What are Marketplace Health Insurance Plans?
Marketplace health insurance plans are offered through the Health Insurance Marketplace. These plans cover 10 essential health benefits including:
- ambulatory patient services (outpatient care you get without being admitted to a hospital)
- emergency services
- hospitalization (like surgery and overnight stays)
- pregnancy, maternity, and newborn care (both before and after birth)
- mental health and substance use disorder services, including behavioral health treatment (this includes counseling and psychotherapy)
- prescription drugs
- rehabilitative and habilitative services and devices (services and devices to help people with injuries, disabilities, or chronic conditions gain or recover mental and physical skills)
- laboratory services
- preventive and wellness services and chronic disease management
- pediatric services including oral and vision care (but adult dental and vision coverage aren’t considered essential health benefits)
Are Additional Benefits Available in These Plans?
Marketplace medical insurance includes essential health benefits which are what major medical health plans are now required to cover by law. These benefits are minimum requirements for all Marketplace plans. Specific services covered in each broad benefit category can vary based on your state’s requirements. Plans may offer additional benefits including dental coverage, vision coverage which is a health benefit that at least partially covers vision care like eye exams and glasses.
What are the Benefits of Getting a Plan Through the Marketplace?
Marketplace plans offer many benefits such as lower costs on monthly premiums than private insurance plans. They also offer financial assistance to those who qualify based on their income. The financial assistance can help lower the cost of monthly premiums as well as out-of-pocket expenses such as deductibles, copayments, and coinsurance.
How Much Does It Cost to Get Help From a Local Expert?
Don’t navigate the complexities of the Marketplace alone. At no cost to you, Evan Rogers can help you find the right Marketplace plan for you based on your medical history, preferred doctors, your current prescriptions, and your budget. Contact him today to get started with no obligation.
Evan is here to help! Call him at 614-423-8684 (office) or 605-310-8540 (mobile) and he’ll answer all of the Medicare Advantage plan questions you have – with no obligation.
“Evan helped my family navigate the Marketplace – explaining things to us each step of the way. We ended up with great coverage at a price we can afford. I highly recommend getting expert help when you pick out a Marketplace plan.”
Jordan – Westerville, Ohio