Explore ACA Obamacare Insurance Florida Coverage for 2025.
Open Enrollment 11/01/2024 to 01/15/2025.
Call us at 954-454-9599 to check Family Medical Insurance Plans in Florida.
.
What is the Market Place Exchange?
The MARKET EXCHANGE is designed to help you and your families find health insurance plan that meets your needs and fits your budget, on condition you qualify for premium subsidy. The Marketplace exchange offers “one-stop shopping” to find and compare private health insurance coverage options in Florida. You and your family may also be eligible for a new kind of tax credit that lowers your monthly premium right away.
What are the 10 Essential Health Benefits available to members?
Marketplace Plans include coverages for the following Family health benefits:
- Hospitalization.
- Prescription drugs.
- Laboratory Services.
- Maternity and newborn care.
- Emergency room services.
- Pediatric services including Oral Dental Care.
- Doctor’s visit including 1 time free preventive care.
- Rehabilitative and habilitative services and devices.
- Preventive and wellness services and chronic diseases management.
- Mental Health and substance use disorder services including behavioral health.
What are the Four Plan Tiers & Costs in Obamacare Insurance Policy?
- Level#1 – Bronze plan (QHP) pays on average 60% of approved medical bills. Lower monthly premium, higher out of pocket costs.
- Level#2 – Silver plan(QHP) pays on average 70% of approved medical bills. Best Plan if you qualify for cost-sharing reductions.
- Level#3 – Gold plan (QHP) pays on average 80% of approved medical bills. Balanced monthly premium and out of pockets costs.
- Level#4 – Platinum plan (QHP) pays on average 90% of approved medical bills. Higher monthly premium, lower out of pocket costs.
What is the Financial Assistance in Family Health Insurance in Florida?
Tax Credits and Cost-Sharing Premium Subsidies are available for applicant with income categories calculated between 100% – 400% of FEDERAL POVERTY LEVELS (FPL) chart, must purchase Medical Plans ON THE EXCHANGE in order to receive government subsidy, or may be eligible for Medicaid coverage if income is above FPL, see sample income levels:
Example Income Levels for Financial Assistance:
1- Individual with annual income of $14,580 to $48,320.
2- Family of 2 with annual income of $19,720 to $78,880.
3- Family of 3 with annual income of $24,860 to $99,440.
4- Family of 4 with annual income of $30,000 to $120,000.
Note: Applicant with income levels over 400% F.P.L. – NO FINANCIAL ASSISTANCE.
Who is eligible for Special Enrollment?
you might be eligible for Special Enrollment if you experience certain life events such as:
- Getting Married.
- having a new baby.
- Moving to a new State.
- Experience a change in income.
- Losing Medical coverage due to job loss, getting out of parent plan.
What are the Key coverage benefits under Consumer Protection Affordable Care Act?
1- No annual or lifetime coverage limits – Health Insurance Companies are not allowed to impose lifetime or annual limits.
2- Guaranteed Issue regardless of health status – Health Insurance Companies must guarantee issue and guarantee renewability.
3- Extension of health insurance coverage to Children up to age 26 – regardless of weather they are marries, in school, or financially independent.
4- Prohibition on coverage limitations or exclusions based on pre-existing conditions – Health Insurance companies can no deny longer or charge higher premiums based on pre-exiting conditions.
Get Obamacare Insurance Quote today?
For more information about THE MARKET EXCHANGE and to check if you qualify for tax-credit, please feel free to call us to review all comparative plans and rates today. The agency is CERTIFIED to assist all individuals and families in Florida applying for affordable health care insurance plans in the marketplace. Or feel free to call us at (954) 454-9599 or toll free at (866) 454-9555, to discuss the new affordable health insurance in more details.
WE WELCOME ALL INQUIRIES.