What’s the difference between Bronze, Silver, Gold, and Platinum ACA plans?
ACA plans come in four levels—Bronze, Silver, Gold, and Platinum—each offering different balances between monthly premiums and out-of-pocket costs. Bronze plans have the lowest premiums but highest out-of-pocket costs, while Platinum plans offer the highest premiums and the lowest costs for care. To find the right plan, schedule an appointment with a Tsunami Advisor here: Schedule an Appointment.
What is a catastrophic plan under ACA?
Catastrophic health plans offer low monthly premiums but high deductibles, providing coverage mainly for emergencies. They are available to individuals under 30 or those with a hardship or affordability exemption. These plans cover essential health benefits, but don’t qualify for subsidies like standard ACA plans. To explore your options, schedule an appointment with a Tsunami Advisor here: Schedule an Appointment.
Can I change my ACA plan type during the year?
You can switch from a Bronze plan to a Silver or Gold plan mid-year if you qualify for a Special Enrollment Period (SEP) due to a qualifying life event. Without an SEP, you must wait for the Open Enrollment Period. For help with switching plans, schedule an appointment with a Tsunami Advisor here: Schedule an Appointment.
How do I choose the right ACA plan for my needs?
When selecting an ACA health plan, consider your budget and healthcare needs. Balance monthly premiums with out-of-pocket costs, and check if you qualify for premium tax credits or cost-sharing reductions. For personalized help choosing a plan, schedule an appointment with a Tsunami Advisor here: Schedule an Appointment.
What’s the difference between HMO, PPO, and EPO plans in the ACA marketplace?
When choosing between HMO, PPO, and EPO plans, consider network access and flexibility. HMO plans offer lower premiums but require you to stay in-network, while PPO plans offer the most flexibility with both in-network and out-of-network coverage. EPO plans strike a balance by offering in-network care without the need for referrals. To explore your options, schedule an appointment with a Tsunami Advisor here: Schedule an Appointment.
Can I see any doctor with an ACA plan?
The flexibility of choosing healthcare providers under an ACA plan depends on the type of plan you have. HMO and EPO plans require you to use in-network providers, while PPO plans allow you to see both in-network and out-of-network providers, but at higher costs. For more help with understanding your plan’s network, schedule an appointment with a Tsunami Advisor here: Schedule an Appointment.