FAQs

  • Open Enrollment primarily applies to ACA Marketplace (Obamacare) plans. Many private insurance options may be available year-round, depending on the plan, carrier availability, and your eligibility.

  • Usually much less than people expect. Depending on your age, health, location, and the type of plan you qualify for, private options can sometimes be significantly more affordable than Marketplace plans (especially if you do not qualify for a subsidy).

  • ACA / Obamacare (Marketplace Plans)
    ACA plans are major medical coverage, and you cannot be denied based on pre-existing conditions. They are often most affordable when you qualify for a government subsidy. Without a subsidy, premiums can be much higher.

    Employer Plans
    Employer coverage can be an excellent option — especially for the employee. In many cases, employers contribute toward the employee’s premium, but dependents (spouse/children) may cost much more to add, since the family portion is often less subsidized or not subsidized at all.

    Private Insurance
    Private plans are often health-based, which means there is typically an application and underwriting process, and not everyone may qualify. For healthy individuals and families who do qualify, private options can sometimes offer lower premiums and strong coverage structures compared to other options.

  • Not necessarily. Many plans do not require a long-term contract commitment, and plan terms vary by carrier and product. You keep coverage as long as you remain eligible, continue paying premiums, and the plan remains active under its terms.

  • Many private plans offer broad provider access, including nationwide PPO-style networks. Coverage always depends on the specific plan and network, but some options do provide coverage flexibility both on and off the job.

  • ACA / Marketplace plans are generally priced based on factors like age, location, tobacco use, and plan level, with subsidies based on household income.
    Private plans are often priced based on health, age, location, and the benefits/plan design selected.

    In many cases, the main ways to lower a premium are to adjust benefits or choose a different plan structure — unfortunately, I can’t reverse age (yet)!

  • Yes — I can also help guide you with health/medical, dental, vision, life, supplemental coverage, critical illness, and income protection (short-term disability), and I’m happy to point you in the right direction based on what you need.