Skip to main content

Marketplace Coverage Tools and Resources

The following tools and resources are intended to guide RWHAP managers, staff, and enrollment assisters as they engage, support, and enroll RWHAP clients in Marketplace health care coverage.

Eligibility and Enrollment

This is an easy-to-use tool intended to help RWHAP staff determine if a RWHAP client is eligible for Medicaid, Medicare, private or employer-sponsored insurance, or Marketplace coverage, depending on the client’s current coverage, income, and citizenship status, and other factors.

This resource provides guidance on conducting Account Tune-Ups to help make sure eligible clients are ready to enroll in health care coverage in the months leading up to Open Enrollment.

This resource provides an overview of Special Enrollment Periods (SEPs) for Marketplace coverage and lists the various events that can qualify clients for an SEP.

This tool guides clients through the steps to take if they don’t have health care coverage and how to enroll in Marketplace insurance.

Financial Help

Learn how Premium Tax Credits (PTCs) and Cost-Sharing Reductions (CSRs) can help Ryan White HIV/AIDS Program (RWHAP) clients pay for health insurance.

This resource helps Ryan White HIV/AIDS Program clients understand what they need to know about their health care coverage and taxes if they enrolled through the Health Insurance Marketplace.

Basics and Eligibility

Use this tool to help determine if a Ryan White HIV/AIDS Program client is eligible for Medicaid, Medicare, private or employer sponsored insurance, or Marketplace health care coverage.

Project