Health Insurance for Individuals and Families in Texas
- Medical Emergencies
- Doctor’s visits
- Prescription drugs
- Preventative care
- Other healthcare services
Which kind of health insurance should I get?
Affordable Care Act:
On vs Off Market
You may know Affordable Care Act (ACA) plans as major medical or even “Obamacare,” but whatever you call them, both On and Off Exchange plans meet all the requirements of the ACA. No matter which Exchange you shop, the prices of health insurance will always remain the same. The main difference is access to financial assistance, known as a subsidy.
On-Exchange plans are purchased through the On-Marketplace, operated in Texas by the federal government, which include available subsidies based on your household size and income.
Off-Exchange plans are offered privately by each health insurance carrier within the state. These plans offer the same Essential Health Benefits, complaint to the ACA, the only difference is Off Marketplace does not offer subsidies.
ACA plans provide benefits for a broad range of health care services, both inpatient and outpatient, and can save you money on routine doctor visits, prescription drugs, preventative care, hospital stays, and more.
Short Term Plans
If you can’t afford an Affordable Care Act (ACA) plan or have missed the cutoff to apply, you may want to consider a short-term plan. Compared to ACA plans, short-term health insurance typically provides coverage limitations not found in the ACA, does not provide coverage for pre-existing health conditions and the applicant will be subject to underwriting. But short-term plans do accept applications year-round, and they can help offset costs if you have a medical emergency unrelated to a preexisting condition.
Short-term plans do not meet the requirements of the ACA and may not cover all — or any — of your medical needs, so you’ll want to read the plan details carefully before applying.
Need More Information on What Plan Works for You?
When combined with other insurance, medical indemnity plans can help cover out-of-pocket medical expenses like copays and coinsurance. You can also purchase a medical indemnity plan as your only insurance or as part of an insurance package, but as with short-term health insurance, medical indemnity plans do not meet the requirements of the Affordable Care Act (ACA) and will not help you avoid any state tax penalties. Indemnity plans also typically do not cover preexisting conditions and may include per-incident, yearly, and/or lifetime benefit limits.