What documents are required for US citizens to apply for ACA?

Checked on February 3, 2026
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Executive summary

Applying for coverage through the Affordable Care Act (Marketplace) requires proof of identity, U.S. citizenship (or lawful status), and information used to determine eligibility and subsidies; many applicants are verified electronically but may be asked to submit documents if electronic checks fail (HealthCare.gov) . U.S. citizens typically have citizenship verified through the Social Security Administration using their Social Security number, but naturalized citizens often must provide their certificate of naturalization or citizenship when SSA records are outdated (NILC/HealthCare.gov) .

1. What the question is actually about — identity vs. eligibility

The practical question behind “what documents are required” separates two things: first, proving one is eligible to use the Marketplace (a U.S. citizen, national, or lawfully present person and not incarcerated) and second, supplying the paperwork the Marketplace uses to verify identity, citizenship/immigration status, household composition, and income for subsidies (HealthCare.gov; USA.gov) .

2. Citizenship documents — how U.S. citizenship is verified and when paper is needed

For most U.S. citizens, the Marketplace attempts to verify citizenship electronically via the Social Security Administration using the applicant’s Social Security number; if that electronic check fails, applicants will be asked to submit documentation such as a certificate of naturalization or citizenship — documents NILC highlights as commonly required for naturalized citizens whose SSA records are out of date (NILC; HealthCare.gov) . HealthCare.gov’s verification guidance is the authoritative source for the full list of acceptable documents and alternative proof options when electronic matches do not succeed .

3. Social Security number, income and other verification paperwork

The Marketplace uses the Social Security number to confirm identity and citizenship when possible, and it also uses tax and income information to determine premium tax credit eligibility; applicants should expect to provide Social Security numbers and documentation of household income if asked — the exchanges rely heavily on electronic data matches but will request documents when necessary (NILC; HealthCare.gov) .

4. Timing, deadlines and the verification process

If asked to verify citizenship or immigration status, applicants typically have 95 days to submit requested documents before coverage or subsidies could be affected; Marketplace exchanges are required to run electronic checks first but must accept submitted documents when those checks don’t resolve the issue (HealthCare.gov; healthinsurance.org reporting) . Open enrollment windows and special enrollment rules determine when the verification can affect coverage start dates, and state exceptions to enrollment timing may also matter (healthinsurance.org) .

5. Mixed‑status families and noncitizen documentation — the alternative viewpoint

Families with mixed immigration status should expect different document requests for different household members: U.S. citizen members will generally be verified by SSA, while noncitizen household members are verified through USCIS records (SAVE) and may need USCIS numbers or A‑numbers from immigration documents; advocacy groups note this bifurcated process and warn naturalized citizens and lawfully present immigrants to keep original immigration or naturalization records handy (NILC; healthinsurance.org) .

6. Where to find the definitive list and final takeaway

HealthCare.gov’s “Documents and Deadlines” and the Marketplace eligibility pages provide the definitive, state‑specific lists of acceptable documents and timelines; applicants should consult those pages for the exact documents the exchange will accept and follow instructions if an electronic verification fails (HealthCare.gov; USA.gov) . Reporting and legal guides reiterate that while many applicants will face only electronic checks, those who do need to submit paperwork typically must show evidence such as naturalization certificates or other identity and income documents, with a strict 95‑day window to respond .

Want to dive deeper?
What specific documents does HealthCare.gov list as acceptable proof of U.S. citizenship for Marketplace verification?
How does the SAVE system verify immigration status for Marketplace applicants and what documents does it use?
What happens if a naturalized citizen’s Social Security record doesn't match Marketplace records and how can it be corrected?