Your insurance options in one market: FAQ

A health insurance market, also known as exchange, is a website where you can compare shopping and insurance plans in your state. Market Your state has tools that will help you compare your options and choose the plan you need.

In the state market, health plans are grouped by levels of coverage - how much they pay for the cost of your care and what services are covered.

Each level is the name of a metal:

• bronze
• silver
• gold
• platinum

Bronze plans offer less coverage and platinum plans provide the most.

What different levels of bronze, silver, gold and platinum?

Levels vary according to the percentage of the costs that they have to pay, on average, on the health care you receive.

These are the percentages of health costs that pays on average for each type of plan:

Bronze plan: 40%

Silver plan: 30%

Gold Plan: 20%

Platinum Plan: 10%

You pay your share of these costs is deductible, co-payments and co-insurance.

In general, the more you pay in monthly installments, the less you get from the bag every time you go to a health care service or get a prescription. A premium is what you pay each month for the insurance.

As an example, consider the differences in bronze and platinum plans.

With a bronze plan:

The amount you pay each time you get your doctor or a prescription (cost "pocket") is the highest among the different levels of the plan. But with a bronze plan, also usually pay the lowest premium per month, compared to other metal plans.

With a platinum plan:

Compared to other levels of the plan, it is likely to pay less every time you get your doctor or a prescription. But with a platinum plan you also get a higher monthly premium pay.

How does the coverage of a metal plan compare with my current insurance work?

If you choose a new health plan, you should compare the out-of-pocket costs that you now pay, the services provided (including prescription medications) that doctors and hospitals are in your plan, and the changes can be waiting for your health .

If you are shopping for insurance in the market in your country, you will see health plans organized this way:

First of metals: bronze, silver, gold or platinum

Second prize

Thirdly, according to the nature of the health plan such as HMO, PPO, POS or high deductible plans with health savings account.

The type of plan can affect the amount of options you have in health care, which are covered medication and direct costs out of your pocket.

I have heard that all health plans in a market that cover essential benefits match. So what is the difference between the plans?

All health plans must provide certain essential health benefits in order to market the market from their status as a Qualified Health Plan member. These benefits include:

Doctor's visits and other "outpatient care" (meaning that she is hospitalized)

Childcare (including vision and dental care) and care of the newborn

Emergency Care

hospital care

Pregnancy, maternity and newborn

Mental health and drug use

Occupational therapy and physiotherapy

Some prescription medications

Such as cancer screenings and vaccinations

contraception

Treatment for long-term diseases, such as diabetes and asthma

The plans differ in their services. For example, a plan can cover more prescription drugs. Only some plans can include bariatric operations. And not all plans cover in vitro fertilization.

To ensure that a plan of care cover you need, take the time to consider the summary of the benefits of a health plan to look at. Then compared to the current plan.

In a market, how many health plan options that have any cover degree - Bronze Through Platinum?

Your country and federal government to determine which insurance companies can sell on the market. All companies that allow, must provide at least one incident silver and once gold a level. So the number of options depends on the federal and state governments and insurance companies who choose to sell plans on the market in your country.

How can I get help to pay my insurance?

There are two ways in which you can be able to get help.

First, there is a tax credit on the basis of two things:

Your income. In 2016, individuals can qualify to form approximately $ 47,080 per year. A family of four can earn up to $ 97,000 a year to qualify.

How many people are in your family

A second type of financial support is a cost-sharing subsidy. It is determined using a sliding scale to reduce the amount you get each time to pay medical care. If you qualify, you will have lower deductibles, co-payments and co-insurance.

For this assistance, individuals can earn between $ 11,770 and $ 29,425 a year. A four-member family can earn between $ 24,250 and $ 60,625 a year. To be eligible for costing, you must enroll in a plan to earn silver level.

I get a tax credit greater when I choose a Platinum plan?

No. When you buy insurance through a market, you can qualify for a tax credit that will help lower the cost of your premiums. However, you will not get more credit for a higher level of coverage. The grants are sold to the second-lowest cost silver plan sold on the market.

How can I determine if a plan is right for me?

Market your state needs tools and provide resources to help you choose. For example:

Scores for every health plan in all markets.

A costing tool may also be available so you can see how much your reporting has been introduced to a specific plan after a tax credit has been charged on bonuses and cost sharing subsidies.

A hotline should be available, so you can access further help.

Health care navigators who are individuals or groups who are trained to help you shop for the health care can help you understand your options. There will be a link in your state market to show you how to get help from them.

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