FREQUENTLY ASKED QUESTIONS
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We help families compare plans with low copays, family deductibles, pediatric coverage, and prescription options that fit all members’ needs.
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In most cases, no. Plans are tied to state networks. We help you re-enroll in a new plan after you move to avoid gaps in coverage.
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Your income relative to the FPL determines your eligibility for subsidies, Medicaid, or cost-sharing reductions. We calculate this for you during quotes.
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Yes. We offer bilingual assistance in English and Spanish to help all clients understand coverage options and complete their applications correctly.
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Yes. All ACA-compliant plans include preventive pediatric care, such as immunizations, developmental screenings, and well-child visits at no cost.
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We help you choose plans that offer low out-of-pocket costs for surgery, including covered hospitals, specialists, and inpatient care.
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Yes. Behavioral and mental health services, including therapy and substance abuse treatment, are covered as essential benefits.
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COBRA allows you to temporarily keep your employer’s health plan after leaving a job, though it’s usually more expensive. We help compare alternatives.
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Yes. You may qualify for short-term insurance, Medicaid, or ACA coverage through a Special Enrollment Period. We help bridge the gap.
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Yes. Health insurance premiums for the self-employed are often tax-deductible. We help you understand how to maximize savings.
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An HSA-eligible plan is a high-deductible health plan (HDHP) that lets you contribute to a Health Savings Account. Funds roll over and are tax-free when used for medical expenses.
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An EOB is a statement from your insurer showing what they paid, what you owe, and why. It’s not a bill. We help you understand it line-by-line.
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Yes, if you don’t pay premiums or provide required information. We help you maintain eligibility and avoid involuntary termination.
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PPO: Flexible, out-of-network allowed
HMO: Lowest cost, referrals needed
EPO: No referrals, in-network only
We help match you to the best type.
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Yes, some PPO and POS plans allow out-of-network coverage with higher cost-sharing. We clarify what’s reimbursed and what’s not.
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Yes. All ACA plans include coverage for drug and alcohol treatment, including detox, rehab, and counseling services.
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If your employer offers an ICHRA or QSEHRA, you may use it to pay premiums or out-of-pocket costs. We assist with plan selection that works with HRAs.
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Costs vary based on age, location, income, family size, and type of plan. We provide free personalized quotes to show exact premiums and subsidies.
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Yes. We help Florida-based small businesses set up group health insurance for employees, including tax-credit eligible options.
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When a child turns 26, they lose dependent coverage and qualify for a Special Enrollment Period. We help them get their own individual plan.