To make it easier to determine my eligibility for help paying for health coverage for future years, I agree to allow the Marketplace to use income data, including information from tax returns, for the next 5 years (the maximum number of years allowed).
The Marketplace will send me a notice, let me make any changes, and I can opt-out at any time.
I know that I must tell the program I'll be enrolled in if the information I listed on this application changes.
I know I can make changes in my Marketplace account or by calling (888) 244 -1129
I understand that a change in my information could affect my eligibility for member(s) of my household.
100% Of the plans we offer cover 100% of preventative services with no deductible or co pay. Do you want the lowest priced best plan or a plan with specific Dr's or Prescriptions included?
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