If you plan to stay with your current plan for next year and you are not changing your coverage, you do not need to take any action during the enrollment period.


Qualified Plan: A qualified plan meets minimum requirements for provider availability in a given county: five primary care providers, a hospital (if one exists in the county), a chiropractor, and a dental provider (if the plan offers dental coverage).

Non-Qualified Plan: A non-qualified plan has limited provider availability in a given county: the plan is missing one or more of the minimum required providers, but is still an available option in the county. See the definition for Qualified Plan.

Tier Categories: Each health plan is assigned to either Tier 1 or Tier 3 based on efficiency and quality of care. Premiums are determined in part by Tier assignments. Tier 1 plans have lower premiums than Tier 3 plans. Only out-of-state residents assigned to work out of state receive the Standard Plan at the Tier 2 level.