Each couple has their own coverage. Some workplaces will not let you cover your spouse on their plan if they can acquire their own coverage via their company. If that's the case, you'd have to get individual insurance for each of you. It is very important for couples to understand their health care options so they can make decisions that are right for them. It is not always easy because insurance companies do not want to pay out claims but instead put forth their arguments as to why they should not have to. The best way for a couple to make sure they're getting a fair deal is by using an attorney. If you cannot afford an attorney or your job does not offer any medical benefits, then at least look into some other options before making a decision about what will happen to your healthcare.