Types Of Individual Health Insurance

You have a choice of three primary plan types designed for individuals and families seeking coverage. Your options include:

* Affordable Care Act Plans (ACA, commonly referred to as Obamacare)

* Short-term plans

* Medical Indemnity plans

ACA Plans

These types of plans are designed to meet the standards set by ACA, and they're some of the most comprehensive options out there. They're required to cover essential health benefits for both individuals and families. You can get them as part of major medical health insurance plans, and you can also explore them through licensed brokers at Better Place Insurance Group. The great thing is, these plans offer a wide network of healthcare providers, making them accessible to almost everyone. They became even more popular after January 2014, when insurance companies were stopped from charging higher rates based on your medical history. This means you can't be turned away because of any pre-existing health conditions you might have.

Now, let's talk about the four main types of ACA Plans: HMOs, PPOs, EPOs, and POSs. And don't forget the Catastrophic plan, which is specially designed for folks under 30.

Even though these plans have their differences, they all guarantee coverage for these ten important things: emergency services, hospital stays, visits to doctors without being admitted, maternity and newborn care, prescription medications, help for mental health and substance use problems, care for kids including dental and eye checkups, services to prevent chronic diseases, and rehabilitation services.

Short Term Plans

These types of plans offer temporary coverage for individuals and families over a brief span. They often come with lower costs than Affordable Care Act plans (ACA), making them a practical choice for plugging coverage gaps without breaking the bank. Nevertheless, it's important to note that these plans offer fewer benefits compared to other individual health insurance options.

Medical Indemnity Plans

These types of plans offer flexible health insurance coverage. Unlike traditional plans with specific networks, you can see any doctor or specialist you prefer. After treatment, you submit a claim, and the plan reimburses you for a portion of the costs. This freedom is balanced with potentially higher premiums. They're great if you prioritize choice in healthcare providers. Just remember to understand the plan's terms and limitations before enrolling.

Are there certain times I can enroll?

For Affordable Care Act (ACA) or Obamacare plans, there are two enrollment periods: Open Enrollment and Special Enrollment. These types of individual and family healthcare plans are available to everyone. Open Enrollment occurs once a year, usually from November 1st to December 15th. If you miss this window, you might still qualify for Special Enrollment due to life events like marriage, divorce, relocation, and more. If you can't participate in Open Enrollment and don't qualify for Special Enrollment, don't worry. Schaner Financial can provide alternatives like short-term individual plans.

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We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800 MEDICARE to get information on all of your options.