FREQUENTLY ASKED QUESTIONS

  • Yes. If you don’t qualify for employer coverage, we can help you find short-term or ACA plans during Open Enrollment or via a Special Enrollment Period.

  • Some plans cover chiropractic, acupuncture, or naturopathy if medically necessary. We check each plan’s benefits for alternative therapies.

  • A Special Enrollment Period (SEP) lets you enroll in health insurance outside of Open Enrollment if you’ve had a qualifying life event, like moving or losing coverage.

  • Yes. The marketplace may require proof of income to validate your subsidy eligibility. We help you submit proper documentation to avoid delays.

  • Yes, through ICHRA or QSEHRA, employers can reimburse tax-free for individual health premiums. We help align your plan with these programs.

  • You’ll enter a grace period, usually 30 days. If payment isn’t made, your plan may be canceled. We help avoid this by setting up auto-pay and reminders.

  • Catastrophic plans are low-cost, high-deductible policies for those under 30 or with hardship exemptions. We explain eligibility and coverage limits.

  • Yes. Most plans cover labs, imaging, and diagnostics when ordered by an in-network provider. We confirm exact coverage and copays.

  • Yes. Divorce is a qualifying life event, triggering a Special Enrollment Period. We help find new coverage for you and your dependents.

  • Yes. Hospice and end-of-life care are covered under ACA-compliant and Medicare plans. We help families confirm this during difficult times.

  • Some plans offer in-home care, physical therapy, or skilled nursing for certain medical needs. We evaluate these benefits for you.

    • In-network: Lower cost, contracted rates

    • Out-of-network: Higher cost, limited coverage
      We ensure your preferred providers are in-network.

  • Yes. We help you upload ID, income, immigration, or tax forms required by healthcare.gov or private insurers to prevent coverage delays.

  • They are applied directly to your monthly premium, reducing what you pay out of pocket. We handle the application to secure these savings.

  • Yes. We help early retirees bridge the gap with ACA or COBRA plans until they’re eligible for Medicare at 65.

  • Yes. You can include children and spouses on family plans. We help determine the best family-tier structure for cost savings.

  • It ensures that your insurance plan has sufficient in-network providers near you. We help verify this so you get timely access to care.

  • Most ACA plans do not, but Medicare Advantage and supplemental policies may include hearing exams, devices, or discounts. We verify your options.

  • It’s the standard of insurance required under the ACA to avoid penalties in some states. We ensure your plan meets MEC standards.

  • Yes. Birth triggers a Special Enrollment Period, and newborns must be added within 30–60 days. We help file the request and update your plan.