Individual and Family Insurance
Our goal is to make the process of obtaining insurance as easy as possible, whether you’re an individual or need coverage for your whole family.
Insurance for Individuals
If you’re an individual who doesn’t qualify for Medicaid, perhaps because your income is above the eligibility level, you may feel a bit uncertain about how you’ll manage your healthcare costs. Whether you’re self-employed, unemployed, or simply looking to fill some gaps in your current coverage, there are plenty of options available to you.
The government provides certain “perks” – in the form of tax credits and subsidies – to help make healthcare more affordable for people just like you.
Tax Credits for individuals
Essentially, these are reductions in the amount of tax you owe. If you qualify, you can use the “Advance Premium Tax Credit” to lower your monthly insurance payment, or premium. This is based on your estimated income for the year. At the end of the year, when you file your taxes, if your income was higher or lower than estimated, you might have to pay back some or get a bit more of the tax credit.
Subsidies for individuals
Subsidies are formally known as “Cost-Sharing Reductions” (CSR). If you qualify for these, they can lower the amount you have to pay for out-of-pocket costs like deductibles, co-payments, and coinsurance. These subsidies are particularly useful when you need healthcare and have to cover these costs.
It’s important to note that both tax credits and subsidies are available to individuals purchasing insurance through the Health Insurance Marketplace (also known as Affordable Care Act plans), and eligibility is primarily based on your income and family size.
As your insurance broker, I’ll work with you to determine your eligibility for these perks, help you understand your options, and guide you through the process of applying for and maximizing these benefits, ensuring you get the most affordable and effective coverage.
Insurance for Families
When your family income is too high to qualify for Medicaid, you might think your options for affordable healthcare are limited. However, you could actually be eligible for a couple of financial aids: Cost-Share Reductions (CSR) and Advanced Premium Tax Credits.
Cost-Share Reductions (CSR) For Families
This is a type of subsidy that decreases the amount you pay out-of-pocket for healthcare services. Out-of-pocket costs are what you pay when you actually get care. This includes things like your deductible (the amount you pay for covered healthcare services before your insurance plan starts to pay), co-pays (a fixed amount you pay for a covered healthcare service after you’ve paid your deductible), and coinsurance (the percentage of costs of a covered healthcare service you pay after you’ve paid your deductible).
In other words, with CSR, when you take your child to a pediatrician, need to visit the emergency room, or fill a prescription at the pharmacy, you will pay less.
Advanced Premium Tax Credits for families
These are tax credits you can use right away to lower your monthly premium, which is the amount you pay each month for your insurance. You can choose how much of the credit to use now to lower your premium, and any credit you don’t use will be refunded when you file your taxes.
Eligibility for both CSRs and tax credits depends on your income and the size of your family, and these benefits can only be used if you buy your plan through the Health Insurance Marketplace, also known as Affordable Care Act plans.
Navigating these options can be confusing, but as your insurance broker, I’m here to guide you through this process. We’ll assess your income, family size, and healthcare needs to determine the best plan for you, and ensure you take full advantage of any available tax credits or cost-share reductions.
My goal is to help you secure the best possible healthcare coverage for your family, while also keeping it budget-friendly.
Complete coverage for your insurance needs
With a diverse range of plans, I’m the only insurance broker you need for: