5 Tips for How to Find the Best ACA Compliant Health Insurance

5 Tips for How to Find the Best ACA Compliant Health Insurance

In the United States, most adults have health insurance provided by their employers. But if you’re one of the 28 million people who didn’t have this coverage in 2020, you may be wondering what your options are for getting insurance. How do you go about buying insurance on your own, and can you even afford it? 

The Affordable Care Act has changed what modern insurance looks like, but how do you know if an insurance plan meets the ACA standards? Read on to learn more about how to find an ACA compliant health insurance plan that fits your needs. 

What Is ACA-Compliant Insurance? 

Before we dive into the ways you can find ACA compliant health insurance companies, let’s talk some about what that means. The Affordable Care Act put a number of health insurance regulations in place throughout a variety of sectors. An ACA-compliant insurance plan is one that meets all of those regulations. 

The specific rules for each insurance plan depend on the number of people purchasing the plan. Most Americans have health insurance through their employers, who purchase either large group or small group plans. However, you can also get individual insurance that complies with ACA regulations, too. 

1. Shop the Healthcare Marketplace

One of the easiest ways to find the cheapest ACA compliant health insurance plan is to shop the healthcare marketplace. The healthcare marketplace is a government-sponsored platform designed to help people find the health insurance they need. You can sort through a variety of plans with different terms and costs, and you may even qualify for discounts, depending on your income level. 

When you visit the healthcare marketplace, you’ll have to put in some information about yourself, including your Social Security number, your income, and so on. The site will show you plans that may work for you, along with any discounts or tax credits you may be eligible for. Keep in mind that you may need to shop for these programs during open enrollment in the fall.

2. Consider Your Needs

Before you decide which healthcare marketplace plan to buy, you need to stop and take a look at what you need from your health insurance plan. First, take a look at your financial needs. What can you afford in premiums every month, and how much can you afford to pay for your deductible if something bad does happen?

Then you need to take a hard look at your health needs. If you’re young and in good health, you may be able to get a lower premium plan with a higher deductible since you won’t use health services as often. If you see a certain doctor or have a number of health conditions, you may need to go with a more expensive plan that will give you the care you need.

3. Learn About Health Insurance Terms

When you start looking at health insurance matters, you’ll quickly discover that there are a number of industry terms you may need to know. We’ve already mentioned deductibles and premiums, but there are also co-pays, in- and out-of-network providers, and so on. Knowing these terms can help you better determine which plan will work for you.

Your premium is the amount of money you pay each month to maintain your plan, and your deductible is the amount you pay out of pocket before your insurance starts covering your care. Co-pays are scenarios in which your provider pays for a portion of your care and you pay the rest. In-network providers are healthcare services that your insurance company will pay for; you’ll have to pay for out-of-network care yourself. 

4. Find Local Help

Trying to navigate all the marketplace terminology and plan details on your own can be confusing, to say the least. You may also find yourself looking at all of the prices and thinking you can’t afford any of them. Luckily, you don’t have to try to figure all of this out and pick the right plan on your own.

Each state has a team of navigators who know their way around the healthcare marketplace and can help you figure out what plan will work best for you. They know about any discounts you may be eligible for and aid programs that can help you afford health insurance. You can search for navigators in your area on HealthCare.gov or on your state’s healthcare coverage website. 

5. Look Out for Scams

When you’re shopping for health insurance, you may start to see some deals that look extremely tempting. These low-premium, low-deductible plans may offer a lot, and they can be tempting when you’re staring down the barrel of a $300 a month premium. But too often, these offers are, in fact, too good to be true.

Be wary of any healthcare plan that doesn’t come from Healthcare.gov and that seems too good to be true. You can find lower-premium plans, but they’re all still expensive, and they all come with very high deductibles. These “offers” are most likely scams, and if they do offer actual coverage, it’s likely to be so restrictive that you still won’t be able to get the care you need.

Find ACA Compliant Health Insurance

The ACA went a long way towards changing the healthcare market in the United States. Finding an ACA compliant health insurance plan can seem tricky, but it doesn’t have to be. Assess your needs, learn about health insurance terms, shop on the marketplace, and don’t be afraid to ask for help if you need it.

If you’d like help finding ACA compliant health insurance, check out the rest of our site at ObamacarePlans.com. Finding the right plan can be difficult, but we have you covered. Find Affordable Care Act insurance plans today and start getting the healthcare you need.