2025 Health Plan Grid
| ACA Provision | ACA-Qualified (Obamacare) | NON-ACA-Qualified | Employer Group |
Medicaid (Income Qualification) |
Medicare (Age and Disability Qualification) |
Governmental, Military or Tribal |
|---|---|---|---|---|---|---|
| Eligible for Government Tax Subsidies |  |
 |
|
|
|
|
| Guaranteed issue coverage regardless of health | |
Varies | |
|
|
|
| Pre-existing conditions covered | |
|
|
|
|
|
| ACA Compliant policy limits and cost sharing | |
|
|
N/A | N/A | N/A |
| ACA Essential Health Benefits | ACA-Qualified (Obamacare) | NON-ACA-Qualified | Employer Group |
Medicaid (Income Qualification) |
Medicare (Age and Disability Qualification) |
Governmental, Military or Tribal |
| Ambulatory | |
|
|
|
|
|
| Emergency | |
|
|
|
|
|
| Hospitalization | |
|
|
|
|
|
| Lab & X-Ray | |
|
|
|
|
|
| Maternity | |
|
|
|
|
|
| Mental/Nervous | |
|
|
|
|
|
| Pediatric Oral Vision | |
|
|
|
|
|
| Prescription | |
|
|
|
|
|
| Preventive | |
|
|
|
|
|
| Rehabilitation | |
|
|
|
|
|
| Substance Abuse | |
|
|
|
|
|
| Where to enroll | ACA-Qualified (Obamacare) | NON-ACA-Qualified | Employer Group |
Medicaid (Income Qualification) |
Medicare (Age and Disability Qualification) |
Governmental, Military or Tribal |
| Government Marketplace | |
|
|
|
N/A | N/A |
| AHiX Marketplace | |
|
|
N/A | N/A | N/A |
| ACA Provision | Eligible for Government Tax Subsidies and Cost Sharing |
|---|---|
| ACA-Qualified (Obamacare) | |
| NON-ACA-Qualified | |
| Employer Group |
|
| Medicaid (Income Qualification) |
|
| Medicare (Age and Disability Qualification) |
|
| Government / Military / Tribal | |
| ACA Provision | Guaranteed issue coverage regardless of health |
| ACA-Qualified (Obamacare) | |
| NON-ACA-Qualified | Varies |
| Employer Group |
|
| Medicaid (Income Qualification) |
|
| Medicare (Age and Disability Qualification) |
|
| Government / Military / Tribal | |
| ACA Provision | Pre-existing conditions covered |
| ACA-Qualified (Obamacare) | |
| NON-ACA-Qualified | |
| Employer Group |
|
| Medicaid (Income Qualification) |
|
| Medicare (Age and Disability Qualification) |
|
| Government / Military / Tribal | |
| ACA Provision | ACA Compliant policy limits |
| ACA-Qualified (Obamacare) | |
| NON-ACA-Qualified | |
| Employer Group |
|
| Medicaid (Income Qualification) |
N/A |
| Medicare (Age and Disability Qualification) |
N/A |
| Government / Military / Tribal | N/A |
| Essential Health Benefits | Ambulatory |
| ACA-Qualified (Obamacare) | |
| NON-ACA-Qualified | |
| Employer Group |
|
| Medicaid (Income Qualification) |
|
| Medicare (Age and Disability Qualification) |
|
| Government / Military / Tribal | |
| Essential Health Benefits | Emergency |
| ACA-Qualified (Obamacare) | |
| NON-ACA-Qualified | |
| Employer Group |
|
| Medicaid (Income Qualification) |
|
| Medicare (Age and Disability Qualification) |
|
| Government / Military / Tribal | |
| Essential Health Benefits | Hospitalization |
| ACA-Qualified (Obamacare) | |
| NON-ACA-Qualified | |
| Employer Group |
|
| Medicaid (Income Qualification) |
|
| Medicare (Age and Disability Qualification) |
|
| Government / Military / Tribal | |
| Essential Health Benefits | Lab & X-Ray |
| ACA-Qualified (Obamacare) | |
| NON-ACA-Qualified | |
| Employer Group |
|
| Medicaid (Income Qualification) |
|
| Medicare (Age and Disability Qualification) |
|
| Government / Military / Tribal | |
| Essential Health Benefits | Maternity |
| ACA-Qualified (Obamacare) | |
| NON-ACA-Qualified | |
| Employer Group |
|
| Medicaid (Income Qualification) |
|
| Medicare (Age and Disability Qualification) |
|
| Government / Military / Tribal | |
| Essential Health Benefits | Mental/Nervous |
| ACA-Qualified (Obamacare) | |
| NON-ACA-Qualified | |
| Employer Group |
|
| Medicaid (Income Qualification) |
|
| Medicare (Age and Disability Qualification) |
|
| Government / Military / Tribal | |
| Essential Health Benefits | Pediatric Oral Vision |
| ACA-Qualified (Obamacare) | |
| NON-ACA-Qualified | |
| Employer Group |
|
| Medicaid (Income Qualification) |
|
| Medicare (Age and Disability Qualification) |
|
| Government / Military / Tribal | |
| Essential Health Benefits | Prescription |
| ACA-Qualified (Obamacare) | |
| NON-ACA-Qualified | Varies |
| Employer Group |
|
| Medicaid (Income Qualification) |
|
| Medicare (Age and Disability Qualification) |
|
| Government / Military / Tribal | |
| Essential Health Benefits | Preventive |
| ACA-Qualified (Obamacare) | |
| NON-ACA-Qualified | |
| Employer Group |
|
| Medicaid (Income Qualification) |
|
| Medicare (Age and Disability Qualification) |
|
| Government / Military / Tribal | |
| Essential Health Benefits | Rehabilitation |
| ACA-Qualified (Obamacare) | |
| NON-ACA-Qualified | |
| Employer Group |
|
| Medicaid (Income Qualification) |
|
| Medicare (Age and Disability Qualification) |
|
| Government / Military / Tribal | |
| Essential Health Benefits | Substance Abuse |
| ACA-Qualified (Obamacare) | |
| NON-ACA-Qualified | |
| Employer Group |
|
| Medicaid (Income Qualification) |
|
| Medicare (Age and Disability Qualification) |
|
| Government / Military / Tribal | |
| Enrollment | Government Marketplace |
| ACA-Qualified (Obamacare) | |
| NON-ACA-Qualified | |
| Employer Group |
|
| Medicaid (Income Qualification) |
N/A |
| Medicare (Age and Disability Qualification) |
N/A |
| Government / Military / Tribal | N/A |
| Enrollment | AHiX Marketplace |
| ACA-Qualified (Obamacare) | |
| NON-ACA-Qualified | |
| Employer Group |
|
| Medicaid (Income Qualification) |
N/A |
| Medicare (Age and Disability Qualification) |
N/A |
| Government / Military / Tribal | N/A |
| Enrollment | Employer |
| ACA-Qualified (Obamacare) | |
| NON-ACA-Qualified | |
| Employer Group |
|
| Medicaid (Income Qualification) |
N/A |
| Medicare (Age and Disability Qualification) |
N/A |
| Government / Military / Tribal | N/A |