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Plan Name On or Off Exchange Plan eligible for subsidy? Metal Level Deductible (individual/family) Out-of-pocket Max (individual/family)
Standard Expanded Bronze + Vision + Adult Dental by Ambetter from Louisiana Healthcare Connections Both Bronze $7,500 / $15,000 $9,200 / $18,400 Price & Details
Standard Expanded Bronze by Ambetter from Louisiana Healthcare Connections Both Bronze $7,500 / $15,000 $9,200 / $18,400 Price & Details
Everyday Bronze + Vision + Adult Dental by Ambetter from Louisiana Healthcare Connections Both Bronze $8,450 / $16,900 $9,200 / $18,400 Price & Details
Everyday Bronze by Ambetter from Louisiana Healthcare Connections Both Bronze $8,450 / $16,900 $9,200 / $18,400 Price & Details
Signature Blue Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan by HMO Louisiana, Inc. Both Bronze $7,500 / $15,000 $9,200 / $18,400 Price & Details
Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (N) by HMO Louisiana, Inc. Both Bronze $7,500 / $15,000 $9,200 / $18,400 Price & Details
Blue POS Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan by HMO Louisiana, Inc. Both Bronze $7,500 / $15,000 $9,200 / $18,400 Price & Details
Blue Max 70/50 $6700 by Louisiana Health Service & Indemnity Company Both Bronze $6,700 / $18,400 $9,200 / $18,400 Price & Details
Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan by Louisiana Health Service & Indemnity Company Both Bronze $7,500 / $15,000 $9,200 / $18,400 Price & Details
Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (L) by HMO Louisiana, Inc. Both Bronze $7,500 / $15,000 $9,200 / $18,400 Price & Details
Community Blue Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan by HMO Louisiana, Inc. Both Bronze $7,500 / $15,000 $9,200 / $18,400 Price & Details
Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (S) by HMO Louisiana, Inc. Both Bronze $7,500 / $15,000 $9,200 / $18,400 Price & Details
Precision Blue Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (M) by HMO Louisiana, Inc. Both Bronze $7,500 / $15,000 $9,200 / $18,400 Price & Details
Elite Bronze by Ambetter from Louisiana Healthcare Connections Both Bronze $0 / $0 $9,200 / $18,400 Price & Details
Blue POS 60/40 $6500 by HMO Louisiana, Inc. Both Bronze $6,500 / $18,400 $9,200 / $18,400 Price & Details
Blue POS 70/50 $4550 by HMO Louisiana, Inc. Both Bronze $4,550 / $13,650 $9,200 / $18,400 Price & Details
UHC Bronze Value ($5 Tier 2 Rx, No Referrals) by UnitedHealthcare Obamacare Bronze $8,300 / $16,600 $9,200 / $18,400 Price & Details
UHC Bronze Standard (No Referrals) by UnitedHealthcare Obamacare Bronze $7,500 / $15,000 $9,200 / $18,400 Price & Details
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) by UnitedHealthcare Obamacare Bronze $0 / $0 $9,200 / $18,400 Price & Details
UHC Bronze Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) by UnitedHealthcare Obamacare Bronze $8,300 / $16,600 $9,200 / $18,400 Price & Details
Blue Saver 60/40 $6100 by Louisiana Health Service & Indemnity Company Both Bronze $6,100 / $12,200 $8,000 / $16,000 Price & Details
Precision Blue Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (BR) by HMO Louisiana, Inc. Both Bronze $7,500 / $15,000 $9,200 / $18,400 Price & Details
Elite Bronze + Vision + Adult Dental by Ambetter from Louisiana Healthcare Connections Both Bronze $0 / $0 $9,200 / $18,400 Price & Details
CHRISTUS Bronze Essential by CHRISTUS Health Plan Louisiana Obamacare Bronze $7,450 / $14,900 $9,200 / $18,400 Price & Details
CHRISTUS Standard Expanded Bronze by CHRISTUS Health Plan Louisiana Obamacare Bronze $7,500 / $15,000 $9,200 / $18,400 Price & Details
CHRISTUS Bronze by CHRISTUS Health Plan Louisiana Obamacare Bronze $8,500 / $17,000 $9,200 / $18,400 Price & Details
CHRISTUS Bronze Essential Plus by CHRISTUS Health Plan Louisiana Obamacare Bronze $7,450 / $14,900 $9,200 / $18,400 Price & Details
CHRISTUS Bronze Plus by CHRISTUS Health Plan Louisiana Obamacare Bronze $8,500 / $17,000 $9,200 / $18,400 Price & Details
CHRISTUS Bronze Essential by CHRISTUS Health Plan Louisiana Obamacare Bronze $7,450 / $14,900 $9,200 / $18,400 Price & Details
CHRISTUS Standard Expanded Bronze by CHRISTUS Health Plan Louisiana Obamacare Bronze $7,500 / $15,000 $9,200 / $18,400 Price & Details
CHRISTUS Bronze by CHRISTUS Health Plan Louisiana Obamacare Bronze $8,500 / $17,000 $9,200 / $18,400 Price & Details
CHRISTUS Bronze Essential Plus by CHRISTUS Health Plan Louisiana Obamacare Bronze $7,450 / $14,900 $9,200 / $18,400 Price & Details
CHRISTUS Bronze Plus by CHRISTUS Health Plan Louisiana Obamacare Bronze $8,500 / $17,000 $9,200 / $18,400 Price & Details
CHRISTUS Bronze Essential by CHRISTUS Health Plan Louisiana Obamacare Bronze $7,450 / $14,900 $9,200 / $18,400 Price & Details
CHRISTUS Standard Expanded Bronze by CHRISTUS Health Plan Louisiana Obamacare Bronze $7,500 / $15,000 $9,200 / $18,400 Price & Details
CHRISTUS Bronze by CHRISTUS Health Plan Louisiana Obamacare Bronze $8,500 / $17,000 $9,200 / $18,400 Price & Details
CHRISTUS Bronze Essential Plus by CHRISTUS Health Plan Louisiana Obamacare Bronze $7,450 / $14,900 $9,200 / $18,400 Price & Details
CHRISTUS Bronze Plus by CHRISTUS Health Plan Louisiana Obamacare Bronze $8,500 / $17,000 $9,200 / $18,400 Price & Details
Blue Connect 80/60 $3200 (N) by HMO Louisiana, Inc. Both Silver $3,200 / $9,600 $7,700 / $15,400 Price & Details
Elite Silver by Ambetter from Louisiana Healthcare Connections Both Silver $0 / $0 $8,200 / $16,400 Price & Details
Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (N) by HMO Louisiana, Inc. Both Silver $5,000 / $10,000 $8,000 / $16,000 Price & Details
Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 by Louisiana Health Service & Indemnity Company Both Silver $3,300 / $9,900 $9,200 / $18,400 Price & Details
Blue Connect 80/60 $3200 (L) by HMO Louisiana, Inc. Both Silver $3,200 / $9,600 $7,700 / $15,400 Price & Details
Precision Blue 80/60 $3200 (M) by HMO Louisiana, Inc. Both Silver $3,200 / $9,600 $7,700 / $15,400 Price & Details
Blue POS 80/60 $3200 by HMO Louisiana, Inc. Both Silver $3,200 / $9,600 $7,700 / $15,400 Price & Details
Blue POS Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan by HMO Louisiana, Inc. Both Silver $5,000 / $10,000 $8,000 / $16,000 Price & Details
Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (L) by HMO Louisiana, Inc. Both Silver $5,000 / $10,000 $8,000 / $16,000 Price & Details
UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) by UnitedHealthcare Obamacare Silver $3,600 / $7,200 $9,200 / $18,400 Price & Details
UHC Silver Standard by UnitedHealthcare Obamacare Silver $5,000 / $10,000 $8,000 / $16,000 Price & Details
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) by UnitedHealthcare Obamacare Silver $0 / $0 $9,200 / $18,400 Price & Details
UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) by UnitedHealthcare Obamacare Silver $0 / $0 $9,200 / $18,400 Price & Details
UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) by UnitedHealthcare Obamacare Silver $3,600 / $7,200 $9,200 / $18,400 Price & Details
Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan by Louisiana Health Service & Indemnity Company Both Silver $5,000 / $10,000 $8,000 / $16,000 Price & Details
Blue Saver 90/70 $3200 by Louisiana Health Service & Indemnity Company Both Silver $3,200 / $6,400 $7,600 / $15,200 Price & Details
Community Blue 80/60 $3200 by HMO Louisiana, Inc. Both Silver $3,200 / $9,600 $7,700 / $15,400 Price & Details
Precision Blue 80/60 $3200 (BR) by HMO Louisiana, Inc. Both Silver $3,200 / $9,600 $7,700 / $15,400 Price & Details
Community Blue Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan by HMO Louisiana, Inc. Both Silver $5,000 / $10,000 $8,000 / $16,000 Price & Details
Precision Blue Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (BR) by HMO Louisiana, Inc. Both Silver $5,000 / $10,000 $8,000 / $16,000 Price & Details
Standard Silver by Ambetter from Louisiana Healthcare Connections Both Silver $5,000 / $10,000 $8,000 / $16,000 Price & Details
Focused Silver by Ambetter from Louisiana Healthcare Connections Both Silver $6,300 / $12,600 $8,000 / $16,000 Price & Details
Focused Silver + Vision + Adult Dental by Ambetter from Louisiana Healthcare Connections Both Silver $6,300 / $12,600 $8,000 / $16,000 Price & Details
Elite Silver + Vision + Adult Dental by Ambetter from Louisiana Healthcare Connections Both Silver $0 / $0 $8,200 / $16,400 Price & Details
Blue Connect 80/60 $3200 (S) by HMO Louisiana, Inc. Both Silver $3,200 / $9,600 $7,700 / $15,400 Price & Details
CHRISTUS Silver by CHRISTUS Health Plan Louisiana Obamacare Silver $8,200 / $16,400 $9,200 / $18,400 Price & Details
Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (S) by HMO Louisiana, Inc. Both Silver $5,000 / $10,000 $8,000 / $16,000 Price & Details
CHRISTUS Silver Essential by CHRISTUS Health Plan Louisiana Obamacare Silver $6,900 / $13,800 $9,200 / $18,400 Price & Details
CHRISTUS Standard Silver by CHRISTUS Health Plan Louisiana Obamacare Silver $5,000 / $10,000 $8,000 / $16,000 Price & Details
CHRISTUS Silver Essential Plus by CHRISTUS Health Plan Louisiana Obamacare Silver $6,900 / $13,800 $9,200 / $18,400 Price & Details
CHRISTUS Silver Plus by CHRISTUS Health Plan Louisiana Obamacare Silver $8,200 / $16,400 $9,200 / $18,400 Price & Details
CHRISTUS Silver by CHRISTUS Health Plan Louisiana Obamacare Silver $8,200 / $16,400 $9,200 / $18,400 Price & Details
CHRISTUS Silver Essential by CHRISTUS Health Plan Louisiana Obamacare Silver $6,900 / $13,800 $9,200 / $18,400 Price & Details
CHRISTUS Standard Silver by CHRISTUS Health Plan Louisiana Obamacare Silver $5,000 / $10,000 $8,000 / $16,000 Price & Details
CHRISTUS Silver by CHRISTUS Health Plan Louisiana Obamacare Silver $8,200 / $16,400 $9,200 / $18,400 Price & Details
CHRISTUS Silver Essential Plus by CHRISTUS Health Plan Louisiana Obamacare Silver $6,900 / $13,800 $9,200 / $18,400 Price & Details
CHRISTUS Silver Plus by CHRISTUS Health Plan Louisiana Obamacare Silver $8,200 / $16,400 $9,200 / $18,400 Price & Details
Precision Blue Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (M) by HMO Louisiana, Inc. Both Silver $5,000 / $10,000 $8,000 / $16,000 Price & Details
CHRISTUS Silver Essential by CHRISTUS Health Plan Louisiana Obamacare Silver $6,900 / $13,800 $9,200 / $18,400 Price & Details
CHRISTUS Standard Silver by CHRISTUS Health Plan Louisiana Obamacare Silver $5,000 / $10,000 $8,000 / $16,000 Price & Details
CHRISTUS Silver Essential Plus by CHRISTUS Health Plan Louisiana Obamacare Silver $6,900 / $13,800 $9,200 / $18,400 Price & Details
CHRISTUS Silver Plus by CHRISTUS Health Plan Louisiana Obamacare Silver $8,200 / $16,400 $9,200 / $18,400 Price & Details
Signature Blue 80/60 $3200 by HMO Louisiana, Inc. Both Silver $3,200 / $9,600 $7,700 / $15,400 Price & Details
Signature Blue Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan by HMO Louisiana, Inc. Both Silver $5,000 / $10,000 $8,000 / $16,000 Price & Details
Blue Max 90/70 $1500 by Louisiana Health Service & Indemnity Company Both Gold $1,500 / $4,500 $9,200 / $18,400 Price & Details
Blue POS Copay (PCP, Specialist, Urgent Care) 80/60 $1000 by HMO Louisiana, Inc. Both Gold $1,000 / $3,000 $8,900 / $17,800 Price & Details
Blue POS Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan by HMO Louisiana, Inc. Both Gold $1,500 / $3,000 $7,800 / $15,600 Price & Details
Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (L) by HMO Louisiana, Inc. Both Gold $1,500 / $3,000 $7,800 / $15,600 Price & Details
UHC Gold Standard (No Referrals) by UnitedHealthcare Obamacare Gold $1,500 / $3,000 $7,800 / $15,600 Price & Details
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, No Referrals) by UnitedHealthcare Obamacare Gold $0 / $0 $7,500 / $15,000 Price & Details
UHC Gold Advantage ($5 Tier 2 Rx, No Referrals) by UnitedHealthcare Obamacare Gold $500 / $1,000 $7,500 / $15,000 Price & Details
UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) by UnitedHealthcare Obamacare Gold $500 / $1,000 $7,500 / $15,000 Price & Details
Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan by Louisiana Health Service & Indemnity Company Both Gold $1,500 / $3,000 $7,800 / $15,600 Price & Details
Community Blue Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan by HMO Louisiana, Inc. Both Gold $1,500 / $3,000 $7,800 / $15,600 Price & Details
Precision Blue Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (BR) by HMO Louisiana, Inc. Both Gold $1,500 / $3,000 $7,800 / $15,600 Price & Details
Complete Gold by Ambetter from Louisiana Healthcare Connections Both Gold $1,450 / $2,900 $7,600 / $15,200 Price & Details
Elite Gold by Ambetter from Louisiana Healthcare Connections Both Gold $0 / $0 $5,500 / $11,000 Price & Details
Standard Gold by Ambetter from Louisiana Healthcare Connections Both Gold $1,500 / $3,000 $7,800 / $15,600 Price & Details
Standard Gold + Vision + Adult Dental by Ambetter from Louisiana Healthcare Connections Both Gold $1,500 / $3,000 $7,800 / $15,600 Price & Details
Complete Gold + Vision + Adult Dental by Ambetter from Louisiana Healthcare Connections Both Gold $1,450 / $2,900 $7,600 / $15,200 Price & Details
Elite Gold + Vision + Adult Dental by Ambetter from Louisiana Healthcare Connections Both Gold $0 / $0 $5,500 / $11,000 Price & Details
Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (S) by HMO Louisiana, Inc. Both Gold $1,500 / $3,000 $7,800 / $15,600 Price & Details
CHRISTUS Gold Essential by CHRISTUS Health Plan Louisiana Obamacare Gold $3,750 / $7,500 $9,200 / $18,400 Price & Details
CHRISTUS Gold Essential Plus by CHRISTUS Health Plan Louisiana Obamacare Gold $3,750 / $7,500 $9,200 / $18,400 Price & Details
CHRISTUS Standard Gold by CHRISTUS Health Plan Louisiana Obamacare Gold $1,500 / $3,000 $7,800 / $15,600 Price & Details
CHRISTUS Gold by CHRISTUS Health Plan Louisiana Obamacare Gold $0 / $0 $9,200 / $18,400 Price & Details
CHRISTUS Gold Plus by CHRISTUS Health Plan Louisiana Obamacare Gold $0 / $0 $9,200 / $18,400 Price & Details
CHRISTUS Gold Essential by CHRISTUS Health Plan Louisiana Obamacare Gold $3,750 / $7,500 $9,200 / $18,400 Price & Details
CHRISTUS Gold Essential Plus by CHRISTUS Health Plan Louisiana Obamacare Gold $3,750 / $7,500 $9,200 / $18,400 Price & Details
CHRISTUS Standard Gold by CHRISTUS Health Plan Louisiana Obamacare Gold $1,500 / $3,000 $7,800 / $15,600 Price & Details
CHRISTUS Gold Plus by CHRISTUS Health Plan Louisiana Obamacare Gold $0 / $0 $9,200 / $18,400 Price & Details
CHRISTUS Gold by CHRISTUS Health Plan Louisiana Obamacare Gold $0 / $0 $9,200 / $18,400 Price & Details
CHRISTUS Gold Plus by CHRISTUS Health Plan Louisiana Obamacare Gold $0 / $0 $9,200 / $18,400 Price & Details
Precision Blue Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (M) by HMO Louisiana, Inc. Both Gold $1,500 / $3,000 $7,800 / $15,600 Price & Details
CHRISTUS Gold Essential by CHRISTUS Health Plan Louisiana Obamacare Gold $3,750 / $7,500 $9,200 / $18,400 Price & Details
CHRISTUS Gold Essential Plus by CHRISTUS Health Plan Louisiana Obamacare Gold $3,750 / $7,500 $9,200 / $18,400 Price & Details
CHRISTUS Standard Gold by CHRISTUS Health Plan Louisiana Obamacare Gold $1,500 / $3,000 $7,800 / $15,600 Price & Details
CHRISTUS Gold by CHRISTUS Health Plan Louisiana Obamacare Gold $0 / $0 $9,200 / $18,400 Price & Details
Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (N) by HMO Louisiana, Inc. Both Gold $1,500 / $3,000 $7,800 / $15,600 Price & Details
Signature Blue Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan by HMO Louisiana, Inc. Both Gold $1,500 / $3,000 $7,800 / $15,600 Price & Details
Signature Blue Copay (PCP, Specialist, Urgent Care) 70/50 $3100 by HMO Louisiana, Inc. Off Silver $3,100 / $9,300 $9,200 / $18,400 Price & Details
Blue Connect copay (PCP, Specialist, Urgent Care) 70/50 $3100 (N) by HMO Louisiana, Inc. Off Silver $3,100 / $9,300 $9,200 / $18,400 Price & Details
Blue Saver 90/70 $3500 by Louisiana Health Service & Indemnity Company Off Silver $3,500 / $7,000 $8,000 / $16,000 Price & Details
Precision Blue copay (PCP, Specialist, Urgent Care) 70/50 $3200 (BR) by HMO Louisiana, Inc. Off Silver $3,200 / $9,600 $9,200 / $18,400 Price & Details
Precision Blue copay (PCP, Specialist, Urgent Care) 70/50 $3200 (M) by HMO Louisiana, Inc. Off Silver $3,200 / $9,600 $9,200 / $18,400 Price & Details
Blue POS Copay (PCP, Specialist, Urgent Care) 70/50 $2700 by HMO Louisiana, Inc. Off Silver $2,700 / $8,100 $9,200 / $18,400 Price & Details
Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3400 by Louisiana Health Service & Indemnity Company Off Silver $3,400 / $10,200 $9,200 / $18,400 Price & Details
Blue Connect copay (PCP, Specialist, Urgent Care) 70/50 $3100 (L) by HMO Louisiana, Inc. Off Silver $3,100 / $9,300 $9,200 / $18,400 Price & Details
Community Blue copay (PCP, Specialist, Urgent Care) 70/50 $3100 by HMO Louisiana, Inc. Off Silver $3,100 / $9,300 $9,200 / $18,400 Price & Details
Blue Connect copay (PCP, Specialist, Urgent Care) 70/50 $3100 (S) by HMO Louisiana, Inc. Off Silver $3,100 / $9,300 $9,200 / $18,400 Price & Details

 

 

After using a subsidy tax credit, you may be eligible for Obamacare plans as low as $0.

Licensed insurance agents at our trusted partner help people apply for a subsidy and sign up for Obamacare plans available on healthcare.gov or other State exchange marketplaces.

 

 

 

What are Obamacare Health Insurance Plans?

Obamacare health insurance plans are plans which are eligible for reduced costs with a subsidy tax credit. Obamacare plans are only offered through the federal government exchange marketplace healthcare.gov or some States have their own exchange marketplace website. Although plans are only offered through the exchange marketplaces, the federal government allows certified brokers, agents, and web brokers to help you enroll in an Obamacare plan and apply for a subsidy.

 

What are Off-Exchange Health Insurance Plans?

Off-Exchange health insurance plans are plans which are available outside of the federal government exchange marketplaces. Off-Exchange plans existed before Obamacare. For example, if someone did not have access to a health insurance plan through work, they may have purchased an Off-Exchange plan offered on the Individual Market.

You can enroll in an Off-Exchange plan through a broker, agent, web broker, or by contacting the insurance company directly.

 

Search Off-Exchange plans

 

What’s the difference between Obamacare plans and Off-Exchange plans?

The main difference between Obamacare plans and Off-Exchange plans is that only Obamacare plans are eligible for a subsidy tax credit to reduce costs.

Otherwise there are not many other differences between Obamacare plans and Off-Exchange plans. Plan design, coverage, and rates are similar and both sets of plans must adhere to federal government regulations. In fact, there are many plans which are available as both Obamacare plans and as Off-Exchange plans.

 

Can a plan be both an Obamacare and Off-Exchange plan?

Yes, a plan can be available as both an Obamacare and an Off-Exchange plan.

On the other hand, some plans are only offered as Obamacare plans while other plans are only offered as Off-Exchange plans.

 

Do plans which are both Obamacare and Off-Exchange plans cost the same price?

Yes, by law a plan which is offered as both an Obamacare plan and an Off-Exchange plan must be sold at the same price. In addition, broker, agents, and web brokers are required to sell plans at the same market price. However, keep in mind that only Obamacare plans are eligible for a subsidy to reduce the monthly premium price.

 

Who is eligible for Obamacare and Off-Exchange plans?

Technically everyone is eligible for Obamacare plans and Off-Exchange plans. The real question is - who is eligible for a subsidy tax credit? - which can only be used to reduce the costs of Obamacare plans. Note that even if you are not eligible for a subsidy tax credit, you are still allowed to purchase an Obamacare plan at the full price.

 

What is the Obamacare Subsidy (Tax Credit)?

The Obamacare subsidy is really a tax credit, and it is formally known as the Advanced Premium Tax Credit (APTC). Typically people receive a tax credit at the end of the year when filing taxes, but this tax credit can be received “in advance”, during the year, to reduce the monthly premium costs of an Obamacare health insurance plan.

You must complete an official federal government application to learn your subsidy amount. Everyone’s amount will be different. The calculation for the subsidy amount can be quite complicated. It is based on several different factors, but household income is the main factor. We recommend using our tool to estimate your subsidy amount.

 

Search Obamacare plans and estimate subsidy amount

 

Who is eligible to receive an Obamacare Subsidy (Tax Credit)

To be eligible for a subsidy to reduce the monthly premium costs of Obamacare plans, you must meet the following requirements.

  • Income requirements based on household size and household income. As examples, earn less than $48,240 for an individual and less than $98,400 for a family of four
  • Not eligible for other federal government sponsored insurance, such as Medicare or Medicaid
  • Do not have access to a health insurance plan from your employer which meet federal government coverage and affordability requirements
  • File taxes or be claimed as a spouse or dependent on taxes. Married couples are required to file taxes jointly.
  • Not be incarcerated
  • Be legally present in the United States

 

Why should I consider Off-Exchange plans?

Off-Exchange plans may provide you with additional options compared to available Obamacare plans. If you are not eligible for a subsidy, or only eligible for a small subsidy amount, Off-Exchange plans may still be an affordable option for you.

A second reason for considering Off-Exchange plans is that your favorite doctor may only accept a plan which is available as an Off-Exchange plan. We recommend researching provider networks when considering health insurance plans. We provide links to official provider directories, or doctor lookups, on Health Plan Radar.

In addition, some health insurance companies have been leaving the Obamacare plan market, but they may still offer Off-Exchange plans. Your preferred insurance company may still offer plans on the Off-Exchange market.

 

How do I choose an Obamacare plan or Off-Exchange plan which is best for me and my family?

There are several health insurance concepts you should understand before choosing a plan that’s best for you, including premium price, out-of-pocket costs, deductibles, and plan metal levels. Visit our choosing a plan FAQ page to learn more.

 

FAQs - Choosing an Obamacare or Off-Exchange Health Insurance Plan