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Obamacare (ACA)

Compare Marketplace plans in your ZIP code

Enter just your ZIP code and see the plans in your area with their deductibles. We don’t ask for your name or phone to show them.

1

Your ZIP code

It’s the only thing we ask to get started.

2

See plans and deductibles

Instantly, without giving your name or phone.

3

Personalize your price

If you like: age, household size and income.

4

Talk to an agent

Only if you want help: that is when we ask for your contact details.

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Learn before you decide

The essentials of Medicare and Obamacare

General information so you arrive at the call with the right questions. Your agent confirms what applies to your case.

A
Part A

Hospital

Hospital stays, skilled nursing and hospice.

What it includes
  • Hospital stays
  • Skilled nursing facility care
  • Hospice care
  • Some home health services

It is the base of Original Medicare: it covers care when you are admitted.

Cost and rules
  • No monthly premium if you or your spouse worked enough (40 quarters)
B
Part B

Medical

Doctor visits, tests and outpatient care.

What it includes
  • Doctor visits
  • Tests and lab work
  • Outpatient care
  • Preventive services

It covers everyday care, which is why it has a monthly premium and a deductible.

Cost and rules
  • Monthly premium
  • Annual deductible
C
Part C

Advantage

Private plans that include A and B and, usually, D.

What it includes
  • Includes Parts A and B
  • Usually includes Part D
  • Often adds dental, vision and hearing
  • Network of doctors and hospitals

It is a private plan: before you choose, confirm your doctors and pharmacy are in the network.

Cost and rules
  • Often add dental, vision and hearing
  • With a provider network
D
Part D

Drugs

Covers prescription drugs.

What it includes
  • Prescription drugs
  • Each plan's own drug list (formulary)
  • The plan's network pharmacies
  • Adds to Original Medicare

Each plan covers different drugs: check yours before you enroll.

Cost and rules
  • Each plan has its own drug list
  • And its own pharmacies
Your initial window: 7 months

It starts 3 months before your 65th birthday month, includes that month and ends 3 months after.

  1. −33 months before
  2. −2
  3. −1
  4. 65Your birthday month
  5. +1
  6. +2
  7. +33 months after
If you wait

Signing up late costs you

If you could have had Part B and didn't sign up on time, the premium rises 10% for each full 12 months of delay, for as long as you have Medicare.

What's missing

What Original Medicare doesn't cover

Most dental, vision and hearing aids, and it has no annual out-of-pocket cap. That's why many choose Advantage or a Supplement.

Every year

You can switch every fall

From October 15 to December 7 you can review your plan and change it for next year.

Older couple reviewing paperwork
What to have ready
  • Date of birth and ZIP code
  • List of your doctors and pharmacy
  • Drugs you take today and the dose
  • Estimated yearly income (for ACA)
All about Medicare
60%
Plan pays about 60% on average

Bronze

Lowest premium; you pay more when you use care.

What it includes
  • Includes the essential health benefits
  • Lowest monthly premium
  • You pay more when you use care
  • The plan pays about 60% of costs on average

Premium help depends on your income and household size. An agent estimates it before you choose.

Cost and rules
  • Lower premium
  • More cost when you use care
70%
Plan pays about 70% on average

Silver

Balanced. May include cost-sharing reductions if you qualify.

What it includes
  • Includes the essential health benefits
  • Balanced premium and spending
  • May include cost-sharing reductions if you qualify
  • The plan pays about 70% of costs on average

Premium help depends on your income and household size. An agent estimates it before you choose.

Cost and rules
  • Balance of premium and cost
  • Possible cost-sharing help if you qualify
80%
Plan pays about 80% on average

Gold

Higher premium, less out-of-pocket spending.

What it includes
  • Includes the essential health benefits
  • Higher monthly premium
  • Less out-of-pocket spending
  • The plan pays about 80% of costs on average

Premium help depends on your income and household size. An agent estimates it before you choose.

Cost and rules
  • Higher premium
  • Less cost when you use care
90%
Plan pays about 90% on average

Platinum

Lowest spending when you use care. Not available in all areas.

What it includes
  • Includes the essential health benefits
  • Lowest spending when you use care
  • Not available in all areas
  • The plan pays about 90% of costs on average

Premium help depends on your income and household size. An agent estimates it before you choose.

Cost and rules
  • Not available in all areas
Your help depends on income and household

The tax credit that lowers your premium is based on your income and household size. A $0 plan is not guaranteed.

  1. Your income
  2. Your household
  3. Your tax credit
  4. Your premium
No surprises

No denial for pre-existing conditions

Marketplace plans can't turn you down or charge you more for a condition you already have.

Always included

Essential benefits included

Every plan covers doctor visits, emergencies, hospital, maternity, mental health and drugs, among others.

If your life changes

60 days after a life event

A move, marriage, a new baby or losing coverage can open a special window to enroll.

Family smiling in their living room
What to have ready
  • Date of birth and ZIP code
  • List of your doctors and pharmacy
  • Drugs you take today and the dose
  • Estimated yearly income (for ACA)
All about Obamacare
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