Get cheap health insurance rates by easily comparing the best Marketplace prices in your area. You're just minutes away from finding the most affordable medical plans for individuals, families, the self employed, Seniors, and small business owners. The online quotes we provide are free, and our 38 years of unbiased recommendations, expertise and experience ensure you receive the best prices and you will be able to easily enroll online. You can always view options from multiple companies in your area 24/7, and many low-cost budget options are offered. Short-term, student, small-business, and self-employed plans are also available. Non-Obamacare options are also available.
During Open Enrollment, subsidized plans are available from top-rated companies along with Medicaid/Chip options, depending on your household income and size. Both before and after Open Enrollment, special exceptions are offered if you lose qualified coverage, have a baby, move to a different area, get divorced, or qualify for many other situations. You can also obtain affordable coverage "outside" of the Marketplace, where the number of available network providers (doctors, specialists, hospitals, Urgent-Care, and other facilities) is often larger. Policies are offered for every budget, and with each enrollment, you may keep an existing plan or select a new option.
Note: Newborns can obtain guaranteed coverage at any time of the year, regardless of any existing conditions or pending surgery. A "special life event" allows you to qualify for an SEP. Immunizations and well-visits are covered, along with any type of juvenile sickness or illness. A newborn can also be covered under a parent's Group policy provided by their employer. COBRA, if available, provides coverage for adults and children.
Senior Medigap contracts from many companies are also easily reviewed. Benefits and price can vary, depending upon age, gender, county of residency, coverage, and plan availability. Although typically prescription drug Part D plans are offered statewide by participating carriers, Supplement and Advantage plan availability can vary in different counties. Advantage plans often cost less a Supplement policy, the provider network must always be considered. Coverage is also offered to persons that are eligible for both Medicaid and Medicare.
We understand that each applicant has different healthcare requirements, largely depending upon what medical conditions (if any) they are being treated for. Since every insurer now underwrites policies according to more consumer-friendly guidelines (non-medical), we shop all of the large reputable companies so you will be matched with the best available offers. Of course, other factors can impact premiums such as where you live, your age, and the type of benefits you need. Also, as later discussed, your income will determine the eligibility and level of federal subsidy you receive to help pay premiums on under-65 policies. But you will not be denied a policy because of existing conditions, such as diabetes, cancer, rheumatoid arthritis, or heart disease.
Medigap plans are available when you reach age 65 and are eligible for Medicare. A separate enrollment period is also offered from October 15th through December 7th, with Supplement, Advantage, and Part D drug prescription plans offered. You can coordinate your standard benefits with a supplemental plan that will pay many out-of-pocket expenses, and perhaps include dental, vision, and hearing coverage. The Affordable Care Act and future Administration legislative changes generally do not greatly impact Medigap retiree options. However, Medicaid benefits, CHIP, and plans for persons under age 65 are typically affected.
Good Or Bad Health
If you are not in perfect health, or have conditions that require treatment and/or medications, low-cost plans may still be offered. Under the Affordable Care Act (ACA) legislation, your pre-existing conditions are covered, and do not impact the premium you pay or the benefits you receive. Marketplace plans are also eligible for an instant federal subsidy that can pay a substantial portion of your policy costs, and possibly the entire premium. You may also find several plans that have a $0 net premium after the instant tax credit has been applied. The subsidy is based on your projected income for the upcoming year, and not your earnings from previous years. It is not taxable, and you can adjust the level, depending on current household income projections.
Note: Senior Medicare Supplement plans are standardized, and are not eligible for the same federal aid that applicants under age 65 receive. Advantage plans offer consumers the opportunity to replace standard Medicare benefits with coverage provided by a private insurer. Often, prices of these plans are low, and several ancillary benefits are included, including dental, vision, and hearing coverage. However, a specific network of providers must be utilized, and changing to a standard plan is allowed only during designated times.
Original Medicare plans allow all covered persons to select treatment with the vast majority of providers, including hospitals, specialists, and primary-care physicians. Most Supplement contracts also allow you to utilize any provider. "Medicare Assignment" is typically required for out-of-pocket costs to be paid, meaning that the negotiated prices must be accepted, and medical claims will be processed upon your behalf. Plan F (HD) offers lower premiums, but a $2,300 deductible must be met before most expenses are paid. Often, persons with no health problems choose this option.
The more dependents in your household, the higher your financial aid becomes. In some states, the eligibility requirements for Medicaid have expanded, and more children are eligible for free or extremely low premiums. CHIP benefits are very comprehensive and it is possible for parents to qualify for conventional plans while their dependents qualify for Medicaid. Often, the combination of parents having Marketplace coverage, and their children covered through CHIP, creates a very cost-effective combination. Higher-income households can find cost-saving Health Savings Accounts (HSAs) that allow deposits to pay for qualified medical, dental, and vision expenses. Many of these options are not found on the government healthcare website, since they are not subsidized by the federal government.
The cost that you pay for coverage may change each year, depending on your renewal premium. The main factors that determine that premium, are where you live, your age, the size of your household, and whether you smoke. States like New York, New Jersey and Connecticut still cost more than Ohio, Indiana, Pennsylvania, and many other states in the Midwest. But several national and smaller regional companies offer policies in most parts of the country. The result has been more affordable and innovative private policy options. Examples of regional companies that offer competitive rates include:
Maine Community Health -- Maine
Piedmont Community Health Plan -- Virginia
Geisinger -- Pennsylvania
QCA Health -- Arkansas
Meridian Health Plan -- Michigan
Priority Health -- Michigan
McLaren -- Michigan
Aspirus Aris -- Wisconsin
Group Health Cooperative of South Central Wisconsin -- Wisconsin
Dean -- Wisconsin
Tufts Health Plan -- Massachusets and Rhode Island
SummaCare -- Ohio
Montana Health Cooperative -- Montana
Florida Health Care Plan -- Florida
Vantage Health -- Louisiana
PacificSource -- Oregon, Idaho, and Montana
USAble -- Texas and Arkansas
ATRIO -- Oregon
Sunflower State Health Plan -- Kansas
Sanford Health -- South Dakota and North Dakota
Moda -- Alaska, Washington, and Oregon
Local Initiative Health Authority -- California
MVP Health Plan -- Vermont and New York
Each state has an "Exchange," where highly-rated insurers and occasional Co-operatives offer coverage. The number of plan options vary, depending on the state, and the approval time is typically streamlined. We guide you through the entire enrollment process so you easily find affordable medical coverage. Most State Exchanges are federally-run, since it is less expensive, and more government assistance is provided. Also, several state-run Marketplaces (such as Oregon) have resulted in the failure to properly enroll applicants safely and timely. The average cost of health insurance can vary greatly between states, and also counties within the same state. Many companies are offering 2020 plans, although in many areas, only one company underwrites plans.
You can also purchase policies that are considered "off-Exchange." These plans contain all of the required "essential health benefits" and provide an exemption from paying a non-compliance tax. Major companies (Blue Cross Blue Shield, Aetna, UnitedHealthcare, Cigna, Kaiser, Humana and others) frequently offer these policies. Premiums are not eligible for subsidies, although the number of available network providers is often greater than comparable Exchange contracts. The enrollment process is also streamlined, and can often be completed in less than 10 minutes. Generally, HMO, PPO, and EMO network options are your provider-network choices. Many companies offer "tiered" networks, which provide lower copays and out-of-pocket expenses if you choose "preferred physicians and specialists. Western Pennsylvania's UPMC, for example, offers "Partner," "Select," and "Premium" options.
The Marketplace application is short, but there are many confusing questions, including income and identity verification. Our experience and expert guidance speeds up the process so you can obtain coverage quicker, and avoid the glitches and delays that have impacted many persons. We not only help you find the right policy, but we assist you in the subsidy calculation that reduces your rate. If any family member is eligible for Medicare, Medicaid, CHIP, or any other federal or state program, we will review the specific details. Seniors that are Medicare-eligible, can review supplemental plans and prescription drug plans (Part D) offered in your area. Advantage contracts will also offer low-premium options, although the provider network is smaller.
Regarding the previously-mentioned subsidy, it is applied in the form of an instant tax credit. You do not have to file a tax return to get it, and you won't have to copy a form and send it in the mail and wait six weeks either. It's instantaneous and is applied directly during the initial process. If you qualify for a federal subsidy, and subsequently use the credit to pay your premium, IRS Tax Form 8962 (Premium Tax Credit) should be filed to reconcile the amount. For example, if your income was less than originally projected, you will receive a refund for the premium over-payment. Form 1095-A will also be needed. If your household income substantially changes during the year, you can adjust your financial aid accordingly.
The Affordable Care Act legislation previously required you to buy health "qualified" insurance. Since it is no longer mandated, you are not assessed a tax penalty (2.5% of household income) if you don't comply with this "minimum essential coverage mandate". If you are covered through an employer-provided group plan, CHIP, Medicaid, or Medicare, incarcerated, or you are an undocumented immigrant, the penalty did not apply. The elimination of this part of the ACA Legislation has helped temporary 12-month plans become more popular. 24-month short-term options are also available in several states, although they may be expensive than shorter-duration contracts.
The Cheapest US Health Insurance Plans
Listed below are several of the most affordable healthcare plans available to individuals and families. Typically, these policies are not offered in all states.
Ambetter Essential Care 1
Ambetter Essential Care 2 HSA
CareSource Market Bronze
CareSource Marketplace HSA Eligible Bronze
Highmark Together Blue EPO Bronze 7900
Highmark my Direct Blue EPO Bronze 7900
Independence Blue Cross Personal Choice EPO Bronze Classic
Molina Core Care Bronze 2
Oscar Simple Bronze
Oscar Classic Bronze
Oscar Saver Bronze
UPMC Advantage Bronze $7,400/$50
Example Of Tax Credit That Helps Reduce Healthcare Premiums
Here's a quick example: Assume you and your spouse are 55 years old and you have two children in the household. You reside in Peoria County (Illinois) and your approximate household income is $105,000. Since you are not eligible for a subsidy, the unsubsidized monthly premium of the least expensive plans cost $1,783 (BCBS Blue Precision Bronze HMO 205) and $1,930 (Health Alliance POS HSA 6650 Methodist Bronze). The least expensive Silver-tier plan (Blue Precision Silver HMO 206) costs $2,300 per month.
However, if the household income is only $90,000, the monthly premium of the BCBS Blue Precision Bronze HMO 205 option plummets to $1, with the help of a subsidy worth more than $22,000 per year. The qualification of federal assistance has a huge impact on the price you pay. But if your income changes, it is imperative to recalculate your subsidy to avoid a massive tax bill. Conversely, a substantial reduction in income could also lower your premium by hundreds of dollars each month.
Naturally, there are many different scenarios involving four different plan options (Bronze, Silver, Gold and Platinum). The least expensive plan (Bronze) has higher potential costs if you have a large claim, while a Platinum-tier policy will minimize your deductibles, copays, and coinsurance, but also raise the premium. Often, the "sweet spot" of coverage is a plan with moderate office visit copays ($30 for pcp and $60 for specialists) and a mid-range deductible ($3500-$5,000). For healthy families with multiple children, a combination of high deductibles ($5,000-$7,900) and lower office visit copays ($10-$25) can be very cost-effective.
We help you review and understand all options in your area, subsidies, tax breaks, and how it impacts the price you pay for your medical coverage. Any changes implemented by President Trump are also reviewed, so you can take advantage of more flexible options. We also do what we do best. And that's find the lowest health insurance Exchange prices in your area. The Marketplace was created to provide subsidized plans for low and middle-income consumers. For upper-income households, affordable policies are also offered.