If youâre about to click a âfind your Obamacare planâ ad this weekend, slow down. The site behind it may sell you something that isnât health insurance at all, and you wonât find out until a hospital bill shows up.
Open enrollment for 2027 coverage starts Sunday, November 1. On October 29, FTC staff mailed warning letters to 25 companies that market health plans or sell leads to the people who do. The message: stop dressing up lesser products as the real thing.
What the FTC keeps seeing
The letters spell out the pattern. Ads that misstate what a plan covers. Ads that call a product âmajor or comprehensive medical health insuranceâ when it isnât. Ads that fudge the price. And ads promising âfree offers, cash rewards, rebates, or other incentivesâ for signing up.
The products being passed off are mostly limited benefit plans and medical discount programs. A discount program gets you a lower price from participating providers. It doesnât pay your bill. A limited benefit plan pays out, but only up to its limits.
Hereâs how the game works up close. In January, the FTC got a federal court to halt a group of sellers led by Top Healthcare Options Insurance Agency. According to the FTC, their websites promoted âAffordable Care Act Plans,â âObamacare Health Insurance Carriersâ and â2024 Obama Care Plans.â The sites collected contact information for telemarketers, and what got sold, the FTC alleges, were limited benefit plans and discount memberships that left buyers âexposed to thousands of dollars of out-of-pocket medical expenses.â
This is a rerun. FTC staff sent 21 similar letters during open enrollment in December 2024. The industry got the memo then, too.
The math that matters
A real marketplace plan has a ceiling on your losses. For 2027, the most a plan can make you pay for covered in-network care is $12,000 for one person and $24,000 for a family, per CMS. Thatâs a rough year. But itâs a known rough year, and it ends.
The look-alikes have a ceiling too. It sits on what the plan pays, not on what you pay. Everything past it is yours.
So a cheaper monthly number on a plan that wonât cover the big bill isnât savings. Itâs a bet that you wonât get sick.
Verdict: if an ad wonât say plainly that itâs selling a marketplace plan, itâs selling something else.
Do this before you buy anything
Start at HealthCare.gov or call the Marketplace at 1-800-318-2596. Thatâs the FTCâs own advice, and itâs the official front door.
If you came in through an ad or a call, ask one question before you hand over a card number: âIs this a Marketplace plan with an out-of-pocket maximum?â Anything short of a plain yes, hang up.
Hang up on robocalls, period. A prerecorded call pitching health insurance is illegal under the Telemarketing Sales Rule, as the FTC reminds marketers in the letter. Report it, and any ad that lied to you, at ReportFraud.ftc.gov.
Mind the calendar. Enroll by December 15 for coverage that starts January 1. Open enrollment closes January 15. Our open enrollment guide covers every window, and the budget planner shows what a real premium does to your month.
The detail
A warning letter isnât a verdict. The FTC says the letters donât reflect a conclusion that any recipient broke the law, and it didnât name the 25. It did spell out the stakes: civil penalties of up to $53,088 per violation, with each call, ad or misrepresentation potentially counting separately.
The letters also list past cases, including a 2024 judgment of $195 million against Simple Health Plans and its lead generators and telemarketers, and $100 million in consumer redress from Benefytt Technologies in 2022.
Shopping harder because of price? Read whatâs driving 2027 premiums, and log in to check your own account after CMS canceled coverage for more than 760,000 people in its broker crackdown.
How Candid Yak makes money. Some of the products we write about pay us if you apply or sign up through our links. That never changes our verdict, our rankings, or the numbers in this article. We call a bad deal a bad deal whether it pays us or not. Some brands shown in our comparison tools are placeholder examples while we finalize partner agreements, and we label them as such.
Sources
- FTC Staff Warn Marketers of Healthcare Plans and Lead Generators Not to Deceive Consumers about the Terms of the Advertised Plans (FTC, October 29, 2026)
- Warning letter template: Deceptive or Unfair Acts or Practices Relating to the Marketing, Advertising, and Lead Generation of Healthcare-Related Products (FTC Division of Marketing Practices)
- Seeing lots of ads for health insurance plans during open enrollment? Read this (FTC Consumer Alert, October 29, 2026)
- At FTC's Request, Court Halts Operations of Deceptive Health Care Telemarketers (FTC, January 23, 2026)
- FTC warns healthcare marketers about deceptive claims (Healthcare Dive, December 10, 2024)
- Premium Adjustment Percentage, Maximum Annual Limitation on Cost Sharing and related parameters for the 2027 Benefit Year (CMS, January 29, 2026)
- When can you get health insurance? Dates and deadlines (HealthCare.gov)