Health insurance is an important part of healthcare in the U.S., and there are two main types:

family health insurance and individual health insurance.

Family health insurance covers everyone in a family under one plan. It costs more than individual plans but is a good option if you need to cover multiple people.

Individual health insurance covers just one person. It's usually cheaper and works well if you only need coverage for yourself.

Choosing the right plan depends on your needs and budget. If you need to cover several people, a family plan is likely best. If you only need insurance for yourself, go for an individual plan. Always compare different plans and prices from different companies to get the best deal.

INDIVIDUAL AND FAMILY HEALTH INSURANCE SOLUTIONS

Affordable Care Act/Marketplace Plans

Individual /Family plans offered by various insurance companies, which comply with the regulations of the Affordable Care Act (ACA).

Short Term Medical Plans

Alternative coverage that is not regulated by the ACA/Marketplace plan can be significantly less expensive. Read more about
short-term insurance here!.

Indemnity Plan

Plans that reimburse you a limited amount when you need care

Faith-Based Sharing Plans

Religious based plans that share expenses among members

Concierge/Direct Primary Care Doctor Group

Membership to a specific primary care practice.

Coverage and notes

A family health insurance plan provides coverage for all family members under a shared sum insured, which is the total amount available to cover medical expenses. Any family member can use the insured amount when they need medical care.

Just like with an individual health plan, the insured amount in a family plan is not limited to one person, meaning it decreases with each claim made by any family member. However, if someone in the family has their own individual health plan, their insured amount stays intact even if others in the family use up the family plan's coverage.

Government Health Insurance Programs

Government health insurance programs such as:

* Medicare

* Medicaid

- Children’s Health Insurance Program (CHIP)

- The Veterans Health Administration or TRICARE for military personnel

- Your state, if it provides a health insurance plan

- Continuing employer coverage from your former employer, on a temporary basis under theConsolidated Omnibus Budget Reconciliation Act (COBRA)

For any questions about Family or Individual Health Insurance,

feel free to reach out!

Click Here

Healthcare Marketplace for America will help you with any health Insurance question you have.

Individual and Family Health Plan Guide

This guide will help compare differences between ACA compliant plans and Non-ACA plans. Non-ACA plans can save you a great deal of money and offer greater access to providers. Having said that, Non-ACA plans aren’t for everyone. If you have significant health issues and very specific needs you may need to stay in an ACA plan. Keep reading for more information.

Cost*– Those whose incomes are within the sweet spot can obtain sizable subsidies making their ACA plan little to no money.

What is a Non-ACA Plan?

Non-ACA Plan is a very generalized term that people use to describe anything that is not compliant with the ACA. The problem is that non-insurance plans get lumped in like faith-based cost-sharing plans which are not insurance. There are also a lot of new options from carriers that no one has ever heard of pushing plans that sound like the greatest thing since sliced bread. None of these have passed our sniff test and as a result, the only non-ACA plan that we recommend is Short Term Medical Insurance (STM).

Short Term Medical Insurance – STM

Due to recent changes in the law, these plans are now able to be purchased for 12-months at a time and up to 36-months in many states.

STM plans are low-cost alternatives to the expensive ACA options. They are 100% real health insurance with large PPO networks. There are many benefit levels available to suit all budgets. While these plans do not cover pre-existing conditions and typically offer very little in the way of prescription
coverage, they provide maximum premium savings and access to nationwide PPO networks which is something that simply can’t be found with ACA plans.

What About Prescriptions?

This depends on you and your present health condition. Healthcare Marketplace for America has partnered with GoodRx and we would be happy to send you a card if requested. Simply Email us for more information.

While STM plans typically don’t cover prescriptions (some actually do), for most healthy individuals this isn’t a concern. I personally take an expensive name-brand prescription that costs me $300 a month even with GoodRx, however, that said, I’m saving $1,100 a month by choosing STM over an ACA plan so for me it still makes perfect sense.

When comparing ACA and STM your prescription cost should be a factor. If paying cash for your prescriptions with GoodRx doesn’t net you any savings over an ACA plan, then you should be in an ACA plan.

What About Prescriptions?

A health care sharing ministry is an organization that facilitates sharing of health care costs among individuals and families who have common ethical or religious beliefs. A health care sharing ministry is not actual insurance, is not regulated by the Department of Insurance, does not use actuaries, does not accept the risk or make guarantees, and does not purchase reinsurance policies on behalf of its members.

While members of these plans are exempt from paying the tax penalty for not having health insurance, there is still a significant risk to these plans. Because these plans are not actual insurance and because
of the significant risk we do not endorse these plans.