What is the Marketplace?


Enroll Alabama

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Posted on

Jul 14, 2023


Alabama - Gulf Coast

What is the Marketplace?

The health insurance Marketplace or Exchange is an online shopping center. Both federal Marketplace and state-based Marketplaces exist. 

Marketplace health plans are all required to offer the same essential health benefits, including doctor visits, preventive care, hospitalization, prescriptions, pregnancy and mental health, to name a few. 

In the Marketplace, you can:

  • Find out if you qualify for a subsidy, tax credits or special programs.
  • Compare plans based on cost, benefits, deductibles, etc.
  • Apply for and enroll in a health plan.

Resources like HealthCare.com can help you shop for Marketplace plans with ease and support, providing you with quotes and recommendations.

Which Plan is Right For Me? 

There are four categories of plans through the Federal Health Insurance Marketplace. These categories will help you choose a plan that’s right for you.

The categories are based on the costs that the plan covers and the costs for which you will be responsible. In other words, the category you choose affects how much your premium costs each month and what portion of the bill you will pay for things like hospital visits or prescription medications. The plans in each category all offer the same set of essential health benefits. The categories do not reflect the quality or amount of care the plans provide. The four categories are:

  • Bronze
  • Silver
  • Gold 
  • Platinum

As with all health plans, you will have a monthly payment (or premium). However, it is also important to understand how much of the out-of-pocket costs you will be responsible for when you receive care.

A Bronze plan will likely have a lower premium, but you will pay a higher share of out-of-pocket costs when you receive care.

Premiums are usually higher for plans that pay more of your out-of-pocket medical costs. For example, if you have a Gold plan, you will likely pay a higher premium, but may have lower costs when you go to the doctor or use other medical services.

Platinum plans will likely have the highest monthly premiums and lowest out-of-pocket costs. The plan will pay more of the costs if you require frequent medical care.

In general, when choosing your health plan, keep this in mind: the lower the premium, the higher the out-of-pocket costs when you need care; the higher the premium, the lower the out-of-pocket costs when you need care.

Ask yourself, "Do you expect a lot of doctor visits or fill prescriptions on a regular basis"?

If you answered yes to either of these questions, you may want to choose a Gold or Platinum plan.

If not, you may prefer a Bronze or Silver plan. But keep in mind that if you have a health emergency,  Bronze and Silver plans will require you to pay more of the costs.

The Marketplace also offers “catastrophic” plans to people under 30 years old and to some people with very low incomes.

There are 4 Ways to How to Enroll:

  1. Over the Phone: Call the Marektplace Center at 844-248-7698
  2. Online: Visit the healthcare.gov site to apply and enroll on the web.
  3. Paper Application: If you don't have a computer or time to apply and enroll over the phone, you can call the Marketplace Center to get an application.
  4. In-Person Help: Contact Torri Peyton with Enroll Alabama at 251-465-5897 to set-up an appointment with a certified healthcare Navigator who will help you apply and enroll in the Marketplace.

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Enroll Alabama

Health Insurance Information & Counseling 4321 Downtowner Loop North, Mobile, Alabama, 36609

Enroll AlabamaEnroll Alabama, a program of AIDS Alabama, is a federally-funded, statewide Affordable Care Act (ACA) Marketplace Navigator program. Navigator staff helps the public sign up for health insurance through the ACA Marketplace as well as complete applications for Medicaid and AllKids, Alabama's Children's Health Insurance Program. If you do not have health insurance through your job or are not eligible for other programs such as Medicare or Medicaid, you can qualify for a Marketplace-based plan through a private insurance company such as Blue Cross & Blue Shield of Alabama, Bright Healthcare, Ambetter of Alabama, and United Healthcare of Alabama. Additionally, depending on your household and income you can qualify for tax subsidies to help you pay for your insurance premiums and co-pays. Many Alabamians end up paying little or nothing per month for comprehensive health insurance! Clients also have the option of signing up for dental insurance through the marketplace.As part of the Enroll Alabama program, AIDS Alabama has partnered with varied organizations including AIDS Alabama South in Mobile, The Right Place in Anniston, East Alabama Medical Center in Opelika, United Ways of Alabama (statewide), 211 Connects Alabama (statewide), Project Say Something in Florence, DCH Regional Medical Center in Tuscaloosa, and The Wellness Coalition in Montgomery to provide general information about the Patient Protection and Affordable Care Act, Medicaid, and CHIP to communities across Alabama. If you have a business, community or professional organization that would be interested in a presentation from a certified Navigator about the ACA Marketplace, you can give us a call or send us an e-mail and we will be in touch!Members of the public have the opportunity to schedule in-person appointments with Navigators online or by phone (by calling us at 211 or 1-844-248-7698 or visiting us online at www.enrollala.com) and can also receive enrollment assistance at regional enrollment events and home visits. Virtual and phone appointments are also available at the clients convenience. Call us between the hours of 9am to 4pm to see how we can assist you.If you have any questions about Enroll Alabama or the ACA Marketplace in general or to set up an appointment, you can call us at 1-844-248-7698 or e-mail enrollalabama@gmail.com. For immediate assistance, please call 211 and ask to speak with a healthcare Navigator. We look forward to assisting you and your family!Contact Torri Peyton at 251-465-5897