The open enrollment period for Affordable Care Act (ACA) insurance is coming to a close, and many Americans are facing higher premiums and reduced tax subsidies. As a result, some are considering alternative options, such as short-term insurance plans or other types of coverage. However, experts warn that these alternatives may not provide comprehensive coverage and can be risky.
Short-term plans, which are not ACA-compliant, can be less expensive but often have limitations, such as annual and lifetime caps on benefits, and may not cover essential services like maternity care or prescription drugs. They also require medical questionnaires and can exclude coverage for preexisting conditions. The Trump administration has expanded access to short-term plans, but critics label them “junk insurance.”
Other types of coverage, such as indemnity plans and faith-based sharing plans, may also be available but are not considered insurance and may not provide adequate protection. Indemnity plans pay a fixed amount towards medical expenses, while faith-based sharing plans pool money from members to cover medical bills but are not required to keep financial reserves.
For those who want to stay with ACA plans, experts recommend considering “bronze” or “catastrophic” plans, which have lower premiums but higher deductibles. Bronze plans have an average deductible of nearly $7,500, while catastrophic plans have deductibles as high as $10,600. These plans may be suitable for people who want insurance only in case of a catastrophic health condition.
To navigate the ACA marketplace, experts offer several tips:
1. Be cautious of short-term plans and other alternative coverage options.
2. Consider bronze or catastrophic plans, but be aware of high deductibles.
3. Shop around for different plans, including group plans, which may be available for small business owners.
4. Use official ACA websites and licensed brokers to avoid look-alike sites that may not offer ACA-compliant plans.
5. Don’t wait until the last minute to explore options and fill out an application.
The deadline for choosing a health plan is January 15, and coverage will start on February 1. Consumers can visit the official federal website, Healthcare.gov, or their state’s exchange website to explore options and find licensed brokers or counselors who can help with the application process. It’s essential to carefully review plan options and understand the terms and conditions before making a decision.