Learn how to get a Marketplace Insurance Quote.
It’s very easy to get a free Marketplace Insurance Quote. The system looks at 3 main factors to get a quote.
► Age of the individual or individuals needing health insurance.
► Ages of the household, which helps get a higher incentives (discount).
► Household Income – determines incentive.
Health Insurance Basic Terms
A few terms to consider before you decide your medical insurance coverage for you and/or family for the year.
►Deductible: The amount of money that you may need to pay out-of-pocket for health care services before your health insurance plan begins to help with payments. For example, if your deductible is $100, your plan won’t pay for anything until you’ve paid the $100 deductible.
► Co-insurance: Your share of the health care service cost once you’ve met your deductible. Common share for health care services are 80/20, 70/30, 60/40. An 80/20 means the carrier will pay 80% and you 20% of the health care service cost. For example, if your bill is $1,000, and your co-insurance is 20%, you will pay $200 for your medical services if you have already met your deductible.
► Out-of-pocket maximum: The most you’ll pay in a policy period (usually one year), before your plan starts to pay 100% of the covered Essential Health Benefits you receive. This limit must include Deductibles, Coinsurance, and Co-payments, but does not typically count Premiums, toward your out of pocket maximum.
Do your own Marketplace Insurance quote
If you want to do your own Marketplace Health Insurance quote, let me help you with some basics.
Remember the system looks at 3 important factors to determine if you qualify for incentives (discount). 1st – Age, 2nd – family size, and 3rd – Household income.
Family of 4 – Only Adults needs coverage. Female age 35, Husband age 38, kids 15 and 12. Children have CHIP. Income of $35,000.
Input your Zip Code, age, sex, family size, and income to get the incentive (discount)
Adults qualifies for $755 incentive (discount) which will be deducted from the regular price of the insurance.
Compare health plans and choose the best plan according to your medical needs.
First Plan is a Bronze plan with a regular price of $574, couple will pay $0 a month if they chose these plan. Why $0? 574 – 755 = 0, the incentive is higher than the regular price which means they will pay $0 for this plan.
Best Marketplace Option
The best plan for this family is the Silver plan for $32 a month.
Regular price for this plan is $787 minus incentive of $755 = $32.
Primary Doctor appointments are free.
Specialist appointments pay $10.
Generic Medications are free.
If they need an operation, MRI, X-Rays, Lab work, or go to the Emergency Room they will pay $725 to cover the Deductible and Maximum Out of Pocket.
Doctor Network
One important factor to consider is if your Doctors accept the plan you chose. If you Doctors do not accept the plan you like, you may have to change to a Doctor that accepts the plan or look at the next plan in your list of plans. If your Doctor is does not accept the plan, the plan will not cover your appointment and will pay full price for your Doctor’s appointment.
National Coverage
Your Marketplace Insurance Plan covers you and/or family only for the County of your residence.
If you have an Emergency and are out of your county area, your Marketplace Insurance Plan will cover you nationwide.
You can also apply for a Marketplace Insurance Plan if
► Got Married
► Pregnant
► Moved to a new City or County.
► Release from jail
► If you are a resident, have a foreign passport, have a work permit.
► Children lost Medicaid coverage.