701 FEDERALLY FACILITATED MARKETPLACE (FFM) (MAM)

SR 15-03 Dated 01/15

Previous Policy

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The Federally Facilitated Marketplace (FFM), operated by the Centers for Medicare & Medicaid Services (CMS) in accordance with federal standards, is an online marketplace where individuals are able to purchase health insurance. Using the FFM, low and moderate-income people are able to obtain payment assistance to help them buy health insurance:

Some people may also be eligible for other health insurance subsidies, such as cost-sharing reductions (CSR) and premium tax credits. Substantial subsidies are available through the FFM for those at 100% - 400% of the FPL. Insurance premiums are on a sliding scale based on income.

Unless the employer coverage is unaffordable or insufficient, people with access to employer coverage cannot receive a subsidy through the FFM.

People can also use the FFM to apply for Medicaid.

Visit www.healthcare.gov for more information about the FFM.

References: 42 CFR 431.10-42 CFR 431.11