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Affordable Health Insurance for Individuals and Families

Health Insurance Marketplace®

Sometimes referred to as "Affordable Care Act (ACA)/ ObamaCare" is a service designed and ran by the federal government to create an affordable health insurance option accessible for to individuals, families, and small businesses. Insurance plans cover medical expenses, including preventive care, emergency services, prescriptions, and mental health services. At Hercules Health Solutions, we partner with all of the major companies, offering insurance options that cater to your specific healthcare needs.  The marketplace gives you the opportunity to: 

  1. Compare health insurance plans for coverage and affordability.

  2. Enroll in or change a health insurance plan.

  3. Find out about tax credits for private insurance or health programs like Medicaid or the Children’s Health Insurance Program (CHIP).

  4. Get answers to questions about health care insurance.

 

What do Marketplace Insurance Plans cover?

  • ​Preventive Care: ACA insurance covers preventive care, including vaccinations, cancer screening, and other tests.

  • Emergency Services: It covers any medical emergencies, ambulance rides, and emergency room visits. 

  • Prescription Drugs: ACA insurance covers the costs of prescription drugs for different medical conditions.

  • Mental Health Services: This covers mental illness treatments such as therapy or counseling.  

  • Prenatal and Maternity Care: This covers care needed during and post pregnancy.

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The ACA may offer you and your family the most affordable coverage.  Based on several factors you may qualify for a subsidized premium.  Marketplace plans offer protection against medical debt.  Because it covers the majority of major medical expenses, you will be protected from unmanageable debt due to treatment costs. ​​​

How to choose a Marketplace Insurance Plan

How to choose a Marketplace Insurance Plan

Choosing a health insurance plan can be complicated. Knowing just a few things before you compare plans can make it simpler.

 

There are 4 categories of health insurance plans: Bronze, Silver, Gold, and Platinum. These categories show how you and your plan share costs. Plan categories have nothing to do with quality of care.

 

It's important to consider all the costs when comparing the costs of different plans. In addition to your monthly premiums also look at your out-of-pocket costs such as deductibles and co-pays.

 

Choose a network type that works best for you - HMO, PPO, POS, and EPO. There differences in these plans have to do with which doctors and health care facilities are covered under the plan. Some plans may let you go wherever you want and others limit your choices or charge you more if you use providers outside their network.

When can you enroll in a Marketplace Insurance Plan?

November 1: Open Enrollment starts — first day you can enroll, renew, or change health plans through the Marketplace for the upcoming year. Coverage can start as soon as January 1.

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December 15: Last day to enroll in or change plans for coverage to start January 1.

 

January 1: Coverage starts for those who enroll in or change plans by December 15 and pay their first premium.

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January 15: Open Enrollment ends — last day to enroll in or change Marketplace health plans for the year. After this date, you can enroll in or change plans only if you qualify for a Special Enrollment Period.

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February 1: Coverage starts for those who enroll in or change plans December 16 through January 15 and pay their first premium.

At Hercules Health Solutions, we are committed to helping individuals and families find the right insurance plan meeting their specific health needs while being cost-effective. Contact us to speak with one of our experienced agents and receive a free, personalized insurance quote. 

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Hercules Health Solutions and it’s agents are not connected with or endorsed by the U.S. Government or the Federal Medicare Program.

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