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How to check subsidy-eligible plansHealth Insurance Plans in Virginia
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| Plan Name | Metal Level | Deductible (individual/family) | Out-of-pocket Max (individual/family) | |
|---|---|---|---|---|
KP VA Catastrophic 10600 Ded/Vision by Kaiser Permanente | Catastrophic | $10,600 / $21,200 | $10,600 / $21,200 | Price & Details |
Anthem HealthKeepers Catastrophic by HealthKeepers, Inc. | Catastrophic | $10,600 / $21,200 | $10,600 / $21,200 | Price & Details |
BlueChoice HMO Young Adult 10600 Med Ded Virtual Connect Plus by CareFirst BlueChoice | Catastrophic | $10,600 / $21,200 | $10,600 / $21,200 | Price & Details |
Secure by Oscar Insurance Company | Catastrophic | $10,600 / $21,200 | $10,600 / $21,200 | Price & Details |
Sentara Bronze 9800 Ded by Optima Health Plan | Bronze | $9,800 / $19,600 | $10,600 / $21,200 | Price & Details |
UHC Bronze-X Standard by UnitedHealthcare | Bronze | $7,500 / $15,000 | $10,000 / $20,000 | Price & Details |
Anthem HealthKeepers Bronze DED 5900 HSA by HealthKeepers, Inc. | Bronze | $5,900 / $11,800 | $8,450 / $16,900 | Price & Details |
Anthem HealthKeepers POS Bronze DED 6500 HSA by HealthKeepers, Inc. | Bronze | $6,500 / $13,000 | $8,450 / $16,900 | Price & Details |
Anthem EPO Bronze DED 5900 by Anthem Blue Cross and Blue Shield | Bronze | $5,900 / $11,800 | $10,600 / $21,200 | Price & Details |
Anthem HealthKeepers POS Bronze MED DED 0 RX DED 3000 by HealthKeepers, Inc. | Bronze | $0 / $0 | $10,600 / $21,200 | Price & Details |
Anthem HealthKeepers POS Bronze DED 6300 by HealthKeepers, Inc. | Bronze | $6,300 / $12,600 | $10,600 / $21,200 | Price & Details |
Anthem HealthKeepers Bronze DED 5800 by HealthKeepers, Inc. | Bronze | $5,800 / $11,600 | $10,600 / $21,200 | Price & Details |
Anthem HealthKeepers Bronze DED 7500 Standard by HealthKeepers, Inc. | Bronze | $7,500 / $15,000 | $10,000 / $20,000 | Price & Details |
Sentara Bronze 6250 Ded HSA by Optima Health Plan | Bronze | $6,250 / $12,500 | $8,500 / $17,000 | Price & Details |
KP VA Bronze 6500 Ded/Vision by Kaiser Permanente | Bronze | $6,500 / $13,000 | $9,200 / $18,400 | Price & Details |
Sentara Bronze 7200 Ded by Optima Health Plan | Bronze | $7,200 / $14,400 | $10,600 / $21,200 | Price & Details |
Bronze Simple by Oscar Insurance Company | Bronze | $9,000 / $18,000 | $10,600 / $21,200 | Price & Details |
KP VA Standard Bronze 7500 Ded/Vision by Kaiser Permanente | Bronze | $7,500 / $15,000 | $10,000 / $20,000 | Price & Details |
KP VA Bronze 7100 Ded/HSA/Vision by Kaiser Permanente | Bronze | $7,100 / $14,200 | $7,100 / $14,200 | Price & Details |
KP VA Bronze 7500 Ded by Kaiser Permanente | Bronze | $7,500 / $15,000 | $9,200 / $18,400 | Price & Details |
Sentara Bronze 8400 Ded by Optima Health Plan | Bronze | $8,400 / $16,800 | $10,600 / $21,200 | Price & Details |
Anthem EPO Bronze DED 5500 HSA by Anthem Blue Cross and Blue Shield | Bronze | $5,500 / $11,000 | $8,450 / $16,900 | Price & Details |
BlueChoice HMO Referral Bronze 8250 Med Ded 25 Dent Ded Virtual Connect Plus by CareFirst BlueChoice | Bronze | $8,250 / $16,500 | $10,150 / $20,300 | Price & Details |
Anthem HealthKeepers Bronze DED 8700 by HealthKeepers, Inc. | Bronze | $8,700 / $17,400 | $10,600 / $21,200 | Price & Details |
UHC Bronze-X Essential by UnitedHealthcare | Bronze | $10,600 / $21,200 | $10,600 / $21,200 | Price & Details |
UHC Bronze-X Value+ (Dental + Vision) by UnitedHealthcare | Bronze | $7,600 / $15,200 | $10,600 / $21,200 | Price & Details |
Anthem HealthKeepers Bronze DED 5500 by HealthKeepers, Inc. | Bronze | $5,500 / $11,000 | $10,600 / $21,200 | Price & Details |
UHC Bronze-X Value by UnitedHealthcare | Bronze | $7,600 / $15,200 | $10,600 / $21,200 | Price & Details |
Connect Bronze HSA 6500 Indiv Med Deductible by Cigna Health and Life Insurance Company | Bronze | $6,500 / $13,000 | $8,500 / $17,000 | Price & Details |
BlueChoice HMO Standard Bronze 7500 Med Ded 25 Dent Ded by CareFirst BlueChoice | Bronze | $7,500 / $15,000 | $10,000 / $20,000 | Price & Details |
Anthem HealthKeepers POS Bronze DED 5000 HSA by HealthKeepers, Inc. | Bronze | $5,000 / $10,000 | $8,450 / $16,900 | Price & Details |
Connect Bronze 0/4900 Indiv Medical/Rx Deductible by Cigna Health and Life Insurance Company | Bronze | $0 / $0 | $10,600 / $21,200 | Price & Details |
Connect Bronze CMS Standard by Cigna Health and Life Insurance Company | Bronze | $7,500 / $15,000 | $10,000 / $20,000 | Price & Details |
Connect Bronze 5000 Indiv Med Deductible by Cigna Health and Life Insurance Company | Bronze | $5,000 / $10,000 | $10,600 / $21,200 | Price & Details |
Connect Bronze 6500 Indiv Med Deductible by Cigna Health and Life Insurance Company | Bronze | $6,500 / $13,000 | $10,600 / $21,200 | Price & Details |
Bronze Classic Standard by Oscar Insurance Company | Bronze | $7,500 / $15,000 | $10,000 / $20,000 | Price & Details |
Sentara Standard Bronze 7500 Ded by Optima Health Plan | Bronze | $7,500 / $15,000 | $10,000 / $20,000 | Price & Details |
UHC Silver-X Value+ (Dental + Vision) by UnitedHealthcare | Silver | $5,000 / $10,000 | $9,500 / $19,000 | Price & Details |
Anthem HealthKeepers Silver DED 3200 by HealthKeepers, Inc. | Silver | $3,200 / $6,400 | $10,150 / $20,300 | Price & Details |
Anthem EPO Silver DED 3500 HSA by Anthem Blue Cross and Blue Shield | Silver | $3,500 / $7,000 | $8,450 / $16,900 | Price & Details |
UHC Silver-X Copay Focus by UnitedHealthcare | Silver | $0 / $0 | $10,150 / $20,300 | Price & Details |
Silver Classic Standard by Oscar Insurance Company | Silver | $6,000 / $12,000 | $8,900 / $17,800 | Price & Details |
Sentara Silver 3500 Ded HSA by Optima Health Plan | Silver | $3,500 / $7,000 | $7,000 / $14,000 | Price & Details |
KP VA Standard Silver 6000 Ded/Vision/Off by Kaiser Permanente | Silver | $6,000 / $12,000 | $8,900 / $17,800 | Price & Details |
Anthem HealthKeepers POS Silver DED 3500 HSA by HealthKeepers, Inc. | Silver | $3,500 / $7,000 | $8,450 / $16,900 | Price & Details |
Anthem HealthKeepers Silver DED 3700 Tiered PCP by HealthKeepers, Inc. | Silver | $3,700 / $7,400 | $10,150 / $20,300 | Price & Details |
Connect Silver 1500 Indiv Med Deductible by Cigna Health and Life Insurance Company | Silver | $1,500 / $3,000 | $10,000 / $20,000 | Price & Details |
BlueChoice HMO Standard Silver 6000 Med Ded 25 Dent Ded by CareFirst BlueChoice | Silver | $6,000 / $12,000 | $8,900 / $17,800 | Price & Details |
KP VA Silver Virtual Forward 4000 Ded by Kaiser Permanente | Silver | $4,000 / $8,000 | $8,000 / $16,000 | Price & Details |
Connect Silver 4750 Indiv Med Deductible by Cigna Health and Life Insurance Company | Silver | $4,750 / $9,500 | $8,200 / $16,400 | Price & Details |
UHC Silver-X Standard (Off-Exchange Only) by UnitedHealthcare | Silver | $6,000 / $12,000 | $8,900 / $17,800 | Price & Details |
Connect Silver 3250/4900 Indiv Medical/Rx Deductible by Cigna Health and Life Insurance Company | Silver | $3,250 / $6,500 | $9,200 / $18,400 | Price & Details |
KP VA Silver 2700 Ded/Vision by Kaiser Permanente | Silver | $2,700 / $5,400 | $9,100 / $18,200 | Price & Details |
Connect Silver 6000 Indiv Med Deductible by Cigna Health and Life Insurance Company | Silver | $6,000 / $12,000 | $9,600 / $19,200 | Price & Details |
KP VA Silver Virtual Forward 4000 Ded/Off by Kaiser Permanente | Silver | $4,000 / $8,000 | $8,000 / $16,000 | Price & Details |
BluePreferred PPO HSA Silver 3400 Med Ded 25 Dent Ded Virtual Connect Plus by CareFirst BlueCross BlueShield | Silver | $3,400 / $6,800 | $6,850 / $13,700 | Price & Details |
Sentara Silver 5900 Ded by Optima Health Plan | Silver | $5,900 / $11,800 | $9,900 / $19,800 | Price & Details |
Connect Silver CMS Standard by Cigna Health and Life Insurance Company | Silver | $6,000 / $12,000 | $8,900 / $17,800 | Price & Details |
KP VA Silver 4500 Ded/Vision/Off by Kaiser Permanente | Silver | $4,500 / $9,000 | $8,300 / $16,600 | Price & Details |
Anthem HealthKeepers Silver DED 2450 by HealthKeepers, Inc. | Silver | $2,450 / $4,900 | $10,600 / $21,200 | Price & Details |
Sentara Silver 5000 Ded by Optima Health Plan | Silver | $5,000 / $10,000 | $10,000 / $20,000 | Price & Details |
KP VA Silver Virtual Forward 5000 Ded by Kaiser Permanente | Silver | $5,000 / $10,000 | $7,850 / $15,700 | Price & Details |
UHC Silver-X Value by UnitedHealthcare | Silver | $5,000 / $10,000 | $9,500 / $19,000 | Price & Details |
BluePreferred PPO Standard Silver 6000 Med Ded 25 Dent Ded by CareFirst BlueCross BlueShield | Silver | $6,000 / $12,000 | $8,900 / $17,800 | Price & Details |
Anthem HealthKeepers Silver DED 4300 by HealthKeepers, Inc. | Silver | $4,300 / $8,600 | $8,550 / $17,100 | Price & Details |
KP VA Silver 4700 Ded/HSA/Vision by Kaiser Permanente | Silver | $4,700 / $9,400 | $7,500 / $15,000 | Price & Details |
BlueChoice HMO HSA Silver 3400 Med Ded 25 Dent Ded Virtual Connect Plus by CareFirst BlueChoice | Silver | $3,400 / $6,800 | $6,850 / $13,700 | Price & Details |
KP VA Silver 4500 Ded/Vision by Kaiser Permanente | Silver | $4,500 / $9,000 | $8,300 / $16,600 | Price & Details |
Sentara Silver 3200 Ded by Optima Health Plan | Silver | $3,200 / $6,400 | $8,000 / $16,000 | Price & Details |
UHC Silver-X Value (Off-Exchange Only) by UnitedHealthcare | Silver | $5,000 / $10,000 | $9,500 / $19,000 | Price & Details |
Connect Silver 6500 Indiv Med Deductible by Cigna Health and Life Insurance Company | Silver | $6,500 / $13,000 | $8,100 / $16,200 | Price & Details |
Anthem HealthKeepers POS Silver DED 2000 by HealthKeepers, Inc. | Silver | $2,000 / $4,000 | $10,600 / $21,200 | Price & Details |
UHC Silver-X Standard by UnitedHealthcare | Silver | $6,000 / $12,000 | $8,900 / $17,800 | Price & Details |
Anthem HealthKeepers POS Silver DED 3400 HSA by HealthKeepers, Inc. | Silver | $3,400 / $6,800 | $8,450 / $16,900 | Price & Details |
UHC Silver-X Copay Focus (Off-Exchange Only) by UnitedHealthcare | Silver | $0 / $0 | $10,150 / $20,300 | Price & Details |
Sentara Silver 6500 Ded by Optima Health Plan | Silver | $6,500 / $13,000 | $8,950 / $17,900 | Price & Details |
Sentara Standard Silver 6000 Ded by Optima Health Plan | Silver | $6,000 / $12,000 | $8,900 / $17,800 | Price & Details |
Anthem HealthKeepers Silver DED 6000 Standard by HealthKeepers, Inc. | Silver | $6,000 / $12,000 | $8,900 / $17,800 | Price & Details |
Sentara Silver 4400 Ded by Optima Health Plan | Silver | $4,400 / $8,800 | $9,650 / $19,300 | Price & Details |
KP VA Standard Silver 6000 Ded/Vision by Kaiser Permanente | Silver | $6,000 / $12,000 | $8,900 / $17,800 | Price & Details |
KP VA Standard Gold 2000 Ded/Vision by Kaiser Permanente | Gold | $2,000 / $4,000 | $8,200 / $16,400 | Price & Details |
Gold Classic Standard by Oscar Insurance Company | Gold | $2,000 / $4,000 | $8,200 / $16,400 | Price & Details |
UHC Gold-X Copay Focus by UnitedHealthcare | Gold | $0 / $0 | $7,000 / $14,000 | Price & Details |
Sentara Gold 2200 Ded by Optima Health Plan | Gold | $2,200 / $4,400 | $7,500 / $15,000 | Price & Details |
Anthem HealthKeepers Gold DED 1050 by HealthKeepers, Inc. | Gold | $1,050 / $3,150 | $10,150 / $20,300 | Price & Details |
Sentara Gold 1300 Ded by Optima Health Plan | Gold | $1,300 / $2,600 | $7,500 / $15,000 | Price & Details |
KP VA Gold 500 Ded/500 RxDed/Vision by Kaiser Permanente | Gold | $500 / $1,000 | $9,200 / $18,400 | Price & Details |
Anthem HealthKeepers Gold DED 1450 by HealthKeepers, Inc. | Gold | $1,450 / $4,350 | $8,500 / $17,000 | Price & Details |
KP VA Gold 1300 Ded/Vision by Kaiser Permanente | Gold | $1,300 / $2,600 | $7,800 / $15,600 | Price & Details |
Anthem HealthKeepers Gold DED 2000 Standard by HealthKeepers, Inc. | Gold | $2,000 / $4,000 | $8,200 / $16,400 | Price & Details |
KP VA Gold 2000 Ded/Vision by Kaiser Permanente | Gold | $2,000 / $4,000 | $7,300 / $14,600 | Price & Details |
Anthem HealthKeepers POS Gold DED 1700 by HealthKeepers, Inc. | Gold | $1,700 / $5,100 | $8,050 / $16,100 | Price & Details |
Anthem HealthKeepers POS Gold DED 1000 by HealthKeepers, Inc. | Gold | $1,000 / $3,000 | $9,800 / $19,600 | Price & Details |
Anthem HealthKeepers POS Gold DED 400 by HealthKeepers, Inc. | Gold | $400 / $800 | $9,200 / $18,400 | Price & Details |
KP VA Gold 2400 Ded/HSA/Vision by Kaiser Permanente | Gold | $2,400 / $4,800 | $5,000 / $10,000 | Price & Details |
Anthem EPO Gold DED 1700 by Anthem Blue Cross and Blue Shield | Gold | $1,700 / $5,100 | $8,700 / $17,400 | Price & Details |
Connect Gold 750 Indiv Med Deductible by Cigna Health and Life Insurance Company | Gold | $750 / $1,500 | $10,000 / $20,000 | Price & Details |
Anthem HealthKeepers Gold DED 1250 Tiered PCP by HealthKeepers, Inc. | Gold | $1,250 / $3,750 | $8,150 / $16,300 | Price & Details |
Connect Gold 2750 Indiv Med Deductible by Cigna Health and Life Insurance Company | Gold | $2,750 / $5,500 | $9,000 / $18,000 | Price & Details |
Sentara Standard Gold 2000 Ded by Optima Health Plan | Gold | $2,000 / $4,000 | $8,200 / $16,400 | Price & Details |
Connect myHeartCare Gold 950 Indiv Med Deductible by Cigna Health and Life Insurance Company | Gold | $950 / $1,900 | $10,000 / $20,000 | Price & Details |
BlueChoice HMO Gold 1750 Med Ded 150 Drug Ded 25 Dent Ded Virtual Connect Plus by CareFirst BlueChoice | Gold | $1,750 / $3,500 | $7,800 / $15,600 | Price & Details |
BluePreferred PPO Gold 1750 Med Ded 150 Drug Ded 25 Dent Ded Virtual Connect Plus by CareFirst BlueCross BlueShield | Gold | $1,750 / $3,500 | $7,800 / $15,600 | Price & Details |
BluePreferred PPO Standard Gold 2000 Med Ded 25 Dent Ded by CareFirst BlueCross BlueShield | Gold | $2,000 / $4,000 | $8,200 / $16,400 | Price & Details |
BlueChoice HMO Standard Gold 2000 Med Ded 25 Dent Ded by CareFirst BlueChoice | Gold | $2,000 / $4,000 | $8,200 / $16,400 | Price & Details |
Connect Gold 2500 Indiv Med Deductible by Cigna Health and Life Insurance Company | Gold | $2,500 / $5,000 | $9,500 / $19,000 | Price & Details |
Connect Gold CMS Standard by Cigna Health and Life Insurance Company | Gold | $2,000 / $4,000 | $8,200 / $16,400 | Price & Details |
KP VA Gold 0 Ded/500 RxDed/Vision by Kaiser Permanente | Gold | $0 / $0 | $9,200 / $18,400 | Price & Details |
Connect myDiabetesCare Gold 1800 Indiv Med Deductible by Cigna Health and Life Insurance Company | Gold | $1,800 / $3,600 | $10,500 / $21,000 | Price & Details |
KP VA Gold Virtual Forward 2500 Ded by Kaiser Permanente | Gold | $2,500 / $5,000 | $5,525 / $11,050 | Price & Details |
UHC Gold-X Advantage by UnitedHealthcare | Gold | $2,000 / $4,000 | $7,800 / $15,600 | Price & Details |
Sentara Gold 3500 Ded by Optima Health Plan | Gold | $3,500 / $7,000 | $6,450 / $12,900 | Price & Details |
Sentara Gold 1000 Ded by Optima Health Plan | Gold | $1,000 / $2,000 | $9,950 / $19,900 | Price & Details |
Anthem HealthKeepers POS Gold DED 3400 HSA by HealthKeepers, Inc. | Gold | $3,400 / $6,800 | $3,400 / $6,800 | Price & Details |
UHC Gold-X Standard by UnitedHealthcare | Gold | $2,000 / $4,000 | $8,200 / $16,400 | Price & Details |
UHC Gold-X Advantage+ (Dental + Vision) by UnitedHealthcare | Gold | $2,000 / $4,000 | $7,800 / $15,600 | Price & Details |
UHC Gold-X Copay Focus+ (Dental + Vision) by UnitedHealthcare | Gold | $0 / $0 | $7,000 / $14,000 | Price & Details |
KP VA Platinum 0 Ded/Vision by Kaiser Permanente | Platinum | $0 / $0 | $4,500 / $9,000 | Price & Details |
KP VA Standard Platinum 0 Ded/Vision by Kaiser Permanente | Platinum | $0 / $0 | $5,200 / $10,400 | Price & Details |
Sentara Platinum 0 Ded by Optima Health Plan | Platinum | $0 / $0 | $3,800 / $7,600 | Price & Details |
Help with Obamacare & Off-Exchange Plans Sign Up
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.
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Learn More About Obamacare and Off-Exchange Plans in Virginia
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.
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