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Health Insurance Plans Available on the Marketplace
There are different Marketplace health insurance plans designed to meet different needs. For example, some plans restrict your provider choices or encourage you to get care from the plan’s network of doctors, hospitals, pharmacies, and other medical service providers. Others pay a more significant share of costs for providers outside the plan’s network. Here is an overview of the types of marketplace plans available to you.
Types of Marketplace plans
Depending on how many plans are offered in your area, you may need plans of all or any of these types at each metal level – Bronze,
Silver, Gold, and Platinum.
Some examples of plan types you’ll find in the Marketplace:
- Exclusive Provider Organization (EPO): A managed care plan where services are covered only if you use doctors, specialists, or
- Hospitals in the plan’s network (except in an emergency).
- Health Maintenance Organization (HMO): A type of health insurance plan that usually limits coverage to care from doctors who
- Work for or contract with the HMO. It generally won’t cover out-of-network care except in an emergency. An HMO may require you.
- To live or work in its service area to be eligible for coverage. HMOs often provide integrated care and focus on prevention and
- Wellness.
- Point of Service (POS): A type of plan where you pay less if you use doctors, hospitals, and other health care providers that belong
- To the plan’s network. POS plans require you to get a referral from your primary care doctor to see a specialist.
- Preferred Provider Organization (PPO): A type of health plan that pays less if you use providers in the plan’s network. You can
- Use doctors, hospitals, and providers outside of the network without a referral for an additional cost.
For more information about the different options, visit www.healthcare.goy
There are pros and cons to each option. It’s essential to select the right choice based on your needs. Contact us for guidance in choosing the right policy for you and your family. There is no cost to you for our help.
