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Let's go over how coverage works.

How comfortable are you navigating Affordable Care Act (ACA) insurance ... or insurance at all?

No matter where you’re at, we’ve covered what you need to know for open enrollment on November 1. 

Is ACA coverage right for you?

If you don’t have insurance through your job or a government program like Medicare, take a look at ACA Individual and Family plans. They’re available for almost everyone. And they can help you take care of your most important asset — you.

Let’s dig into ACA coverage

What ACA plans cover

All ACA individual & family plans must cover 10 essential benefits like hospitalization, preventive care and mental health services. Some plans offer extras like dental and vision. 

ACA plan levels

Every plan is assigned what is known as a metal tier: Platinum, Gold, Silver or Bronze. Metal tiers have nothing to with the quality of care you receive. They determine how you and your plan split costs.

On or off the Marketplace

You can apply for ACA coverage and financial help through companies with direct enrollment sites, like us, or on the federal Marketplace. If you shop off the Marketplace, you won’t get financial help.

Saving money on your plan

When you enroll in a plan on the Marketplace, you may be eligible for discounts on your monthly bill or extra savings on your out-of-pocket medical costs.

The top insurance terms you'll want to know

Let's go over some common insurance terms you might see during your coverage search.

Save the date: ACA enrollment periods 

When is the Open Enrollment Period?

The time to choose an ACA individual & family plan is right around the corner. The Open Enrollment Period for 2025 opens on November 1, 2025 and ends January 15, 2026. Enroll by December 15, 2025 for coverage that starts January 1, 2026.

The Open Enrollment Period is the time of year when you can explore plan options, see if your doctor participates in the plan, apply for financial help and purchase health plan coverage.  So you don’t want to miss out.

If I miss the deadline, can I still sign up for ACA coverage? 

Life won’t wait for Open Enrollment.  So certain life events — called qualifying events — let you sign up for coverage outside the typical Open Enrollment window. 

What’s an example of a qualifying life event? 

Maybe you no longer have health care coverage because you’ve lost your job. Or maybe you’re getting married or having a baby or moving to a new state. These life events — and others — all give you the right to sign up for a health plan outside the Open Enrollment Period as long as you do so no more than 60 days after the event. 

Transforming health care, together

Banner|Aetna aims to offer access to more efficient and effective member care at a more affordable cost. We join the right medical professionals with the right technology, so members benefit from quality, personalized health care designed to help them reach their health ambitions.

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Health benefits and health insurance plans are offered, underwritten, and/or administered by Banner Health and Aetna Health Insurance Company and/or Banner Health and Aetna Health Plan Inc. (Banner|Aetna). Banner|Aetna is an affiliate of Banner Health and of Aetna Life Insurance Company and its affiliates (Aetna). Each insurer has sole financial responsibility for its own products. Aetna and Banner Health provide certain management services to Banner|Aetna. Aetna, CVS Pharmacy® and MinuteClinic, LLC (which either operates or provides certain management support services to MinuteClinic-branded walk-in clinics) are part of the CVS Health® family of companies.

98point6® is a registered trademark of 98point6 Inc. Access to 98point6® is not included in all plans. 98point6 is available to members age 1-17 when an adult parent or guardian is also enrolled in the plan.

Availity® is a registered trademark of Availity, LLC.

This material is for information only. An application must be completed to obtain coverage. Rates and benefits vary by location. Providers are independent contractors and are not agents of Banner|Aetna. Provider participation may change without notice.

Health insurance plans contain exclusions and limitations.