Individual & Family Insurance

Find the Right ACA Health Plan

Buffer Insurance is an independent brokerage that helps individuals and families navigate the ACA Marketplace. We compare plans from all available carriers, help you maximize subsidies, and guide you through enrollment — at no cost to you.

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Metal Tiers Available
4 Levels
Bronze, Silver, Gold, Platinum
Licensed In
41 States
Nationwide ACA plan access
Cost to You
$0
We are paid by the carriers
The Basics

What Are ACA / Marketplace Plans?

The Affordable Care Act (ACA) created a health insurance marketplace where individuals and families can shop for coverage. All ACA plans are required to cover essential health benefits — including doctor visits, hospital stays, prescriptions, preventive care, maternity care, mental health services, and more — and cannot deny coverage or charge more based on pre-existing conditions.

Most people who do not have health insurance through an employer, Medicare, or Medicaid can purchase an ACA plan. Depending on your household income, you may qualify for premium tax credits that significantly reduce your monthly cost. Buffer helps you understand your options, estimate your subsidies, and enroll in the plan that fits your needs and budget.

Plan Categories

Metal Tiers Explained

ACA plans are grouped into four metal tiers. The tiers differ in how you and the plan share costs — not in the quality of care. Higher-tier plans have higher premiums but lower out-of-pocket costs when you use care.

Bronze

Lowest Premiums

Bronze plans cover about 60% of healthcare costs on average. You pay the lowest monthly premium but higher deductibles and copays when you need care. Best for healthy individuals who want protection against worst-case scenarios.

Avg. cost sharing: Plan pays 60%, you pay 40%
Best for: Healthy people, low utilizers, budget-conscious
Silver

Balanced Coverage

Silver plans cover about 70% of costs. They offer moderate premiums and moderate out-of-pocket costs. Silver is the only tier eligible for cost-sharing reductions (CSRs) if your income qualifies — making it the best value for many people.

Avg. cost sharing: Plan pays 70%, you pay 30%
Best for: Most people, especially subsidy-eligible households
Gold

Higher Coverage

Gold plans cover about 80% of costs. You pay higher premiums but benefit from lower deductibles and copays. A good choice if you use healthcare regularly — frequent doctor visits, ongoing prescriptions, or planned procedures.

Avg. cost sharing: Plan pays 80%, you pay 20%
Best for: Regular healthcare users, families with kids
Platinum

Highest Coverage

Platinum plans cover about 90% of costs. They have the highest premiums but the lowest out-of-pocket costs when you use care. Ideal for people who need frequent medical attention or want maximum predictability in their healthcare spending.

Avg. cost sharing: Plan pays 90%, you pay 10%
Best for: High utilizers, chronic conditions, planned surgeries
Financial Assistance

Subsidies & Financial Help

The ACA provides two types of financial assistance to help make health insurance affordable. Buffer helps you estimate your eligibility and maximize your savings at enrollment.

Premium Tax Credits

Monthly credits that reduce your health insurance premium. Based on household income relative to the federal poverty level (FPL). Under enhanced subsidies, anyone whose benchmark plan costs more than 8.5% of income can qualify — regardless of income level.

Cost-Sharing Reductions (CSRs)

Available only on Silver plans for households with income between 100% and 250% of FPL. CSRs lower your deductibles, copays, and out-of-pocket maximums — making a Silver plan function like a Gold or Platinum plan at a Silver price.

How Buffer Helps

We estimate your subsidy based on projected income, compare net premiums across all available plans, identify whether a Silver CSR plan is your best value, and help you apply your credits correctly at enrollment. You pay the same price as going direct — but with expert guidance.

Income Thresholds for 2026 (approximate)

Subsidy eligibility is based on your Modified Adjusted Gross Income (MAGI) relative to the Federal Poverty Level for your household size. Here are general guidelines:

Timing Matters

Enrollment Periods

You can only enroll in an ACA plan during specific windows. Missing these periods means you may have to wait until the next Open Enrollment — unless you qualify for a Special Enrollment Period.

Open Enrollment Period

The annual window when anyone can enroll in or change an ACA Marketplace plan. Coverage purchased during Open Enrollment typically begins January 1 (or February 1 for later sign-ups).

November 1 – January 15

Special Enrollment Period (SEP)

Triggered by a qualifying life event. You typically have 60 days from the event to enroll in a Marketplace plan outside of Open Enrollment.

60 days from qualifying event

Qualifying Life Events

Events that trigger a Special Enrollment Period include: losing job-based or other health coverage, getting married, having or adopting a baby, moving to a new state, and losing Medicaid or CHIP eligibility.

Varies by event type
The Buffer Difference

Why Use an Independent Broker

You can enroll in an ACA plan directly through HealthCare.gov or your state marketplace. But working with an independent broker like Buffer gives you expert guidance at no extra cost — and access to the same plans and prices.

Same Plans, Same Prices

The plans and premiums available through Buffer are identical to what you see on HealthCare.gov or your state exchange. Brokers cannot charge more — it is the same price whether you go direct or work with us.

Personalized Guidance

Choosing the cheapest premium is not always the smartest move. Buffer evaluates your doctors, medications, expected healthcare usage, and income to recommend the plan tier and carrier that minimizes your total cost — premiums plus out-of-pocket.

Year-Round Support

Buffer does not disappear after enrollment. Need to update your income estimate? Have a claims question? Experiencing a qualifying life event mid-year? We are available year-round, not just during Open Enrollment.

Truly Independent

Buffer is not captive to any single insurance carrier. We are licensed in 41 states and work with all major carriers on the Marketplace. Our recommendation is based on your needs — not on which carrier pays the highest commission.

Common Questions

ACA Health Plan FAQ

Straightforward answers to the questions we hear most about Marketplace plans, subsidies, and enrollment.

Who qualifies for ACA plans?
Most U.S. citizens and legal residents who are not incarcerated can enroll in ACA Marketplace plans. You qualify if you are not eligible for Medicare, and if your employer does not offer affordable coverage that meets minimum value standards. There is no income cap to purchase a plan, though subsidies are available based on household income.
What are subsidies and how do they work?
ACA subsidies are premium tax credits that reduce your monthly health insurance premium. They are based on your household income relative to the federal poverty level. If your income falls between 100% and 400% of the federal poverty level, you likely qualify — and under current enhanced subsidies, people above 400% FPL may also qualify if premiums exceed 8.5% of income. Buffer helps you estimate your subsidy and apply it at enrollment.
Can I keep my doctor with an ACA plan?
ACA plans use provider networks (HMO, PPO, or EPO). Whether your current doctor is in-network depends on the specific plan you choose. Before enrolling, Buffer helps you verify that your preferred doctors and hospitals are included in the plan's network so you can avoid unexpected out-of-network costs.
When can I enroll in an ACA plan?
The annual Open Enrollment Period typically runs from November 1 through January 15. Outside of Open Enrollment, you can enroll during a Special Enrollment Period if you experience a qualifying life event such as losing other coverage, getting married, having a baby, or moving to a new area.
What if I miss Open Enrollment?
If you miss Open Enrollment and do not have a qualifying life event, you generally cannot enroll in an ACA plan until the next Open Enrollment Period. However, certain events — like losing job-based coverage, getting married, having a baby, or moving — trigger a Special Enrollment Period that gives you 60 days to enroll. Buffer can help you determine if you qualify for a special enrollment.
Does Buffer charge a fee for ACA plan help?
No. Buffer Insurance is compensated by the insurance carriers, not by you. The premium you pay is the same whether you enroll through HealthCare.gov, a state marketplace, or work with Buffer. You get personalized guidance, plan comparison, and year-round support at no additional cost.
Can I get ACA plans outside the marketplace?
Yes, you can purchase ACA-compliant plans directly from insurance carriers (off-marketplace). These plans must meet all ACA requirements — essential health benefits, no pre-existing condition exclusions, and the same coverage rules. However, premium tax credit subsidies are only available through the official marketplace. Buffer can help you decide whether on-marketplace or off-marketplace enrollment is better for your situation.
What documents do I need to enroll?
To enroll in an ACA plan, you will typically need Social Security numbers for everyone in your household applying for coverage, immigration documents (if applicable), your most recent tax return or income information, employer coverage details (if offered), and information about any current health insurance. Buffer walks you through the process and helps you gather everything you need.
Taylor Turner
Your Advisor
Taylor Turner
Account Manager

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