Marketplace Insurance

Let's get you covered

You deserve the peace of mind of knowing that you and your loved ones have the coverage you need

Do you need health insurance? 

Life comes at you fast. Make sure you and your loved ones are covered for any illiness or accident. The Marketplace is your one stop shop to find the best plan for you. There are many options to choose from and different levels of healthcare insurance you can purchase with the assistance of the government. There’s a lot of information to sort through, but this guide will cover everything you need to know. 

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What is open enrollment?

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Who qualifies? Am I eligible?

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What plans are available?

Open Enrollment

Open enrollment is a designated period during which individuals can enroll in or make changes to their health insurance plans. This period typically occurs annually and allows individuals to sign up for health coverage, switch plans, or make adjustments to their existing coverage. The importance of open enrollment lies in its role as a structured opportunity for individuals to review and modify their health insurance choices. It ensures that people have access to the coverage they need, facilitates adjustments based on changing healthcare needs or circumstances, and promotes a fair and organized system for managing health insurance enrollment on a regular basis. Missing the open enrollment period may limit one’s ability to make changes to their health insurance coverage until the next enrollment period, unless they qualify for special enrollment due to a qualifying life event.

2022 Open Enrollment Statistics
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Getting the help they deserve!

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Consumers Enrolled or Re-enrolled through the Marketplace

 

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Marketplace Consumers Received Cost-Sharing Reductions

 

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Chose the Gold Plan as their preferred coverage

 

Who is eligible?

Individuals and Families without Employer-Sponsored Coverage:

  • Those who do not have access to health insurance through their employer or other government programs like Medicaid or Medicare are eligible for Marketplace open enrollment

U.S. Citizens and Legal Residents:

  • U.S. citizens and individuals lawfully present in the country are eligible to enroll in Marketplace plans.

Qualified Immigrants:

  • Qualified immigrants, including refugees and individuals with certain visas or asylum status, are generally eligible for Marketplace coverage.

Income Eligibility:

  • While there is no specific income eligibility for enrolling in a Marketplace plan, individuals with low to moderate incomes may qualify for premium tax credits or subsidies to make health insurance more affordable.

What plans are available?

Bronze Plans:

  • Bronze plans typically have the lowest premiums but the highest out-of-pocket costs. They generally cover about 60% of the total average costs of covered benefits, leaving the insured responsible for the remaining 40%.

Silver Plans:

  • Silver plans offer a moderate balance between premiums and out-of-pocket costs. On average, they cover about 70% of the total costs of covered benefits, with the insured responsible for the remaining 30%. Silver plans are also eligible for cost-sharing reduction (CSR) subsidies for individuals with lower incomes.

Gold Plans:

  • Gold plans have higher premiums but lower out-of-pocket costs compared to Bronze and Silver plans. They typically cover about 80% of the total costs of covered benefits, leaving the insured responsible for the remaining 20%.

Platinum Plans:

  • Platinum plans have the highest premiums but the lowest out-of-pocket costs. They cover about 90% of the total costs of covered benefits, with the insured responsible for the remaining 10%. Platinum plans are designed for individuals who are willing to pay higher premiums in exchange for more comprehensive coverage.

Frequently Asked Questions