Although the majority of Americans ages 50 to 64 have health insurance coverage through an employer (group coverage) or a public program (such as Medicaid), 5.6 million (or 9 percent) purchase health insurance coverage on their own in the nongroup (or individual) health insurance market. The Affordable Care Act (ACA) of 2010 enacted significant improvements to health insurance offered in the nongroup market, including the establishment of health insurance marketplaces, financial assistance to help people afford premiums and cost sharing (e.g., deductibles, coinsurance, and copayments), and consumer protections to improve access to comprehensive coverage. Consumers can purchase nongroup coverage either on the health insurance marketplaces or outside of such marketplaces (often referred to as "off-Marketplace"). This fact sheet reports on characteristics of adults ages 50 to 64 in the nongroup market (both on and off the Marketplace), including the demographics and health status of older enrollees. A companion fact sheet reports on older adult enrollment and coverage trends in the nongroup market.
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