Decoding Marketplace Plans: What You Need to Know

PM Questions to Ask Betty

Welcome to another exciting episode of “Ask Betty!”, where your favorite Ninja is here to answer all of your health insurance questions. Marketplace plans are the topic of discussion this week.

We appreciate you, GA_Shaundria, for reaching out with such a fantastic question! Check your Inbox because we’ve sent you a $25 Amazon gift card as a token of our appreciation

Q from YOU to Ninja HQ

Are ACA Marketplace plans good for EVERYONE?

Marketplace Plans - Perfect for Some, Terrible for Others

Now, let’s dive into your question. Well, the unfortunate reality is that there isn’t a single plan or type of plan available today, Marketplace plans or otherwise, that can cater to everyone’s needs and budgets. Marketplace plans serve as excellent options for individuals with SOME specific pre-existing conditions who may not have access to employer-sponsored plans.

A one-size-fits-all plan that worked for ALL medical conditions and for ALL budgets would be a dream type of solution.  The reality is, that you need an insurance agent with the skills of a NINJA to source the benefits you need for YOUR specific conditions AND at a price that’s affordable! 

Employer Coverage May or May Not Cover Pre-Existing Conditions

Most EMPLOYER plans, like Marketplace plans, also cover ALL pre-existing conditions, but they are NOT required to.

Employers who are required to provide health insurance to their employees ONLY have to offer Minimal Essential Coverage (MEC) benefits.  This is benefits ONLY for preventative care, such as an annual physical.

Marketplace Plans - Not Good for Everyone

Private Market Options Can Be the Perfect Options For Some

For those WITHOUT pre-existing conditions and higher incomes, a Marketplace plan may feel like they are overpaying for their coverage.

With Marketplace plans, the higher your income the higher your insurance rates.  If you DON’T need coverage for pre-existing conditions, there are likely MUCH more affordable plans on the PRIVATE Market, often with benefits MUCH richer than Marketplace plans.

You Need An Insurance Team With the Skills of NINJAs To Get You a Custom-Fit Plan

Luckily, our team of Insurance Ninjas is here to ensure that you get the benefits you require at the most affordable rates possible. We strive to tailor your coverage precisely to your preferences so that you don’t have to worry about overpaying. It sounds like you’re on board with finding the perfect fit and avoiding any unnecessary expenses – bravo! Don’t wait any longer; schedule a consultation with us now so we can provide you with personalized advice and guidance based on your individual circumstances. And remember, if we feature your health insurance question in an upcoming episode of “Ask Betty!”, we’ll send you yet another $25 Amazon Gift Card as an extra thank-you bonus.


Ask Betty!

Get your bi-weekly dose of “Ask Betty!” series. This is an activity that YOU can participate in, and if YOUR question is used in an Episode, we’ll email you a $25 Amazon gift card! Good luck.

PM your insurance question to Ninja Betty via our Facebook Business page (here).

Stay in the Ninja News Loop!

Subscribe to our monthly newsletter & receive all our free resources once a month in your Inbox.

Subscribe to our Monthly Newsletter

Check Us Out!