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Deductibles, copays, marketplace and employer plans, Medicare and Medicaid — decoded into plain language.

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Common questions

What is the difference between a premium and a deductible?

A premium is the monthly cost to have coverage. A deductible is what you pay for care before the plan starts paying. You owe the premium whether or not you use care.

When can I enroll in a health plan?

Most enrollment happens during yearly open enrollment. Outside that window you generally need a qualifying life event, like losing coverage, moving, marriage, or a new baby, to enroll.

What is a special enrollment period?

It is a window triggered by a qualifying life event that lets you enroll in or change coverage outside open enrollment, usually within 60 days of the event.

What is the difference between Medicare and Medicaid?

Medicare is federal coverage mainly for people 65+ or with certain disabilities. Medicaid is income-based coverage run jointly by states and the federal government. Some people qualify for both.

What is short-term health insurance?

Short-term plans offer temporary, limited coverage to bridge a gap. They are not required to cover pre-existing conditions or essential benefits, so read the limits carefully.

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