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Availability of Plans On and Off Exchange

Posted November 29 2014


Plans On and Off Exchange

If you are currently in the market to purchase health insurance coverage, MHG Insurance Brokers would like to share some information regarding the healthcare plans that are available both ‘on’ and ‘off’ the exchange which could benefit you. The health insurance exchange is an online marketplace for Americans seeking health coverage that allows them to comparison-shop the different plans that are being offered by competing health care providers. For Americans who previously could not afford health insurance, and yet were not eligible for programs like Medicaid or Medicare, may qualify for federal assistance by way of a tax credit, which will reduce the cost of their monthly premium. This subsidy is only available when selecting a health plan on the exchange. 

Plans offered both on and off the exchange provide the same mandatory essential benefits, however, many plans offered off the exchange provide more comprehensive coverage and have larger provider networks than many of the new 2014 plans offered on the exchange. Plans offered off the exchange are still government approved. MHG Insurance Brokers can assist you with determining whether you qualify for a federal subsidy based on your income, as well as evaluating the benefits and provider networks included in each of the plans that you are interested in, whether they are on or off the exchange. Here are just some of the mandatory essential benefits that are offered through the plans available both on and off the marketplace:

  • Outpatient doctor visits, including preventative and wellness services
  • Pediatric services including dental and vision
  • Emergency room services
  • Hospitalization
  • Maternity and newborn care
  • Mental health services
  • Substance Use Disorder coverage
  • Prescription Drug coverage
  • Rehabilitative services
  • Lab tests and services
The Affordable Care Act has made way for many improvements to healthcare for Americans. New plans and many older plans will now provide subscribers with these key enhancements, in addition to others that aren’t mentioned on this list:

  • Advances in women’s health services
  • Improved care for seniors
  • New preventative services that require no out of pocket costs.
  • No annual or lifetime limits on healthcare.
MHG Insurance Brokers is here to guide you each step of the way during these changing times.  MHG Insurance Brokers will assist you with comparing plan choices that are available both on and off the exchange, and help you obtain the health care coverage that is best suited to your family’s health needs and budget. We will utilize our knowledge and expertise to determine whether it is more advantageous to you to shop for a plan on or off the exchange, and clarify the details regarding the benefits, rights and protections included in the new plans. Call one of our insurance specialists today for expert guidance on all matters concerning health care to ensure you are getting the best coverage. MHG Insurance Brokers is always available to answer questions, or assist with processing claims. We continue to be of service for those who are in the market for Supplemental and Long Term Care coverage, Life insurance, and more. Visit MHG Insurance Brokers online at mhginsurance.com, or call and speak to one of MHG’s representatives at 954-828-1819.