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Let’s dig even deeper into ACA coverage.

 

Now that we’ve touched on Affordable Care Act (ACA) plans, let’s get into the specifics. You’ll learn about what ACA plans cover, how to get plan savings, what metal level is for you and more. Ready? Let’s get started.

 
 
 
 
 

On the marketplace or off: What’s the difference?

 

With all this talk about open enrollment, you may be wondering how and where to shop. Let’s walk through your options.

 

On the marketplace

The Health Insurance Marketplace® (aka “the marketplace or “the exchange) is an online hub where you can compare and shop ACA individual health plans. It’s run by the federal government for many states, but the coverage is through private health plans.

 

  • Who it’s great for: Anyone can shop on the marketplace. But if you qualify for premium discounts or extra savings on your out-of-pocket costs, this may be your best option. (Tip: Even if you don’t qualify for financial help, you can still shop on the marketplace).
  • How to get started: You can find Aetna CVS Health ACA individual plans in select areas. Maybe even yours. If we don’t have a plan in your area yet, you can also visit the federal marketplace at Healthcare.gov or your state’s marketplace to make sure you’re covered.

 

Off the marketplace

Here, you’re buying coverage outside of the official ACA marketplace. Just like on the marketplace plans, these plans cover the 10 essential benefits categories. The biggest difference? You can’t get premium discounts or extra savings if you opt for an off the marketplace plan (aka “off-exchange plan).

 

  • Who it’s great for: If you make too much money to qualify for financial help — and you’d like to explore plan options you can’t find on the marketplace — then shopping off the marketplace may be right for you. (Tip: Many people think they won’t quality for financial help, and actually do. So be sure to check if you’re eligible.)
  • How to get started: You can find Aetna CVS Health individual plans in select areas. Maybe even yours. If we don’t have a plan in your area yet, you can also buy these plans direct from another insurance company or through a broker.
 
 

Legal notices

Health plans are offered or underwritten or administered by Coventry Health Plan of Florida, Inc., Aetna Health Inc. (Georgia), Aetna Life Insurance Company, Aetna Health of Utah Inc., Aetna Health Inc. (Pennsylvania), or Aetna Health Inc. (Texas) (Aetna). Aetna is part of the CVS Health family of companies.

Health benefits and health insurance plans contain exclusions and limitations.