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4 Out Of 5 Of Our Customers Qualify For A $0 Premium Health Insurance Policy

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Do you feel insecure about your healthcare situation?

Unsure if you qualify for a $0 health insurance plan?

We can help you to find Marketplace health insurance as part of the Affordable Care Act

See if you Qualify

Carriers We Represent

... And Many More!

How It Works

Eligibility for a complimentary health plan is based on household income.

If your income falls within the blue bracket, you qualify.

Don't wait, submit the form below and find out!

Family Size

100%

150%

200%

400%

$14,580

$21,870

$29,160

$58,320

$19,720

$29,580

$39,440

$78,880

$24,860

$37,290

$49,720

$99,440

$30,000

$45,000

$60,000

$120,000

$35,140

$52,710

$70,280

$140,560

0%COMPLETED

Are you currently employed?

Or Call (888) 201-6422

What’s the Name of Your Employer?

Or Call (888) 201-6422

Do you have insurance through your employer, Medicare or VA?

No
Yes, I have insurance from my employer
Yes, I have insurance from Medicare
Yes, I have insurance from the VA

Or Call (888) 201-6422

What’s your name?

What’s your zip code?

What’s your sex?

Male
Female

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Mobile or home phone number.

It will be kept private, and secure

What’s the Social Security Number of the main applicant?

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What’s your email?

Used to send you a copy of your quotes, and helps us help you more.

What’s the main applicant’s date of birth?

Do you have a spouse you’d like to include in your plan?

What’s your spouse’s name?

What’s your spouse’s date of birth?

Or Call (888) 201-6422

What’s the Social Security Number of your spouse?

Or Call (888) 201-6422

How many people need coverage?

Or Call (888) 201-6422

What’s your expected household income per month?

Please be accurate—income will be verified by Healthcare.gov

Or Call (888) 201-6422

Please review your information

You attest that your estimated income for 2023 will be at least the Federal Poverty Limit for your state and household requirements . You agree to notify us as soon as you become aware of any changes to expected income per month that you provided above. Failure to notify us of any changes may result in your eligibility being affected.

In some cases, it may be necessary to verify your income. If income verification is required in order to complete your enrollment, do you authorize Health Care Market Quotes to submit an income attestation letter on your behalf with the information that you have provided?

Consent to Enrollment; Verification of Information *

By Checking This Box I Hereby Provide Consent and authorization To Health Care Market Quotes To Enroll Me And/Or My Family In A Health Insurance Plan Through The ACA Marketplace. If I Already Have A Plan, I Request That Health Care Market Quotes And Its Agents Become My Agent Of Record And Switch Me To A Better Plan If One Is Available. This consent will remain in effect unless and until rescinded by you in writing by emailing support@healthcaremarketquotes.com

Appointment of Health Care Market Quotes as Authorized Representative / Power of Attorney:

DISCLOSURES REGARDING LIMITED POWER OF ATTORNEY

The following limited power of attorney authorizes Health Care Market Quotes to make decisions concerning your health insurance. This limited power of attorney does not authorize Health Care Market Quotes or any other person to make decisions about your medical care.

The following limited power of attorney becomes effective immediately upon signing. If Health Care Market Quotes is unable or unwilling to act for you after you sign the limited power of attorney, we will notify you and this power of attorney will end.

Please review the limited power of attorney carefully. If you have questions about the power of attorney or the authority you are granting to Health Care Market Quotes you should seek legal advice before signing this form.

FORM OF LIMITED POWER OF ATTORNEY

I grant Health Care Market Quotes limited authority to take any and all actions to select, procure, and maintain health insurance for myself and any dependents though the Federally-Facilitated Marketplace ("FFM"), including, but not limited to the following actions:

Select a health plan for me;
Apply for and enroll me (and any dependents) in the selected health plan;
Add or remove coverage;
Create or change a beneficiary or dependent designation;
Update contact information for me and any dependents or beneficiaries;
Update information relevant to eligibility for subsidies for the health insurance;
Submit supplemental materials to a health insurance marketplace or exchange, including, but not limited to, proof of income and social security numbers;
Keep my health insurance in-force by renewing coverage from time to time;
Change the health plan at renewal if a better plan is available; and
Take any other action with regard to such health insurance as permitted by law.

The authority granted to Health Care Market Quotes hereunder will cease upon my death, incapacity, or if I revoke the power of attorney in writing to Health Care Market Quotes

Any person, including, without limitation, Health Care Market Quotes, any web-broker through which Health Care Market Quotes may submit an application for insurance on my behalf, and the FFM, may rely upon the validity of this limited power of attorney or a copy of it unless that person knows it has been terminated.

Acknowledgements

            ADDITIONAL AGREEMENTS:   Please read the attestations below and sign if you agree.   Use of Personal Information:   I consent to the use and disclosure by Health Care Market Quotes of (a)  the personal information I have provided about myself and others in the questionnaire above, and (b) any  other personal information about myself or the other individuals listed above which may be obtained by Health Care Market Quotes from government data sources, for purposes of applying for health insurance coverage through the Federally Facilitated Exchange (the “Marketplace”) and for any other purposes disclosed in Health Care Market Quotes’s Privacy Policy.   I agree to this websites Privacy Policy (https://www.healthcaremarketquotes.com/pages/privacypolicy.html) and Terms of Use  (https://www.healthcaremarketquotes.com/pages/termsofservice.html).   If you have questions about our Privacy Policy, please contact us at support@healthcaremarketquotes.com. California residents exercising their “right to know” or “right to deletion” can contact us at support@healthcaremarketquotes.com. Each request is subject to verification. California and Nevada residents exercising the right to opt out of the sale of their data should access our Do Not Sell My Info form here. For more information regarding these privacy matters, please refer to our Privacy Policy.     Eligibility:   I understand that I’m required to provide true and complete answers to the questions posed above and that I may be asked to provide additional information, including proof of my eligibility for a Special Enrollment Period if I qualify. If the information provided by me is not true and complete I may face penalties, including the risk of losing my eligibility for coverage.   I know that I must inform [Health Care Market Quotes] if information I have provided changes. I understand that I can update my information in my Marketplace account or by contacting Health Care Market Quotes at 18882016422. I know a change in my information could affect eligibility for member(s) of my household. I understand that if anyone I identified above as needing coverage  is enrolled in Marketplace coverage and is later found to have other qualifying health coverage (like Medicare, Medicaid, or CHIP), the Marketplace will automatically end their Marketplace plan coverage. This will help make sure that anyone who’s found to have other qualifying coverage won’t stay enrolled in Marketplace coverage and have to pay full cost.   Renewal of Coverage:   To make it easier to determine my eligibility for help paying for coverage in future years, I agree to allow the Marketplace to use my income data, including information from tax returns, for the next 5 years. The Marketplace will send me a notice, let me make any changes, and I can opt out at any time.   Tax Attestation:   I understand that I’m not eligible for a premium tax credit if I’m found eligible for other qualifying health coverage, like Medicaid, the Children’s Health Insurance Program (CHIP), or a job-based health plan. I also understand that if I become eligible for other qualifying health coverage, I must contact the Marketplace to end my Marketplace coverage and premium tax credit. If I don’t, the person who files taxes in my household may need to pay back my premium tax credit. I understand that because the premium tax credit will be paid on my behalf to reduce the cost of health coverage for myself and/or my dependents: I must file a federal income tax return for the 2023 tax year.   If I’m married at the end of 2023, I must file a joint income tax return with my spouse. I also expect that: No one else will be able to claim me as a dependent on their 2023 federal income tax return. I’ll claim a personal exemption deduction on my 2023 federal income tax return for any individual listed on this application as my dependent who is enrolled in coverage through this Marketplace, and whose premium for coverage is paid in whole or in part by advance payments of the premium tax credit.   IF ANY OF THE ABOVE CHANGES I understand that it may impact my ability to get the premium tax credit. I also understand that when I file my 2023 federal income tax return, the Internal Revenue Service (IRS) will compare the income on my tax return with the income on my application. I understand that if the income on my tax return is lower than the amount of income on my application, I may be eligible to get an additional premium tax credit amount. On the other hand, if the income on my tax return is higher than the amount of income on my application, I may owe additional federal income tax.   I understand the foregoing does not constitute tax advice provided by Health Care Market Quotes to me, and that should I have any questions regarding any tax credits for which I may be eligible, my tax returns, or any other related tax matters I should consult a qualified tax advisor prior to enrolling in health insurance coverage provided via the Marketplace.   Electronic Signatures and Communications:   I consent to the use of an electronic signature to sign all forms presented to me by Health Care Market Quotes during the health insurance enrollment process, including, without limitation, to sign this form   below,  unless and until I withdraw my consent to the use of electronic signatures by providing notice to the address below.  I agree that this consent is effective on the date that I affix my signature below.   By signing below, I agree to be legally bound as if I had signed this form and other documents with a handwritten signature, and I acknowledge that I have reviewed and agree to the above terms and conditions.   By signing below I am providing my express written consent to receive emails, telephone calls, text messages, and artificial or pre-recorded messages from Health Care Market Quotes regarding this form and any health insurance coverage applied for on my behalf by Health Care Market Quotes   (2) I understand that at this time I have not yet applied for Federally Facilitated Exchange health insurance, and that Health Care Market Quotes will be using the information and consents I provide herein to fill out, sign on my behalf, and submit the Federally Facilitated Exchange application.  If you have any questions, please contact Health Care Market Quotes at support@healthcaremarketquotes.com.   This form is used to help to find insurance for you and your family. The information provided must be accurate for the subsidies to be accurate. Failure to provide the correct information could result in claims being invalidated or the termination of your insurance policy. By submitting an application, you confirm that the information is accurate to the best of your knowledge.

By checking this box I provide my express consent to Health Care Market Quotes and grant Health Care Market Quotes and/or its agents a limited power of attorney to enroll me in a health insurance plan and to automatically enroll me in a plan at renewal.

I hereby signify my agreement with the foregoing by signing below *

Or Call (888) 201-6422

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4 Out Of 5 Of Our Customers Qualify For A $0 Premium Health Insurance Policy

Carriers We Represent

How It Works

See If You Qualify:

Are you currently employed?

What’s the Name of Your Employer?

Do you have insurance through your employer, Medicare or VA?

What’s your name?

What’s your street address?

What’s your city?

What’s your state?

What’s your zip code?

What’s your sex?

Mobile or home phone number.

What’s the Social Security Number of the main applicant?

What’s your email?

What’s the main applicant’s date of birth?

Do you have a spouse you’d like to include in your plan?

What’s your spouse’s name?

What’s your spouse’s date of birth?

What’s the Social Security Number of your spouse?

How many people need coverage?

What’s your expected household income per month?

Please review your information

Your personalized quote is being processed