Health Insurance 101
Health Insurance
Health Insurance is available in a variety of formats. The Affordable Care Act remains the governing law and typically features plans offered through a healthcare exchange/marketplace. Commonly referred to as "Obamacare" or "ACA Plans", these health insurance plans are available to individuals and families. As of 2019, the financial penalty for not having insurance has been eliminated. However, many people qualify for government subsidies to help pay for the insurance premium which could make it a foolhardy decision to NOT obtain coverage.
Health Insurance Tax Credits / Subsidies
One of the major components of the ACA is the availability of financial assistance in the form of tax credits. Depending on your household size and income, you may qualify for a tax credit that can be applied towards your health insurance premium.
During the application process, we'll give you an estimated tax credit amount - if applicable.
Our agents can help you navigate through all your health insurance options. This includes helping you determine if you are eligible to apply today or if you have to wait for the Annual Enrollment Period. You may be able to purchase a plan on or off the official health insurance marketplace (also known as an "exchange"). If you are eligible for your state's Medicaid program then we will direct you as to how to apply for your coverage.
Essential Health Benefits
All ACA Plans Must Offer:
- Ambulatory Patient Services
- ER Services
- Hospitalization
- Maternity and Newborn Care
- Mental Health and Substance Use Disorder Services, including Behavioral Health Treatment
- Prescription Drugs
- Rehab Services
- Lab Services
- Preventative Wellness Services
- Pediatric Services, including Oral and Vision Care
Shopping Tips - Don't Forget!
Selecting the right plan for you may not be as simple as selecting the plan with the lowest premium amount. Don't forget to consider:
Hospital Options - does your plan cover your local hospital or preferred hospital(s) of choice?
Prescriptions - does your plan cover your medications and if so, what is the price?
Doctors - is your doctor covered by the plan as in-network, out-of-network, or at all?
Network versus Non-Network Cost Differences - what is the financial impact of going to a non-network provider?
We'll help you make sure that you
get it right and save time.
get it right and save time.
Attention: This website is operated by Insuringmyself.com LLC and is not the Health Insurance Marketplace website. In offering this website, Insuringmyself.com LLC is required to comply with all applicable federal laws, including the standards established under 45 CFR §155.220(c) and (d) and standards established under 45 CFR §155.260 to protect the privacy and security of personally identifiable information. This website may not display all data on Qualified Health Plans being offered in your state through the Health Insurance Marketplace website. To see all available data on Qualified Health Plan options in your state, go to the Health Insurance Marketplace website at www.healthcare.gov.