Health Insurance Marketplace Reopening
February 15th ‐ August 15thWhat You Need to Know
Coleman is committed to expanding outreach and education on marketplace health insurance plans. We want all individuals who are uninsured or under‐insured to find the best healthcare plan that suits their needs.
WHO IS ELIGIBLE?
Anyone who lives in the US and is a US citizen
Have a household income between 100%‐400% of the federal poverty level (FPL)
Find out if you qualify today:
Individuals will not qualify if client has Medicaid or qualified employer‐based health coverage
WHO WILL BENEFIT? Coleman clients who currently do not have health insurance or clients who are looking to change their current plan for cost savings or increased medical benefits.
FINDING THE RIGHT PLAN
Coleman takes the guesswork out of finding the right plan. Using the chart below, weigh the Out of Pocket costs and Key Considerations to find the best plan for your needs.
ACA marketplace plans will evaluate an individual’s income to reduce monthly premiums and out of pocket costs based on income and family size.
Plan Category
Insurance Pays
Out of Pocket
Key Considerations
Bronze
60%
40%
Good choice if… the client wants a low-cost way to protect themselves from worst-case medical scenarios. Their monthly premium will be low, but they will pay for most care.
Silver
70%
30%
Good choice if…the client qualifies for a marketplace subsidy or if the client is willing to pay a slightly higher monthly premium to have more of their care covered.
Gold
80%
20%
Good choice if…a client is willing to pay more each month for their premium and have more of their costs covered (i.e. If clients anticipate using a lot of care each month).
Premium
90%
10%
Good choice if…a client uses a lot of care and is willing to pay a high monthly premium knowing nearly all other medical costs will be covered.