Affordable Choice
Affordable Choice is a budget-friendly health plan for people the Marketplace does not fit. It pays set benefits for things like hospital stays and surgery, often for a lower monthly cost than full-price ACA.
What it covers
- What it pays for
- Fixed cash benefits for covered events, like a set amount per hospital day or per surgery, plus wellness visits.
- Who it suits
- Self-employed and independent workers, healthy people who want a lower monthly bill, or anyone above the ACA subsidy cliff.
What it costs
A fixed monthly premium based on your age and who is covered. Predictable, with no surprise coinsurance percentage.
Hawkins Insurance Group, LLC is not connected with or endorsed by the United States government, the federal Medicare program, or the Health Insurance Marketplace (healthcare.gov). Plan availability and any premium tax credits depend on your household and are estimates until confirmed by the Marketplace at HealthCare.gov.
What is good about it
- Simple to understand
The catch
- This is not major medical. It does not cap your total yearly costs the way an ACA plan does, so large or complex claims can run past the benefit amounts.
- Weaker fit for ongoing conditions
- No subsidy applies
Common questions
- ACA is major medical from the Marketplace with percentage cost-sharing, like 20% after your deductible. Affordable Choice pays a set benefit per event, such as a fixed amount per hospital day. ACA fits people who see doctors often or take prescriptions; Affordable Choice is cheaper monthly and fits healthy people who want predictable costs or who are above the subsidy cliff.