollment periodor aspecial enrollment period triggered by a qualifying event.

Congress could choose to extend these provisions past 2025.

If you shop for health insurance in the Marketplace, youll see a variety of available plans.

If youre retiring, your income is likely to fluctuate quite a bit in the year you retire.

The elimination of thesubsidy cliffthrough at least the end of 2025 is particularly important for early retirees.

But thats no longer the case through at least the end of 2025.

If your state runs its own exchange, youll be redirected there.

If youre currently receiving any medical treatment, be sure you pay close attention to the applicableprovider networksanddrug formularies.

The IRS fixed the family glitch as of 2023.

Some states only recover the cost of long-term custodial care services funded by Medicaid.

But other states will recover any Medicaid costs for enrollees over the age of 55.

Also, be aware that Medicaid eligibility is much different for people who are 65 or older.

At that point, eligibility is based on income and assets rather than just income.

Which options you are eligible for and are best for you depends on your specific circumstances.

But if you want to retire earlier than that, youll have options for affordable health insurance.

Kaiser Family Foundation.Health insurance coverage of the total population.

Centers for Medicare and Medicaid Services.The Inflation Reduction Act lowers health care costs for millions of Americans.

KFF.Insurer Participation on the ACA Marketplaces, 2014-2021.

Centers for Medicare & Medicaid Services.Plan Year 2024 Qualified Health Plan Choice and Premiums in HealthCare.gov Marketplaces.

Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation.U.S.

federal poverty guidelines 2023.

HealthCare.gov.Modified Adjusted Gross Income (MAGI).

Healthcare.org.IRS regulations fix the ACAs family glitch as of 2023.

U.S. Department of Health and Human Services.2024 Poverty Guidelines.

Kaiser Family Foundation.Status of state Medicaid expansion decisions.

Medicareresources.org.Transitioning from expanded Medicaid to Medicare.