Explore Your Coverage Options
Explore Your Coverage Options
Primary Purpose:
How Benefits Are Calculated:
Your Financial Responsibility:
Federal Consumer Protections:
Eligibility:
Pays a set dollar amount for covered events or services and is 50-60% less in price
Payments are based on covered services, negotiated or allowed amounts
You remain responsible for premiums
100% Policy Ownership that builds equity over time with Federal protections that apply to comprehensive health insurance
Medical underwriting and some exclusions may apply for 1 year
Provides broad medical coverage under the plan’s terms
Payments are based on covered services, negotiated or allowed amounts, and cost-sharing rules
You remain responsible for premiums and applicable deductibles, copayments, coinsurance, and noncovered services
Generally subject to applicable Federal and state health-insurance protections
ACA-compliant individual coverage cannot deny enrollment or exclude coverage because of a preexisting condition
Frequently Asked Questions
No. This is a fixed-indemnity policy, not comprehensive health insurance. It pays limited, predetermined dollar amounts for covered events or services and is not a substitute for comprehensive health insurance.
Not necessarily. Benefits are based on the policy schedule and are not based on the size of your medical bill. You remain responsible for the cost of care.
No promise should be made that rates are the same or similar across states. Availability and rates may vary by state, age, household category, plan level, eligibility, underwriting, and policy terms.
No. Eligibility and medical underwriting may apply. A licensed agent can explain the requirements for the options available in your state, but coverage is not effective unless and until issued by the insurer.
Provider access, network arrangements, and discounts—if included—depend on the specific plan and state. Always verify a provider’s current participation and understand that network access does not change the policy’s fixed-dollar benefit schedule.
Ask for the name of the issuing insurer, the exact premium quote, outline of coverage, fixed-benefit schedule, exclusions, limitations, maximums, underwriting requirements, provider-network information if applicable, and all required state and federal notices.
This policy is not a substitute for comprehensive health insurance. To explore comprehensive coverage, visit HealthCare.gov, contact your employer or a family member’s employer, or speak with a licensed agent who is authorized to discuss those options.