Health Insurance for Individuals and Families
Three ways to purchase health insurance after 2014
- Coverage through your employer, if available
- Buy a plan on your own with or without subsidies
- Go uninsured and be subject to tax penalty, unless exempt
Subsidies and credits for individuals
Those who don’t have access to affordable, minimum essential health coverage can buy a health plan from the exchange and get a credit or subsidy if they meet income requirements. Credits and subsidies help with the cost of premiums and out-of-pocket health care expenses.
- Income that qualify for lower costs
- 100% to 400% of federal poverty level
See if you qualify for lower costs on your health insurance
What do Marketplace plans cover?
There are Four levels of coverage on the exchanges and plans that are considered ACA compliant
Exchange plans will be offered in a tiered format. The tiers are named after metals: bronze, silver, gold and platinum. Each tier will have several plans to choose from and will include essential health benefits. Bronze plans will have the lowest monthly premium, but cost shares will be more when health care services are provided. Platinum plans will have the highest monthly premium, but cost shares will be less. All plans must include “essential health benefits” as defined by the health care reform law. Specifically, the plans must include items and services from at least these 10 categories of care:
- Ambulatory patient services
- Emergency services
- Hospitalization
- Maternity and newborn care
- Mental health and substance use disorder services, including behavioral health treatment
- Prescription drugs
- Rehabilitative and habilitative services and devices
- Laboratory services
- Preventive and wellness services and chronic disease management
- Pediatric services, including oral and vision care Pre-Existing Conditions
