Every health insurance plan available through the Marketplace offers comprehensive coverage â from doctor visits and prescriptions to hospital care. Youâll be able to compare plans easily based on:
Price
Benefits
Quality
Other important features
When you shop for coverage, all your costs and benefits are clearly laid out upfront. This transparency ensures you know exactly what you’re paying for and what youâre getting before you enroll.
â No discrimination based on health or gender
Insurance companies canât deny coverage or charge more if you have a chronic or pre-existing condition
They canât charge women more than men for the same plan
When you apply for coverage through the Marketplace, you’ll find out if you qualify for a premium tax credit to reduce your monthly insurance cost.
đĄ Your eligibility is based on your estimated household income for the year you apply.
These categories affect what you pay monthly and how much youâll pay when you get care:
| Category | Monthly Premium | Out-of-Pocket Costs | Who It’s Good For |
|---|---|---|---|
| Bronze | Lowest | Highest | Healthy individuals who want low monthly costs |
| Silver | Moderate | Moderate | Balanced option for most people |
| Gold | Higher | Lower | People who expect frequent medical care |
| Platinum | Highest | Lowest | Those who want peace of mind with minimal extra costs when receiving care |
For people under 30 or those with very low incomes, the Marketplace also offers catastrophic plans. These have low monthly premiums and very high deductibles â designed to protect you in worst-case scenarios.
Think about how you use your health care:
If you rarely see a doctor, a plan with a lower premium (like Bronze) may make sense.
If you need regular medical care or prescriptions, a plan with a higher premium but lower out-of-pocket costs (like Gold or Platinum) may be better in the long run.
đ General Rule of Thumb:
Lower premium = higher out-of-pocket costs
Higher premium = lower out-of-pocket costs
Need help picking the right plan? Weâre here to guide you through your options and find the best fit for your health and your budget. Reach out today!
This Medicare information section is here to educate you about your insurance options and provide you with the resources you need to help you select the right plan for your unique needs.
If there’s anything you need or if you have any questions, please feel free to contact us. We are here to help.