Affordability is within reach
While all Major Medical plans are Minimum Essential Coverage and include coverage for a list of essential health benefits (including preventive services), you still need to understand the differences between plans and how your eligibility for financial assistance plays into finding the right plan for your situation. It’s understanding these nuances before you start shopping that will help you find an affordable plan for your needs.
Determine your financial assistance eligibility
Depending on your income, you may qualify for financial assistance that can be applied to a Major Medical plan in the form of a premium tax credit (also known as a premium subsidy) or a cost-sharing reduction.
Check your subsidy eligibility to see if you qualify for financial assistance.
Understand how the right network can help you save
With Assurant Health, you can get access to nationwide networks, including Aetna Signature Administrators® (ASA) PPO, which includes over 1,000,000 doctors and more than 7,600 hospitals across the country, as well as nationally-known facilities and clinics.1
This is important because if there is a particular doctor you wish to see (whether because of a specific condition or because it’s someone with whom you’ve built a health care relationship – like your child’s pediatrician), there’s a higher likelihood that they’ll be participating in a larger network. If they are, you’ll get the provider of your choice, you’ll receive network discounts and the costs associated with the care will count towards your network deductible and out-of-pocket maximum.
Learn more about our network difference
Know your plan options so you’ll know what fits best with your budget
When it comes to comparing specific plans, it may seem overwhelming to understand differences between varying deductibles, coinsurance and copays. But it doesn’t have to be frustrating. Here are the three things you should keep in mind when you’re looking at specific plan details.
- Copay plans are a great way to help with day-to-day expenses: If you don’t go to the doctor that often, having a copay for an office visit (a set amount for your visit) may be worthwhile if you know you likely won’t meet your deductible. Example: if you have an ear infection and you visit a doctor in your network, you’ll only pay $35 for the visit when you have a Bronze 002 plan.
- A deductible on the higher end can you help you save on your monthly premium: If you’re relatively healthy, it may be worthwhile to choose a plan with a higher deductible so that you can better afford the plan’s premium. You’ll typically find this on bronze, silver and catastrophic plans. Also, many of these plans are HSA-compatible. This means you can set aside pre-tax income for covered health expenses, further allowing you to save on how much you spend on your health care.2
- Look for catastrophic plans if you’re under 30 or you have a hardship exemption. Catastrophic plans are Minimum Essential Coverage plans under the Affordable Care Act and are available to those who are younger than 30 or those with a hardship exemption. These plans typically have a lower monthly premium, a $6,600 deductible and three primary care visits covered at 100% before meeting your deductible. Talk to an Assurant Health sales expert to see if this is an option that could fit your situation.
Ready to find a health plan that fits your budget?
We make it easy to find the plan that fits your needs:
- Apply online through AssurantHealth.com for an easy way to see and compare plans and prices available in your area. Get a quote and apply today
- Talk to an Assurant Health sales expert to learn more about plans available in your area and understand your subsidy eligibility. Learn more by calling 800-647-9094.
Plan Limitations and Exclusions
These plans include limitations and exclusions. See the general summary of plan limitations and exclusions for more information. If you live in Arizona, see Arizona-specific plan limitations and exclusions.
As you select a plan, please check the specific benefits, limitations and exclusions listed as these may vary by state. To learn more about these plans, get a quote or talk to an Assurant Health sales expert.
1Not available in Washington and Minnesota.
2Assurant Health and its legal entities are not engaged in rendering tax, investment or legal advice. Please see a qualified tax professional for tax advice.