FREQUENTLY ASKED QUESTIONS

  • We help families compare plans with low copays, family deductibles, pediatric coverage, and prescription options that fit all members’ needs.

  • 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.

  • Your income relative to the FPL determines your eligibility for subsidies, Medicaid, or cost-sharing reductions. We calculate this for you during quotes.

  • Yes. We offer bilingual assistance in English and Spanish to help all clients understand coverage options and complete their applications correctly.

  • Yes. All ACA-compliant plans include preventive pediatric care, such as immunizations, developmental screenings, and well-child visits at no cost.

  • We help you choose plans that offer low out-of-pocket costs for surgery, including covered hospitals, specialists, and inpatient care.

  • Yes. Behavioral and mental health services, including therapy and substance abuse treatment, are covered as essential benefits.

  • 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.

  • Yes. You may qualify for short-term insurance, Medicaid, or ACA coverage through a Special Enrollment Period. We help bridge the gap.

  • Yes. Health insurance premiums for the self-employed are often tax-deductible. We help you understand how to maximize savings.

  • 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.

  • 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.

  • Yes, if you don’t pay premiums or provide required information. We help you maintain eligibility and avoid involuntary termination.

    • 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.

  • Yes, some PPO and POS plans allow out-of-network coverage with higher cost-sharing. We clarify what’s reimbursed and what’s not.

  • Yes. All ACA plans include coverage for drug and alcohol treatment, including detox, rehab, and counseling services.

  • 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.

  • Costs vary based on age, location, income, family size, and type of plan. We provide free personalized quotes to show exact premiums and subsidies.

  • Yes. We help Florida-based small businesses set up group health insurance for employees, including tax-credit eligible options.

  • When a child turns 26, they lose dependent coverage and qualify for a Special Enrollment Period. We help them get their own individual plan.