47 percent of young adults between the ages of 18 and 36 do not have health insurance, usually due to cost, according to a 2013 Harris Poll.
What’s more, medical bills are often the cause of personal bankruptcy.
Most people who use Healthcare.gov do not have employer-offered health insurance because they work for small companies. Or, they’re freelancers or entrepreneurs.
And even if your company does offer insurance, you can get quotes through the marketplace to see if you can get a more affordable plan.
However, navigating the marketplace and website can be overwhelming for first-timers. That’s why we’ve created this guide to help you along the way.
How to choose health insurance
Healthcare.gov offers a wide range of plans, from bare bones versions to premium options that are much more expensive.
Here are a few factors to keep in mind when deciding on a health care plan that’s right for you.
Before you start comparing plans, it’s important to understand key terms so you can choose a plan that meets your needs.
Your premium is the monthly bill you pay for your health insurance plan. Whether you go to the doctor or not, or receive any prescriptions, you owe the premium every month.
Your deductible is the amount you have to pay before your insurance begins to pay anything. Plans with a higher premium have lower deductibles.
A high deductible will give you a lower monthly bill, but you will end up paying more of your own health expenses in the long-run.
Copayments and coinsurance are the amounts you pay for medical care after you meet the deductible. For example, you may owe $20 at the doctor’s office for a follow-up visit.
You need to think about what is most important to you: a low deductible or a low premium. That will help you decide which plan is the best for you financially.
Four insurance categories
Healthcare.gov offers four overarching categories: bronze, silver, gold, and platinum. The different groups are determined by their overall costs and are not related to the quality of care.
Under a bronze plan, the insurance company covers 60 percent of your medical expenses and you cover 40 percent.
These plans tend to have the lowest premiums. However, when you do need medical care, you pay more out of pocket.
Ultimately, they are a good choice for people who are healthy and who only need protection for medical emergencies.
With a silver plan, you pay for 30 percent of your medical bills and the insurance company covers 70 percent.
Silver plans cover more of your routine care and the costs are moderate compared to higher-tier plans.
Insurance companies cover 80 percent of your medical bills under a gold plan, leaving you responsible for 20 percent.
They have a high monthly premium, but a lower deductible. If you have a lot of medical needs, a gold plan may be a good option.
Under a platinum plan, you cover just 10 percent of your medical expenses. The insurance plan covers the rest.
Your deductible is very low, so your insurance kicks in quickly to cover the costs of your care.
These plans are wise choices for people who have a lot of health care needs and who want the majority of their costs covered.
Think about how much care you usually need in a year and how often you go to the doctor before selecting a tier.
PPOs, HMOs, POS, and EPO
When considering how to choose a health insurance plan, it’s important to understand the different acronyms for plans and network types.
Next to your options in every category, you’ll see letters like PPO, HMO, POS, and EPO. Each acronym refers to plans that determine what doctors you can go to.
Preferred Provider Organization (PPO)
Under a PPO, you pay less if you use the insurance company’s network of doctors and hospitals. But you can use healthcare providers outside of the network if you choose, without a referral, for an extra cost.
Essentially, PPOs give you more flexibility in what doctors you see.
Health Maintenance Organization (HMO)
HMOs limit you to providers within the network unless it’s an emergency. Out of network care is not covered, and you need a referral to see a specialist.
Point of Service (POS)
With a POS, you pay less if you use in-network doctors. But you do need a referral to see specialists.
Exclusive Provider Organization (EPO)
Services are only covered under an EPO plan if you use doctors and health care providers within the network.
Remember, when you are choosing between plans, you will see that each plan offers a provider directory. So if you have a doctor you love, check and see if they are within the network to ensure your insurance will cover your visits with her.
One other major factor in deciding how to pick health insurance is the insurance formulary. If you have medical conditions that require you to take medication, the formulary is a big deal.
The formulary is a list of drugs that the insurance provider covers under a particular plan. Some medicines are covered under certain plans but not others. Or, they may be more expensive under some plans.
Ultimately, each plan listed will have a link to the formulary. So you can look up your specific medications to see if a specific insurance plan covers them.
Dental and Vision
Healthcare.gov offers both vision and dental plans as optional add-ons for adults.
If you opt out of signing up for either add-on, the government will not penalize you. You are only required to have general health insurance.
Plans range from basic options that include routine cleanings and X-rays to more expensive versions that cover more intensive procedures.
Adding on dental and vision can add to your monthly premiums. So be sure to consider your unique needs and how often you visit the dentist or ophthalmologist before signing up.
What you need to enroll
You can enroll online, but you will need to have certain information on hand.
- Information about your household size
- Home and mailing address for each person applying
- Information about each person, including birthdates
- Social security numbers
- Information on how you file your taxes, such as your tax returns from last year
- Employer and income information
- An estimate for your 2017 income
- Policy numbers for your current insurance policies
- Plan ID from 2016 (if you had insurance)
What changes are there for 2017?
When thinking about how to choose a health insurance plan, keep in mind the following changes for 2017.
The open enrollment period starts on November 1 and ends on January 31, 2017. So if you want your coverage to start on January 1 of the new year, the deadline to enroll is December 15. If you apply after that date, your insurance will not kick in until February.
If you do not enroll during the open enrollment period, you will not be able to get health insurance. And, you will owe a penalty for each month you do not have coverage, which is pretty steep.
The only exception to paying the penalty fee is if you had a major life event, like you lost your job, got married, or had a baby. Then you can enroll in a plan through a special enrollment period.
The penalty fee is either 2.5 percent of your income, or one fine per person, whichever is higher. The per person fine is $695 and $347.50 for every child under 18 who does not have insurance.
Keep in mind that you can get a basic bronze plan through Healthcare.gov for less than the penalty. Essentially, getting insurance is more cost-effective than paying the fee.
More than 85 percent of people who enrolled in a plan through Healthcare.gov qualified for a subsidy from the government last year, according to a report last year from the U.S. Department of Health and Human Services.
Subsidies ultimately make insurance more affordable for plan holders who qualify for them.
Enrolling in a plan
Figuring out how to choose health insurance can be frustrating and overwhelming. However, health insurance provides an essential safeguard for your physical health and financial well-being.
See for yourself how you can apply for a plan and pay for your premiums entirely online.
Or, if you need more help choosing the best plan for you, you can also get free help over the phone or in person from trained navigators and assisters.
Just visit Healthcare.gov’s local help section and type in your zip code to find free assistance services in your area.
Interested in refinancing student loans?Here are the top 8 lenders of 2019!
|Lender||Variable APR||Eligible Degrees|
|Check out the testimonials and our in-depth reviews!
1 Important Disclosures for Earnest.
To qualify, you must be a U.S. citizen or possess a 10-year (non-conditional) Permanent Resident Card, reside in a state Earnest lends in, and satisfy our minimum eligibility criteria. You may find more information on loan eligibility here: https://www.earnest.com/eligibility. Not all applicants will be approved for a loan, and not all applicants will qualify for the lowest rate. Approval and interest rate depend on the review of a complete application.
Earnest fixed rate loan rates range from 3.20% APR (with Auto Pay) to 6.99% APR (with Auto Pay). Variable rate loan rates range from 1.99% APR (with Auto Pay) to 6.89% APR (with Auto Pay). For variable rate loans, although the interest rate will vary after you are approved, the interest rate will never exceed 8.95% for loan terms 10 years or less. For loan terms of 10 years to 15 years, the interest rate will never exceed 9.95%. For loan terms over 15 years, the interest rate will never exceed 11.95% (the maximum rates for these loans). Earnest variable interest rate loans are based on a publicly available index, the one month London Interbank Offered Rate (LIBOR). Your rate will be calculated each month by adding a margin between 1.82% and 5.50% to the one month LIBOR. The rate will not increase more than once per month. Earnest rate ranges are current as of December 13, 2019, and are subject to change based on market conditions and borrower eligibility.
Auto Pay discount: If you make monthly principal and interest payments by an automatic, monthly deduction from a savings or checking account, your rate will be reduced by one quarter of one percent (0.25%) for so long as you continue to make automatic, electronic monthly payments. This benefit is suspended during periods of deferment and forbearance.
The information provided on this page is updated as of 12/13/2019. Earnest reserves the right to change, pause, or terminate product offerings at any time without notice. Earnest loans are originated by Earnest Operations LLC. California Finance Lender License 6054788. NMLS # 1204917. Earnest Operations LLC is located at 302 2nd Street, Suite 401N, San Francisco, CA 94107. Terms and Conditions apply. Visit https://www.earnest.com/terms-of-service, email us at email@example.com, or call 888-601-2801 for more information on our student loan refinance product.
© 2018 Earnest LLC. All rights reserved. Earnest LLC and its subsidiaries, including Earnest Operations LLC, are not sponsored by or agencies of the United States of America.
2 Important Disclosures for SoFi.
3 Important Disclosures for Figure.
Figure’s Student Refinance Loan is a private loan. If you refinance federal loans, you forfeit certain flexible repayment options associated with those loans. If you expect to incur financial hardship that would impact your ability to repay, you should consider federal consolidation alternatives.
4 Important Disclosures for Laurel Road.
Laurel Road Disclosures
Laurel Road is a brand of KeyBank National Association offering online lending products in all 50 U.S. states, Washington, D.C., and Puerto Rico. Mortgage lending is not offered in Puerto Rico. All loans are provided by KeyBank National Association.
ANNUAL PERCENTAGE RATE (“APR”)
There are no origination fees or prepayment penalties associated with the loan. Lender may assess a late fee if any part of a payment is not received within 15 days of the payment due date. Any late fee assessed shall not exceed 5% of the late payment or $28, whichever is less. A borrower may be charged $20 for any payment (including a check or an electronic payment) that is returned unpaid due to non-sufficient funds (NSF) or a closed account.
For bachelor’s degrees and higher, up to 100% of outstanding private and federal student loans (minimum $5,000) are eligible for refinancing. If you are refinancing greater than $300,000 in student loan debt, Lender may refinance the loans into 2 or more new loans.
ELIGIBILITY & ELIGIBLE LOANS
Borrower, and Co-signer if applicable, must be a U.S. Citizen or Permanent Resident with a valid I-551 card (which must show a minimum of 10 years between “Resident Since” date and “Card Expires” date or has no expiration date); state that they are of at least borrowing age in the state of residence at the time of application; and meet Lender underwriting criteria (including, for example, employment, debt-to-income, disposable income, and credit history requirements).
Graduates may refinance any unsubsidized or subsidized Federal or private student loan that was used exclusively for qualified higher education expenses (as defined in 26 USC Section 221) at an accredited U.S. undergraduate or graduate school. Any federal loans refinanced with Lender are private loans and do not have the same repayment options that federal loan program offers such as Income Based Repayment or Income Contingent Repayment.
All loans must be in grace or repayment status and cannot be in default. Borrower must have graduated or be enrolled in good standing in the final term preceding graduation from an accredited Title IV U.S. school and must be employed, or have an eligible offer of employment. Parents looking to refinance loans taken out on behalf of a child should refer to https://www.laurelroad.com/refinance-student-loans/refinance-parent-plus-loans/ for applicable terms and conditions.
For Associates Degrees: Only associates degrees earned in one of the following are eligible for refinancing: Cardiovascular Technologist (CVT); Dental Hygiene; Diagnostic Medical Sonography; EMT/Paramedics; Nuclear Technician; Nursing; Occupational Therapy Assistant; Pharmacy Technician; Physical Therapy Assistant; Radiation Therapy; Radiologic/MRI Technologist; Respiratory Therapy; or Surgical Technologist. To refinance an Associates degree, a borrower must also either be currently enrolled and in the final term of an associate degree program at a Title IV eligible school with an offer of employment in the same field in which they will receive an eligible associate degree OR have graduated from a school that is Title IV eligible with an eligible associate and have been employed, for a minimum of 12 months, in the same field of study of the associate degree earned.
The interest rate you are offered will depend on your credit profile, income, and total debt payments as well as your choice of fixed or variable and choice of term. For applicants who are currently medical or dental residents, your rate offer may also vary depending on whether you have secured employment for after residency.
The repayment of any refinanced student loan will commence (1) immediately after disbursement by us, or (2) after any grace or in-school deferment period, existing prior to refinancing and/or consolidation with us, has expired.
POSTPONING OR REDUCING PAYMENTS
After loan disbursement, if a borrower documents a qualifying economic hardship, we may agree in our discretion to allow for full or partial forbearance of payments for one or more 3-month time periods (not to exceed 12 months in the aggregate during the term of your loan), provided that we receive acceptable documentation (including updating documentation) of the nature and expected duration of the borrower’s economic hardship.
We may agree under certain circumstances to allow a borrower to make $100/month payments for a period of time immediately after loan disbursement if the borrower is employed full-time as an intern, resident, or similar postgraduate trainee at the time of loan disbursement. These payments may not be enough to cover all of the interest that accrues on the loan. Unpaid accrued interest will be added to your loan and monthly payments of principal and interest will begin when the post-graduate training program ends.
We may agree under certain circumstances to allow postponement (deferral) of monthly payments of principal and interest for a period of time immediately following loan disbursement (not to exceed 6 months after the borrower’s graduation with an eligible degree), if the borrower is an eligible student in the borrower’s final term at the time of loan disbursement or graduated less than 6 months before loan disbursement, and has accepted an offer of (or has already begun) full-time employment.
If Lender agrees (in its sole discretion) to postpone or reduce any monthly payment(s) for a period of time, interest on the loan will continue to accrue for each day principal is owed. Although the borrower might not be required to make payments during such a period, the borrower may continue to make payments during such a period. Making payments, or paying some of the interest, will reduce the total amount that will be required to be paid over the life of the loan. Interest not paid during any period when Lender has agreed to postpone or reduce any monthly payment will be added to the principal balance through capitalization (compounding) at the end of such a period, one month before the borrower is required to resume making regular monthly payments.
KEYBANK NATIONAL ASSOCIATION RESERVES THE RIGHT TO MODIFY OR DISCONTINUE PRODUCTS AND BENEFITS AT ANY TIME WITHOUT NOTICE.
This information is current as of November 8, 2019 and is subject to change.
5 Important Disclosures for Splash Financial.
Splash Financial Disclosures
Terms and Conditions apply. Splash reserves the right to modify or discontinue products and benefits at any time without notice. Rates and terms are also subject to change at any time without notice. Offers are subject to credit approval. To qualify, a borrower must be a U.S. citizen or permanent resident in an eligible state and meet applicable underwriting requirements. Not all borrowers receive the lowest rate. Lowest rates are reserved for the highest qualified borrowers.
6 Important Disclosures for CommonBond.
Offered terms are subject to change. Loans are offered by CommonBond Lending, LLC (NMLS # 1175900). If you are approved for a loan, the interest rate offered will depend on your credit profile, your application, the loan term selected and will be within the ranges of rates shown. All Annual Percentage Rates (APRs) displayed assume borrowers enroll in auto pay and account for the 0.25% reduction in interest rate. All variable rates are based on a 1-month LIBOR assumption of 1.76% effective November 10, 2019.
7 Important Disclosures for LendKey.
Refinancing via LendKey.com is only available for applicants with qualified private education loans from an eligible institution. Loans that were used for exam preparation classes, including, but not limited to, loans for LSAT, MCAT, GMAT, and GRE preparation, are not eligible for refinancing with a lender via LendKey.com. If you currently have any of these exam preparation loans, you should not include them in an application to refinance your student loans on this website. Applicants must be either U.S. citizens or Permanent Residents in an eligible state to qualify for a loan. Certain membership requirements (including the opening of a share account and any applicable association fees in connection with membership) may apply in the event that an applicant wishes to accept a loan offer from a credit union lender. Lenders participating on LendKey.com reserve the right to modify or discontinue the products, terms, and benefits offered on this website at any time without notice. LendKey Technologies, Inc. is not affiliated with, nor does it endorse, any educational institution.
Subject to floor rate and may require the automatic payments be made from a checking or savings account with the lender. The rate reduction will be removed and the rate will be increased by 0.25% upon any cancellation or failed collection attempt of the automatic payment and will be suspended during any period of deferment or forbearance. As a result, during the forbearance or suspension period, and/or if the automatic payment is canceled, any increase will take the form of higher payments. The lowest advertised variable APR is only available for loan terms of 5 years and is reserved for applicants with FICO scores of at least 810.
As of 12/07/2019 student loan refinancing rates range from 1.90% to 8.59% Variable APR with AutoPay and 3.49% to 7.75% Fixed APR with AutoPay.
8 Important Disclosures for College Ave.
College Ave Disclosures
College Ave Student Loans products are made available through either Firstrust Bank, member FDIC or M.Y. Safra Bank, FSB, member FDIC. All loans are subject to individual approval and adherence to underwriting guidelines. Program restrictions, other terms, and conditions apply.
1College Ave Refi Education loans are not currently available to residents of Maine.
2All rates shown include autopay discount. The 0.25% auto-pay interest rate reduction applies as long as a valid bank account is designated for required monthly payments. Variable rates may increase after consummation.
3$5,000 is the minimum requirement to refinance. The maximum loan amount is $300,000 for those with medical, dental, pharmacy or veterinary doctorate degrees, and $150,000 for all other undergraduate or graduate degrees.
4This informational repayment example uses typical loan terms for a refi borrower with a Full Principal & Interest Repayment and a 10-year repayment term, has a $40,000 loan and a 5.5% Annual Percentage Rate (“APR”): 120 monthly payments of $434.11 while in the repayment period, for a total amount of payments of $52,092.61. Loans will never have a full principal and interest monthly payment of less than $50. Your actual rates and repayment terms may vary.
Information advertised valid as of 12/1/2019. Variable interest rates may increase after consummation.
|1.99% – 6.89%1||Undergrad & Graduate|
|2.31% – 7.36%2||Undergrad & Graduate|
|1.99% – 6.75%3||Undergrad & Graduate|
|1.99% – 6.65%4||Undergrad & Graduate|
|2.43% – 7.60%5||Undergrad & Graduate|
|1.85% – 6.13%6||Undergrad & Graduate|
|1.90% – 8.59%7||Undergrad & Graduate|
|2.74% – 6.25%8||Undergrad & Graduate|