Doctor visits
Checkups, sick visits and the specialist appointments your doctor sends you on to are part of every plan sold through the Marketplace.
The questions people bring me most often about Affordable Care Act coverage, from what a plan must include to when you are allowed to sign up.
Inside every Marketplace plan
Every plan sold through the Marketplace carries the same core set of benefits. Prices and networks differ, but none of these can be left out.
Checkups, sick visits and the specialist appointments your doctor sends you on to are part of every plan sold through the Marketplace.
Each plan carries drug coverage, though every plan keeps its own list of covered medicines and its own price tiers.
Overnight stays, surgery and the treatment that follows once you are sent home all sit inside the required benefits.
Emergency care counts even when the nearest hospital sits outside your plan network, so a bad night is still covered.
Care before birth, the delivery itself and the first stretch of a newborn's life are included in every plan.
Counseling, therapy and substance use treatment are covered on the same footing as care for the rest of your body.
Asked before signing up
You put in what you expect your household to earn across the whole year, not just what came in last month. That estimate is what sets any savings applied to your premium, so it is worth thinking it through carefully rather than guessing high or low.
Start with the short form: who needs coverage, your zip code and your income estimate for the year.
I look at the ACA plans that include your doctors and medicines, and what could lower your premium.
Once you have chosen a plan, I help you complete enrollment with the carrier ahead of the deadline.