Marketplace insurance or Obamacare refers to health insurance plans available for purchase through government-run health insurance marketplaces, also known as health insurance exchanges. These marketplaces were established under the Affordable Care Act (ACA) to provide a platform where individuals and families can compare and purchase health insurance coverage.
Here are some key features of marketplace insurance:
Access to Subsidies
Marketplace insurance plans may be eligible for premium tax credits and cost-sharing reductions based on household income. These subsidies help make health insurance more affordable for individuals and families with lower incomes. And the best thing is as long as you tell
your agent the correct income, you don't have to pay any of it back.
Wilkes Agency always recommends
contacting your agent to inform them on any changes in your income.
Coverage Options
Marketplace insurance offers a range of coverage options, including different levels of coverage (bronze, silver, gold, and platinum) with varying premiums, deductibles, and out-of-pocket costs.
Essential Health Benefits
Marketplace insurance plans are required to cover essential health benefits, including preventive services, prescription drugs, maternity care, mental health services, and more. This ensures that consumers have access to comprehensive coverage. And all marketplace plans will cover any pre-existing conditions .
Guaranteed Issue
Marketplace insurance plans are available on a guaranteed issue basis, meaning that insurers cannot deny coverage or charge higher premiums based on pre-existing health conditions.
Open Enrollment Period
There is an annual open enrollment period during which individuals and families can enroll in or make changes to their marketplace insurance coverage. Outside of the open enrollment period, individuals may qualify for a special enrollment period.
Ways you can qualify for a special enrollment:
State-Based and Federally-Facilitated Marketplaces
Health insurance marketplaces can be operated by individual states, the federal government, or a combination of both. States have the option to run their own marketplace, partner with the federal government, or use the federal marketplace platform.
Navigator Assistance
Marketplaces provide assistance through trained navigators and certified application counselors who can help consumers understand their coverage options, determine eligibility for subsidies, and complete the enrollment process. Teresa is a registered Federal Facilitated Marketplace (FFM) broker agent .
Overall, marketplace insurance serves as a vital resource for individuals and families seeking affordable health insurance coverage. It provides a centralized platform for comparing plans, accessing financial assistance, and obtaining comprehensive coverage that meets their healthcare needs. If you are in need of health insurance , contact Teresa , our services are always free to you. Wilkes Agency is HIPPA compliant.