FAQ

Insurance Questions? We Have Straight Answers.

Insurance is confusing — and that's by design. We're changing that. Here are honest, plain-English answers to the questions our clients ask most.

Questions

Straight answers.

Individual plans in 2025 range from roughly $89 to $500+/month before subsidies. Many members qualify for ACA premium tax credits that bring premiums down substantially — sometimes to $0. Your advisor will calculate exact pricing at no cost.

Your deductible is what you pay before insurance starts sharing costs. Your out-of-pocket maximum is the most you will ever pay in a calendar year before your plan pays 100% of in-network covered costs.

We cross-check your current physicians, hospitals, and specialists against every plan we recommend — before you enroll. You will never switch into a plan without knowing whether your providers are covered.

Open Enrollment is the annual window to sign up, change, or drop an ACA health plan. For 2026 coverage, it runs November 1 through January 15, 2026. Qualifying life events open a Special Enrollment Period at other times.

If your household income is between 100% and 400% of the Federal Poverty Level, you qualify for ACA premium tax credits. Under current rules, even households above 400% may still qualify for meaningful assistance.

Yes. Standalone dental plans start around $19/month and vision around $12/month. Bundles for both start near $28/month. Pediatric dental and vision are included in children's ACA plans by law.