Free Assistance* from Licensed Agents
Marketplace America.org Health Insurance

How to Choose the Best Health Insurance Plan

Confused about health insurance? Learn to pick the perfect plan for your needs and budget. Expert tips to demystify the process.

Choose the best health insurance plan
Topics Covered

With the subsidies provided through the Affordable Care Act finding ways to save money on health plans has come easier than ever. However, with the wide array of plans available, it can still be difficult to determine which one is best for you and your family.

The first step in choosing a health insurance plan is knowing how much you, but when it comes to comparing marketplace plans, there are a lot of factors to consider. You want to make sure that you’re getting the coverage you need at a price you can afford. But with so many plans out there, how do you know which one is right for you?

Here are a few things to keep in mind when shopping for health insurance:

Know What You Need for the Health Insurance Marketplace

Before you start shopping for a marketplace plan, it’s important to know what kind of coverage you need. Take a look at your current healthcare needs and be sure to factor in any future needs you may have. If you’re planning on starting a family, you’ll want to make sure your plan covers maternity care. Some family plans offer fertility treatments. If you have a chronic condition, you’ll want to make sure your plan covers your necessary medical care, and prescription drugs, and allows you to maintain your primary doctor.

The 4 “metal” Categories of Plans

All health insurance plans offered through the marketplace are categorized into one of four “metal” tiers: the bronze plan, the silver plan, the gold plan, and the platinum plan.

The metal tier you choose will affect how much you pay in premiums (the monthly payments you make to your insurance company) and out-of-pocket costs (such as deductibles, copayments, and coinsurance).

In general, bronze plans have the lowest premiums and the highest out-of-pocket costs. Platinum plans have the highest premiums and the lowest out-of-pocket costs.

Plan and Network Types

When you’re shopping for health insurance, you’ll also need to decide between a managed care plan or a fee-for-service plan. Managed care plans, such as Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs), typically have lower premiums but higher out-of-pocket costs. Fee-for-service plans, on the other hand, have higher premiums but lower out-of-pocket costs.

You’ll also want to make sure you’re choosing a plan that includes the doctors and hospitals you prefer in its network. An HMO network is typically smaller than a PPO, which means you’ll have less choice in terms of doctors and hospitals.

Consider Your Budget

Health insurance plans can vary greatly in price. Be sure to shop around and compare prices before you choose a plan. Keep in mind that the cheapest plan may not always be the best value. The most affordable health insurance may have higher monthly premiums but lower deductibles. Make sure you understand what your plan covers and what it doesn’t before you make your final decision. Plans with a lower deductible have higher other costs like the plan’s premium

Account for Out-of-Pocket Costs

In addition to your monthly premium, you’ll also have to pay out-of-pocket medical costs when you receive care. These costs can include things like deductibles, copayments, and coinsurance. Make sure you understand how much you’ll have to pay for each service before you choose a plan. The overall cost may be greater

Get Help if You Need It

If you’re having trouble finding a plan that’s right for you, there are plenty of resources available to help. You can contact your state’s marketplace or visit healthcare.gov for more information. You can also speak with a licensed insurance agent or broker who can help you compare options and find the one that’s best for you. Licensed agents are familiar with the various health plans, family plans,

When you’re comparing plans, be sure to read the fine print. Some plans may have hidden costs or exclusions that you’re not aware of. It’s important to understand exactly what you’re getting with your plan before you enroll. Make sure your health coverage will provide the necessary prescription drugs, primary care physician,

The bottom line is that there’s no one-size-fits-all answer when it comes to choosing a health insurance plan. What works for one person may not be the best option for another. The important thing is to take the time to understand your needs and find a plan that meets them. With so many plans available, you’re sure to find one that’s right for you.

For complete details please visit https://www.healthcare.gov/

Answering Your Insurance Plan Questions

Should I Buy Health Insurance Through Agent or Online?

Buying insurance through an agent is always preferable as the agent can help you understand various plans and can also offer guidance on which one would be the best for you depending on your needs. However, if you are comfortable with researching and buying insurance online, that is also an option.

If My Employer Offers Health Insurance Can I Still Qualify for Marketplace Subsidies?

If you are offered health insurance through your employer that meets certain minimum standards, you will not be eligible for subsidies through the marketplace. However, if your employer’s plan does not meet these standards or if you are not offered coverage through your employer, you may be eligible for subsidies.

What is the Difference Between a Deductible and an Out-of-pocket Maximums?

A deductible is the amount you have to pay for covered medical expenses before your insurance plan begins to pay. An out-of-pocket maximum is the most you’ll have to pay for covered expenses in a year. Once you reach your maximum, your insurance plan will cover 100% of the costs for covered services.

What Factors Should I Consider When Choosing Health Insurance?

There are a number of factors you should consider when choosing health insurance, including premiums, out-of-pocket costs, plan and network types, and coverage. Be sure to compare plans carefully before making a final decision.

Need health insurance?

Call our Marketplace Call Center for free assistance* from licensed health agents.

Get a free health insurance quote today!

*Agents may be compensated based on enrollment in your health plan by the insurance company.