Non-Obamacare Plans May Be The Answer

Non-Obamacare plans are an affordable alternative for people that want health insurance for an unexpected illness or injury, but can’t afford a 2017 Affordable Care Act (ACA) / "Obamacare" plan. If you’re healthy and don’t need coverage for maternity, mental health, substance abuse, or a pre-existing condition, then a Non-Obamacare plan may be your best choice.

  • Large national Aetna Open Choice PPO and United Health Care PPO networks with access to more doctors & hospitals

  • Affordable monthly premiums

  • Up to $1.5 Million in coverage per year

  • Variety of deductible and out of pocket choices

  • Doctor Visits and some preventive care

  • Emergency room and ambulance coverage

  • Hospitalization and surgical coverage

  • Critical illness and accident coverage

  • Urgent care benefits, and more

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Obamacare Plans

The Affordable Care Act (ACA) / "Obamacare" plans provide coverage for all pre-existing conditions from day 1, without any lifetime or yearly limits for Essential Health Benefits. If you’re going to receive medical care and/or prescriptions for a condition you need the insurance company to pay for, or if you qualify for a large tax credit subsidy to help pay for your coverage, then an ACA/Obamacare plan is probably your best choice. Remember, even though an ACA/Obamacare plan will cover all pre-existing conditions from day 1, you must satisfy/meet your deductible or copay before the insurance company will pay benefits.

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  • Guaranteed acceptance during annual Open Enrollment period from November 1st through January 31st

  • Day 1 coverage for pre-existing conditions to pay for the care your receiving now or that is already scheduled

  • Subsidies and cost share allowances available for low income households

  • No lifetime or yearly limits for Essential Health Benefits

  • May have a limited choice of plans, doctors and hospitals depending on your area

  • Expensive for people without subsidies or cost share allowances

Employee Plans

Most people get their health insurance through an employee group health plan at work. Nearly all employee group plans qualify as Minimum Essential Coverage (MEC), and as a result employees are not subject to the Obamacare penalty.

Employee group health insurance provides an employer the ability to offer its employees a tax-deductible health insurance option that usually offers better access to doctors and hospitals than the plans on the government marketplace. Rather than the employee receiving premium assistance with a tax subsidy from the government, the employee receives a contribution from the employer plus a tax-deduction to reduce the monthly premium.

  • Large national Aetna Open Choice PPO, PHCS PPO, and United Health Care PPO networks with access to more doctors & hospitals

  • Tax-deductible premium for employer AND employee

  • Customizable plan design to fit employee needs and budget

  • No penalty - compliant with the Affordable Care Act (ACA) and Minimum Essential Coverage rules.

Subsidies, Penalties, Exemptions

The Affordable Care Act (ACA) / "Obamacare" determines who gets tax subsidies, penalties and exemptions. Which category you fit in will most likely determine which path you take for the 2017 plan year.

  • TRUMP EXECUTIVE ORDER GRANTS EXEMPTION FROM ACA/OBAMACARE TAX PENALTY! - instructs all government: "agencies with authorities and responsibilities under the Act shall exercise all authority and discretion available to them to waive, defer, grant exemptions from, or delay the implementation of any provision or requirement of the Act that would impose a fiscal burden on any State or a cost, fee, tax, penalty, or regulatory burden on individuals, families..."

  • Advanced Premium Tax Credit (APTC) - provides a subsidy that will pay a portion of the premium for low income households

  • Shared Responsibility Payment - mandates a fee, also known as a "penalty" or "fine" for not having an ACA/Obamacare plan

  • Code "A" Coverage Exemption - provides an exemption to the penalty if the least expensive ACA/Obamacare plan is more than 8.13% of your income

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