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FAQ | Ambetter from Sunshine Health
Below you’ll find some helpful questions and answers about the Health Insurance Marketplace and Ambetter plans.
Every state has a marketplace for consumers to shop for health insurance. These are called Health Insurance Marketplaces. Consumers can shop, compare and select a plan that best suits their needs. The Health Insurance Marketplaces allow consumers to do their shopping online, in-person, over the phone, or by mail. Consumers can look at information such as the provider network, benefits, premiums, deductible costs, co-pays, and co-insurance requirements before selecting a plan. Some states have their own marketplaces, also known as state-based exchanges (SBEs). Other states use healthcare.gov.
Anyone can search online for a healthcare plan on their state’s Health Insurance Marketplace. The requirements to get insurance through the Marketplace are:
- Meet applicable state residency requirements
- You must be a U.S. citizen, national, or noncitizen who is lawfully present
- You cannot be currently incarcerated
If you currently receive health insurance coverage from your employer, you likely will continue to receive this coverage. If employer coverage is considered too expensive, you might be eligible to find coverage through your marketplace.
The cost of plans varies by the type of plan you choose. However, you may be eligible for discounts on your plan to help lower your monthly premium amount and other healthcare amounts. These are known as Subsidies and Cost-Sharing Reductions. Learn more on our Healthcare Savings page! If someone doesn’t receive a subsidy due to income status, they are still able to shop for a health plan on the Health Insurance Marketplaces.
This is the set minimum income a family needs for food, clothing, transportation and shelter. The government decides this level. It depends on the size of your family. For more information on the Federal Poverty Level, visit healthcare.gov.
This year, open enrollment on the Healthcare Insurance Marketplaces is from November 1, 2019 – December 15, 2019. Following this initial enrollment period, open enrollment will typically be every fall.