Since the implementation of the Affordable Care Act (ACA or Obamacare) health insurance has gotten more complicated than ever. ACA plans must cover what the law mandates as the 10 essential health benefits (EHBs).
Like the difference in prices on a base model car and a fully optioned one, insurance companies had to increase premiums to cover these mandatory requirements. For many it has made the cost of maintaining health insurance unaffordable. For some it has provided an access to insurance not previously available. Included in the 10 EHBs is the requirement that available plans must accept all eligible applicants without regard to any pre-existing conditions at the same premium. Only admitted tobacco users pay a higher premium than non-tobacco users.
We can help consumers with any of the types of plans available. We do not charge a fee for this service as we receive compensation from the carriers. We have relationships with most of the major insurance carriers.
Premiums are regulated so whether you do it yourself or utilize the services of a licensed insurance professional your premiums costs are the same. The advantage of using the licensed insurance professional are experience and knowledge of all the options working for you.
Types of ACA Insurance
Obamacare (ACA) on Exchange or Marketplace
- Residents of Florida can obtain health insurance from the federal internet site at healthcare.gov. Plans offered vary by county and are available to all eligible residents during the annual open enrollment period or certain families that experience a qualifying life event (QLE). Lower income families may qualify for an advanced premium credit that can pay some or all of the premium.
ACA off Exchange or Marketplace
- Insurance plans that comply with ACA regulations offered directly to consumers from insurance companies. Only available during open enrollment or someone experiencing a QLE.
Exempt Plans and Short-Term Plans
- Plans that do not comply with all of the ACA mandates and typically ask health questions that can disqualify an applicant. Because these plans do not include all of the EHBs and can deny coverage based on a pre-existing condition the population is generally healthier. For that reason premiums are generally lower. Exempt plans may impose other requirements such as being available only to self employed individuals.
Dental and Vision
- Standalone plan designed to cover a specific service.