Are you in search of a healthcare plan within the Affordable Care Act Marketplace? Rest assured, we have you covered.
Freitag Family Agency specializes in assisting individuals and families in securing cost-effective, trustworthy coverage tailored to their specific needs. Furthermore, the newly enacted Inflation Reduction Act of 2022 has opened doors for many families to access coverage with reduced monthly premiums.
ACA plans, often known as Obamacare, are available on the Marketplace or Exchange. You can opt for an ACA plan instead of employer-sponsored or private coverage, even if you have pre-existing conditions. Moreover, many individuals receive tax credits and subsidies to lower their premium costs.
When it comes to health insurance, you've got choices.
What matters most is gaining a clear understanding of the available plan types, ensuring you select the one that aligns with your family's requirements. Two frequently encountered plan options include Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs).
HMO insurance plans require members to receive care from a specified network of medical providers, with coverage exclusively within this network. You'll designate a primary care physician responsible for coordinating all your healthcare, including specialist consultations. Typically, HMO plans come at a lower cost compared to PPO plans.
PPO insurance plans also employ networks but offer greater flexibility to members. You have the option to receive care outside the network, although it may involve higher costs. Unlike HMOs, you won't need to select a primary care physician or seek referrals to consult with specialists.
Your monthly premium is determined by your household income, which you'll provide details about when applying. During this process, you'll learn whether you qualify for premium tax credits. Additionally, your plan choice impacts deductibles, coinsurance, and copayments. Plans are categorized into metal tiers, with Platinum plans providing the highest coverage, followed by Gold, Silver, and Bronze options.
The Affordable Care Act features an annual open enrollment window from November 1 to January 15 in most states. Yet, numerous individuals may be eligible for a Qualifying Life Event (QLE). If you experience a significant life event like a job change, marriage, divorce, relocation, or the birth of a child, you can enroll in an ACA plan at any point throughout the year
We understand the Medicare enrollment process can be difficult to understand. This is why we strive to educate and empower our clients to make the best decisions for their health insurance coverage.