Plan Comparison
Understanding Your Coverage Options
We break down the four main "buckets" of health coverage so you can make an informed decision about what's best for your health and budget.
ACA & ACA Alternatives
Pros
- Covers 10 essential health benefits including preventive and maternity care
- Allows pre-existing conditions
- Recognizable brand names
- Covers catastrophic claims
Cons
- Very expensive especially for higher income earners
- Requires out-of-pocket dollars first through deductibles and copays
- Limited options
- Network restrictions
Short Term Medical (STM)
Pros
- Less expensive than ACA plans
- Familiar structure similar to ACA plans
- Effective bridge coverage for gaps in insurance
- Variety of carrier and plan options
- Many plans now offer terms up to 12 months
Cons
- Not available in all states
- Must re-qualify based on health each term
- Deductibles may reset each term depending on the plan
- Availability and terms vary by state and carrier
- Uncertain legislative future
Health Sharing Ministry
Pros
- Has the look and feel of ACA coverage
- More affordable than ACA
- Sense of community and faith-based values
- Variety of carriers and plans
Cons
- Health sharing, not insurance
- Claim coverage not guaranteed
- Must qualify based on health and lifestyle
- Pre-existing condition periods of 2-3 years
Defined Benefit Plan (Indemnity)
Pros
- Pays first dollar benefits with no deductible
- Affordable and stable premiums
- Great flexibility in choosing doctors
- Excess indemnity paid back to you
Cons
- Need to be in fairly good health
- Pre-existing condition period of 12 months
- Structure is unfamiliar to some
- Customer needs to be active in their healthcare decisions
- Carrier selection is critical
Plan features, availability, and terms vary by carrier and state. The information above reflects common plan characteristics and is intended as a general overview. Individual plans may differ. Contact us for a personalized review of your specific options.
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ACA vs. Private Alternatives
See why healthy individuals are leaving the marketplace for better private options.
Feature
GovernmentACA Plans
Private MarketOur Alternatives
Premiums
High(unless heavily subsidized)
Lower(up to 40% less for healthy folks)
Enrollment Period
Nov 1 - Jan 15 only
Year-Round
Network Size
Often restricted (HMOs)
Large PPO NetworksChoose your own doctor
Customization
One-size-fits-all
Built around your needs
Health Status
Guaranteed issue(You pay for others' care)
Medically underwritten(You get rewarded for health)
Income Protection
Not included
Disability & critical illness available
Long-Term Care
Not included
Available as standalone coverage
