Starting in 2014, all Americans are mandated to maintain health insurance on themselves and their families. This can be accomplished through plans through your employer or individual plans available either directly through health insurance companies or through Insurance Exchanges available to each state. Texas uses the federal exchange through healthcare.gov. these plans must cover Essential Health Benefits to qualify as plans that meet the mandate requirement.
Plans now fall under different metal categories based on how much each plan covers:
Catastrophic plans pay less than 60% of the total average of cost of care. However these are only available for those under 30 or have some type of hardship exemption.
Bronze plans pay on average 60%
Silver plans pay on average 70%
Gold plans pay on average 80%
Platinum plans pay 90%
Starting in 2014, fines can be assessed on individuals and families that do not have health insurance. that comply with the individual mandate.
For 2015, fines are the greater of either 2% of your yearly household income up to the national average premium for a bronze plan or $325 per person ($162.50 per child) up to a maximum of $975.
In 2016, fines are the greater of either 2.5% of your yearly household income or $695 per person ($347.50 per child).
With on exchange plans through the federal exchange, you may qualify for a premium subsidy that may help lower the overall cost of your premiums. Depending on your income, you may also qualify for lower out-of-pocket costs such as lower deductibles, copays, and coinsurance.
We work with some of the largest providers of health insurance, such as Blue Cross/Blue Shield of Texas, Humana, and Aetna, both on and off the Federal exchange to help find coverage that is affordable, fits you and your needs, and generally are accepted by most physicians.
We do not just find the plan with the cheapest premium, but ones that overall save you money based specifically on your current and potential costs, prescriptions, and current physician. One size does not fit all. You can get an instant quote by clicking the button below. You can also Contact Us to have one of our licensed professionals assist you in finding the best plan for you.