Which of the following is NOT a way to obtain health coverage?

The correct answer identifies private insurance sales as not a way to obtain health coverage within the context of the question. Although private insurance is a common means for individuals to gain health coverage, it does not align with the ACA's mechanisms for obtaining insurance directly.

The Affordable Care Act itself mainly facilitates acquiring insurance through public programs or regulated marketplaces rather than private sales. Medicare, Medicaid, and Tri-Care are all structured health programs that provide coverage through government or mandated channels associated with specific groups of individuals, such as those over 65, low-income populations, or military personnel, respectively. These programs represent established routes for obtaining health insurance under the ACA framework.

In contrast, private insurance sales, while they can be part of the broader landscape of health coverage options, are not typically categorized as obtaining coverage promoted or structured directly under the ACA. Consequently, they do not represent a direct mechanism associated with the legislation itself for those looking to secure health coverage. Therefore, it is essential to understand that when discussing ways to obtain health coverage in the context of the ACA, it predominantly references programs and mechanisms directly linked to the act's provisions.