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prayer and spiritual support at the free clinic
The marketplace is not like Medicaid, there is a cost for premiums and copays and deductibles. However, the government can help reduce premium costs through tax credits. How much they will pay is based off of household size and income. The deductible amount and out-of-pocket maximum is also prorated based off of income and household size.

If individuals are offered insurance through their employer, except in special circumstances, they will not be eligible for tax credits. However, we at the clinic see patients who are self-employed, and the marketplace can be a viable option for them to get coverage.

We also see a number of immigrants who are not eligible to receive Medicaid or Medicare. They can sign up for marketplace. One of the populations this can be especially helpful for is the elderly who come to join their adult children here in the US. They never were employed here in the US, so they cannot get Medicare, but they can get a low cost marketplace plan.

If you come across a patient you feel may have questions or benefit from the marketplace, please let me know. I hope to be able to assist many patients with marketplace coverage and connect them to primary care.  Feel free to contact me at

News & Updates

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The public health emergency preventing people from loosing Medicaid coverage ends in spring 2023. While not everyone will lose coverage right away, Iowa is being open that they are heavily front-loading redeterminations.

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walk in someone else's shoes

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There are a myriad of challenges and experiences our patients have faced that I never will. I will never know what it is like to be held at gunpoint in an attempt to get me to join a guerrilla army on my way to school in the morning.

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