About individual health insurance





Get Healthcare Coverage, Health Insurance Marketplace®

Members can log in for the most accurate, personalized search results. If you skip this quick but important step, you could miss out on a plan that’s much better suited to you and your family. No—In almost all cases, there’s a waiting period before coverage starts. Find out if your employer offers a wellness program that includes money-saving incentives for healthy behaviors such as exercising regularly or not smoking.

You can also use this tool to estimate your eligibility for Medicaid. As eligibility requirements may vary by state, please contact your state’s Medicaid office or Marketplace with enrollment questions. We encourage other organizations to feature the calculator on their websites using the embed instructions.

The cost of health insurance varies quite a bit by state, and even within regions of a state. This is because of several factors, such as the cost of living and cost of health care services in your area. Does the plan offer free or discounted services for preventive care, such as an annual checkup? Most plans under the ACA provide free coverage for most preventative care services. Once you've decided on the type of plan that is best for you, you'll need to determine how much you can afford to pay as a deductible. This is the pre-determined amount you pay for covered healthcare services before your insurance plan starts to pay.

They also cover or partially cover the cost of certain prescription and over-the-counter drugs. Insurance companies determine what drugs are covered based on price, availability, and therapeutic equivalents. The list of drugs that an insurance program agrees to cover is called a formulary.

Topics include everything from improving your well-being to explaining health coverage. This health plan is for seniors and persons with disabilities who are eligible for both Medicare and Medicaid. Once you’re down to a couple of options, it’s time to address any lingering questions. In some cases, only speaking with a person will do, so it may be time to call the plans’ customer service lines.

Designed for citizens who participate in Medicare, it provides additional coverage to help with some of the expenses that Medicare does not pay. Select Blue Cross Blue Shield Global™or GeoBlue if you have international coverage and need to find care outside the United States. Member Discounts Take advantage of member-only discounts on health-related products and services. For many people, MAGI is the same or very close to adjusted gross income. You website may click on “Your Choices” below to learn about and use cookie management tools to limit use of cookies when you visit NPR’s sites.

If you buy a policy before age 60, the fixed daily benefit may more info not be enough by the time you need it. Long-term care here is a variety of services that include medical and non-medical care for people who have chronic illnesses or disabilities. This is the amount of money you pay each time you receive medical services or a prescription. If you need help appealing a dispute with your insurance company, contact the Marketplace Call Center. If you can't find out how to contact your insurance company, contact the Marketplace Call Center. Find contact information for your insurance company on your insurance card or bill.

If your employer doesn't offer you health insurance as part of an employee benefits program, you may be looking at purchasing your own health insurance through a private health insurance company. Employers and employees may have some choice in the details of plans, including health savings accounts, deductible, and coinsurance. As of 2015, a trend has emerged for employers to offer high-deductible plans, called consumer-driven healthcare plans which place more costs on employees, while employees benefit by paying lower monthly premiums. Additionally, having a high-deductible plan allows employees to open a health savings account, which allows them to contribute pre-tax savings towards future medical needs.

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