Learn How To Shop For A Variety Of Health Plans ...We understand comparing your health care options can be confusing. The good news is that we are here to help. Below you can learn how to compare a variety of choices that available to individuals and family's. Navigate to the bottom of each tab in the "links" section to explore companies and plans in your state.
Also known as the “Market Place” or even “ObamaCare”. Each state will either use Healthcare.gov or their specific state Market Place to allow consumers to shop for health insurance plans. It is typically recommended to use these types of plans if one is eligible for financial assistance through what is known as a subsidy or Advanced Premium Tax Credit. This financial assistance can not only lower the plan’s monthly premium, but it can also lower the plan’s out-of-pocket costs through what is known as cost sharing reduction.
On-exchange or off-exchange health insurance plans are recommended for those in need of coverage for pre-existing conditions. One will find that pre-existing conditions are not covered by most of the alternative options such as medical cost sharing and short term medical plans.
Market Place plans cannot be customized and are standardized by the Affordable Care Act. Therefore, when enrolling into these health insurance plans the only determinant of monthly price and coverage is based on age, tobacco usage, zip code, and any financial assistance through a subsidy.
Most Market Place plans throughout the country are HMO networks that offer in-state networks of doctors and hospitals only. Be sure that your doctor is in-network with the particular plan you choose.
Medical Cost Sharing
Also known by other names such as “HealthShare”, “Christian Ministry”, and “HealthShare Ministry” programs. This health care coverage is offered and administered by non-profit organizations and NOT insurance companies. Designed for healthier individuals and families, coverage through a HealthShare will typically save members 40-60% in annual healthcare costs. These plans can be customized and offer large national networks of doctors and hospitals across 50 states. Unlike traditional health insurance, this coverage is universal and offered the same state by state. Each particular HealthShare will function quite differently from one another and it is important to read through the “member guidelines” to understand those differences.
Short Term Medical
VShort term health insurance can provide a temporary solution to help fill gaps in coverage. Consider Short Term if you’re: between jobs, waiting for other coverage to begin, or waiting to be eligible for Medicare coverage. There are a variety of plans and companies to choose from and coverage will vary by state laws. Plans can be customized by deductible and coinsurance to fit any budget and need.
View STM Plans by state
Traditional Health Insurance
There are two places to purchase this type of coverage, which is known as “Off-exchange” or “On-exchange”. When a plan is purchased On-exchange it is done through the Market Place. When a plan is purchased Off-exchange it is done directly with the insurance carrier or through a broker. These plans cannot be customized, and vary by state, and by county. Depending on your zip code you may find more options available Off-exchange than what shows on the Market Place. Those offering outside the Market place (Off-exchange) are not eligible for financial assistance through a subsidy, but may include more choices and larger networks of doctors and hospitals.
View Off-exchange options by state
The video will explain how to navigate Explorehealthinsurance.com
Some helpful tips for purchasing health coverage include:
- Do not enter personal information into contact forms before applying.
- Health insurance company’s and plans that are offered vary by each county across the country.
- Health insurance rates are standardized and do not vary by website or where you purchase coverage.
- Use your state market place/exchange to get financial assistance through an advanced premium tax credit (Subsidy).
- Not eligble for financial assistance based on income? Consider medical cost sharing, direct primary care, and short term medical coverage to lower healthcare costs.
- Combining coverage between short term medical & direct primary care or medical cost sharing & direct primary can help to lower healthcare costs and create a unique comprehensive solution.
- Medical cost sharing and short term medical plans will often time have large national PPO networks of doctors and hospitals
- Typically when purchasing health insurance coverage only HMO plans will be available with in state networks of doctors and hospitals with few exceptions.