Affordable Care Act (ACA)
Understanding The Benefits of ACA plans.
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Benefits
Affordable Care Act plans cover essential health benefits like preventive care, emergency, hospitalization, prescription drugs, maternity, mental health, labs, and pediatrics.
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Coverage
Policy durations are January 1 to December 31 unless you qualify to apply during a special enrollment period
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Network
Plans are subject to PPO provider networks determined by policy and county.
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Enrollment
Open Enrollment Period (OEP) typically runs between October - January and the rest of the year is considered a Special Enrollment Period (SEP) where applicants can qualify by having a certain life event, like moving, getting married, or having a baby.
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Customer Profile
ACA is for individuals in need of a comprehensive health insurance plan that covers essential benefits and mental illness. People with pre-existing conditions can enroll with no medical questions. This is a permanent solution for those who purchase their own health insurance either through a marketplace exchange or a private insurer
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Qualification
These plans are guaranteed issue so even individuals with a pre-existing condition can receive coverage.
Affordable Care Act (ACA) Plans
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