 [ Symptoms ] i have bile salt diarrhea after gallbladder surgery and very bad gerd are there any supplements that will help enzymes [ Disease ] no one is required to buy insurance on the exchanges but if you do not have some type of coverage you may have to pay a penalty if you have an insurance plan that offers the essential health benefits  you will not face a penalty for being uninsured if your income is sufficiently low about 9 000 for an individual you will not have to pay a penalty if you are currently uninsured i recommend looking at the options on the exchanges