FREQUENTLY ASKED QUESTIONS

  • You have the right to appeal the decision. We help you understand the denial letter and file an internal or external appeal to request a review.

  • All ACA plans must cover pre-existing conditions without charging more. We compare plans for drug coverage, specialist access, and chronic care.

  • Yes, most plans cover urgent care visits at lower copays than ER visits. We help you find plans with convenient local urgent care options.

  • Medicare Advantage combines Medicare into one plan with extra benefits, while Medigap supplements Original Medicare to cover out-of-pocket costs. We compare both.

  • Yes. Moving to a new ZIP code is a qualifying life event that allows you to enroll in a new plan through a Special Enrollment Period.

  • Undocumented immigrants are not eligible for ACA plans but can purchase private health plans or short-term medical insurance. We explain available options.

    • Copay: Fixed fee per service (e.g., $30 for a visit)

    • Coinsurance: You pay a percentage of the service cost (e.g., 20%)

  • Yes. ACA-compliant plans cover contraceptives, wellness visits, and maternity care as part of essential benefits for women.

  • You may have to wait until the next Open Enrollment unless you qualify for Medicaid or buy a short-term plan to fill the gap.

  • Yes. We offer standalone vision insurance for eye exams, glasses, and contacts. These can be added to or bought separate from health plans.

  • Many plans now include mail-order pharmacy services, which allow you to receive 90-day prescriptions with free shipping. We confirm availability.

  • Balance billing happens when an out-of-network provider bills you for the difference between what they charge and what your insurer pays. We help you avoid it.

  • You can report suspected fraud to the Florida Department of Insurance or your health insurance company. We guide you through the process if needed.

  • Yes. ACA-compliant plans are required to cover COVID-19 testing, vaccines, and treatment, often at no out-of-pocket cost.

  • Turning 26 qualifies you for a Special Enrollment Period. We help you get your own ACA plan with or without subsidies.

  • Yes. We help individuals with cancer find plans that cover oncology care, prescriptions, specialists, and cancer treatment centers.

  • We recommend ACA or private plans with flexibility and low out-of-pocket maxes. HSAs are also a good fit for self-employed individuals.

  • Yes. Most ACA plans include rehab, PT, and occupational therapy under essential health benefits. We confirm exact coverage amounts.

  • Our licensed agents are available Monday–Friday, 9:00 AM–5:00 PM EST. You can also contact us online 24/7 for quotes or questions.

  • Yes. If you qualify for a Special Enrollment Period or short-term coverage, same-day activation is possible. We expedite the application.