The Health Insurance Exchange, a part of the ACA (Affordable Care Act), opened up in October of 2013. The marketplace allows people to shop online for Obama Health Plans in Macon GA, and it makes it easier for customers to compare plans from different companies. Regardless of which part of Georgia a person lives in, all Marketplace plans are separated into four tiers, platinum, gold, silver and bronze, that are based on how the customer shares expenses with the plan. Below is an explanation of coverage levels and key terms to help customers of Stone Insurance Agency Inc in Macon GA get the plan they need.
Out of Pocket Expenses
When a person buys health insurance, the amount they pay per month is the premium. It’s paid regardless of whether the service is used, and costs above the monthly premium are based on copayments, deductibles and out of pocket maximums. To make an informed choice, customers should learn the meaning of these terms.
* Deductibles are what a customer pays before the policy kicks in.
* Copayments are fixed amounts paid for certain healthcare services.
* An out of pocket maximum is the most a person pays during a year before the plan begins paying the allotted amount.
Essential Benefits
For a company to sell plans on the Marketplace, it must offer gold and silver plans. Regardless of which plan is chosen, certain essential benefits, such as addiction treatment, newborn care, hospitalization, mental health services and prescription drugs are covered.
Cost Breakdown
For Obama Health Plans in Macon GA, monthly premiums are based on factors including age, smoking status, location, the number of people on the policy, and the customer’s choice of insurer. Because Georgia allows private companies to sell plans, a gold plan from one company may not cost the same as a comparable plan from a different insurer.
Deciding on a health insurance plan can be difficult, and customers should consider their health and their finances when comparing plan options. Those who don’t expect major health issues may benefit from a silver or bronze plan, but making the selection may require an assessment of the customer’s risk tolerance.
