A lot has changed in health plans since the introduction of “Obamacare”, a new law regulating health insurance. The extended scope of covered benefits, government subsidies and specific time periods when you can buy health insurance, are just a few important changes.
Health Insurance Open Enrollment
Individual and Obamacare!
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Health Plans with the government subsidy. Insurance premiums are lowered by the subsidy, mostly based on your income.
Health Plans without premium tax credit from the government. There is no need to provide income information.
Health Insurance Plans for a limited time period. The insurance coverage may be denied due to pre-existing conditions.
Did you know?
Affordable Care Act, also known as Obamacare lowers healthcare costs and insurance premiums. It is not a health insurance plan like Medicare or Medicaid. All the benefits of Obamacare are attached to insurance plans issued by private insurance companies.
Health Insurance Rates
Here are sample health insurance premiums
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Premium Tax Credit
Also, know as a subsidy, the Premium Tax Credit may lower your health insurance premium. Eligibility is mostly based on your household size and income.
|Household Size||Min. – Max. Income|
|1||$18,755 – depends**|
|2||$25,269 – depends**|
|3||$31,782 – depends**|
|4||$38,296 – depends**|
|5||$44,810 – depends**|
|6||$51,323 – depends**|
|7*||$57,837 – depends**|
*for each person over 7 add $6,513.
** maximum income depends on your age and county.
If your income is above the maximum, you don’t qualify for the subsidy. If your income is below the minimum, you may be eligible for Medicaid.
Frequently Asked Questions
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How does health insurance work? What is the difference between deductible and coinsurance?
What do new "Obamacare" health insurance plans cover?
They cover 10 Basic Essential Health Benefits.
- Ambulatory patient services
- Emergency services
- Maternity and newborn care
- Mental health and substance use disorder services, including behavioral health treatment
- Prescription drugs
- Rehabilitative and habilitative services and devices
- Laboratory services
- Preventive and wellness services and chronic disease management
- Pediatric services, including oral and vision care
What health insurance subsidies are available?
There are two types of subsidies: Premium Tax Credit and Cost-Sharing Reduction. To learn more go to Health Insurance Subsidy.
Before you choose a health insurance plan, it is essential to make sure your doctor is in your plan’s network. Costs of medical services obtained out-of-network, in most situations, are not covered.
To find a doctor in a specific plan check out our
Also, it is important to make sure how health insurance plans pay for medications. With some plans, you will pay fixed copayments for your medications, for example, $10, but with others, you will have to pay the full price until you meet your deductible.
Have a difficulty understanding health insurance claim forms? You are not sure whether your insurance company covered the costs of treatment as it should have? We are here to help you with these and other questions.
Speak with a licensed insurance broker or get insurance quotes online