Affordables Health Coverages in Florida!


What is Health Insurance through the Marketplace?


Health Insurance through the Marketplace, commonly referred to as the Health Insurance Marketplace or Healthcare.gov, was created under the Affordable Care Act (ACA), also known as Obamacare. This platform allows individuals and families to purchase affordable health insurance plans that meet specific requirements for coverage and quality. It serves as a one-stop-shop where people can compare different health plans, check eligibility for subsidies, and enroll in coverage.

Who Can Apply?


1. U.S. Citizens and Legal Residents:
- Individuals who are U.S. citizens or legal residents (green card holders, refugees, asylees) can apply for coverage through the Marketplace.

2. Individuals Without Access to Employer-Sponsored Coverage:
- If your employer does not offer health insurance, or the insurance provided is unaffordable or does not meet minimum standards, you are eligible to purchase a plan through the Marketplace.

3. Self-Employed and Freelancers:
- If you are self-employed, a freelancer, or have a small business without employees, you can apply for a health plan through the Marketplace.

4. Low-Income Individuals and Families:
- Individuals and families with incomes between 100% and 400% of the Federal Poverty Level (FPL) may be eligible for subsidies (Premium Tax Credits) to help lower the cost of monthly premiums.

5. Medicaid Expansion Participants:
- In states that have expanded Medicaid, individuals with incomes below 138% of the FPL may qualify for Medicaid through the Marketplace.

6. People with Pre-existing Conditions:
- The Marketplace ensures that insurers cannot deny coverage or charge higher premiums based on pre-existing health conditions.

Key Benefits of Health Insurance through the Marketplace


1. Affordable Health Coverage:
- The Marketplace offers a range of health plans at different coverage levels (Bronze, Silver, Gold, and Platinum) to fit various needs and budgets. Many people qualify for Premium Tax Credits or Cost-Sharing Reductions to make their insurance more affordable.

2. Comprehensive Coverage:

> All Marketplace plans cover essential health benefits, including:
- Doctor visits and preventive care
- Prescription medications
- Emergency services
- Hospitalization
- Maternity and newborn care
- Mental health and substance use treatment
- Pediatric services (including dental and vision care for children)

3. No Pre-Existing Condition Exclusions:
- Insurance companies cannot deny you coverage or charge higher rates because of a pre-existing condition like diabetes, asthma, or cancer.

4. Preventive Care at No Additional Cost:
- Many preventive services, such as vaccines, screenings, and annual checkups, are covered without having to pay out-of-pocket costs, even before you meet your deductible.

5. Coverage for Essential Health Needs:
- Marketplace plans provide coverage for a wide range of essential medical services, ensuring you and your family receive the care you need in various medical situations.

6. Financial Protection:
- Health insurance through the Marketplace offers financial protection in the case of serious accidents or illnesses. This means you won’t face overwhelming medical bills when you need significant healthcare services.

7. Subsidies and Financial Assistance:
- Many individuals and families qualify for financial assistance. These subsidies are based on income and family size, which can significantly lower monthly premiums and out-of-pocket costs.

8. Open Enrollment Period:
- Open Enrollment typically runs from November 1 through January 15 each year. During this time, individuals can sign up for a new plan or make changes to their existing coverage. There are also Special Enrollment Periods for individuals who experience qualifying life events, such as marriage, divorce, or loss of other coverage.

9. Dental and Vision Coverage:
- While not included in the main health plan, dental and vision coverage can be added for both adults and children, offering comprehensive protection for all healthcare needs.

Why Choose Health Insurance through the Marketplace?


1. Customized Plans: You can compare various plans to find one that fits your health needs and financial situation.

2. Simplicity: The Marketplace is designed to make shopping for health insurance easier. With transparent information and comparison tools, you can see premiums, deductibles, copays, and out-of-pocket limits for each plan.

3. Help with Enrollment: If you're unsure about your options, the Marketplace provides resources and navigators who can assist you in selecting a plan and determining eligibility for subsidies.

4. Peace of Mind: With a Marketplace plan, you have peace of mind knowing that your health insurance covers essential medical needs, and you're protected from excessive medical expenses.

How to Apply?


1. Contact us to the following options:
  • Call us at 407-247-6651.
  • Visit us at 897 Towne Center Dr. Kissimmee, FL 34759 Monday to Friday 9:00am to 5:00pm.
  • Make an appoinment by CLICKING HERE!