ACA and Non-ACA Health Insurance: What’s the Difference?

Do you have health insurance? If so, do you know what type of health insurance you have? There are two main types of health insurance: ACA-compliant health insurance and non-ACA-compliant health insurance.

ACA-compliant health insurance is health insurance that meets the minimum requirements of the Affordable Care Act (ACA). The ACA is a federal law that was passed in 2010. The ACA requires most Americans to have health insurance. ACA-compliant health insurance must cover a set of essential health benefits, including doctor visits, hospital stays, and prescription drugs. ACA-compliant health insurance also has limits on out-of-pocket costs, such as deductibles and copayments.

Non-ACA-compliant health insurance is health insurance that does not meet the minimum requirements of the ACA. Non-ACA-compliant health insurance may not cover all of the essential health benefits. Non-ACA-compliant health insurance may also have higher out-of-pocket costs.

Why does it matter what type of health insurance I have?

It matters what type of health insurance you have because ACA-compliant health insurance provides more comprehensive coverage and has lower out-of-pocket costs. If you have non-ACA-compliant health insurance, you may not be covered for all of the essential health benefits. You may also have higher out-of-pocket costs.

How can I tell if I have ACA-compliant health insurance?

You can tell if you have ACA-compliant health insurance by checking your health insurance card. Your health insurance card will say “ACA-compliant” on it. You can also call your health insurance company to ask if your health insurance is ACA-compliant.

What should I do if I don’t have ACA-compliant health insurance?

If you don’t have ACA-compliant health insurance, you should consider getting it. ACA-compliant health insurance provides more comprehensive coverage and has lower out-of-pocket costs. You can get ACA-compliant health insurance through the Health Insurance Marketplace or through a private health insurance company.

Here is a table that summarizes the key differences between ACA-compliant and non-ACA-compliant health insurance:

Feature ACA-compliant health insurance Non-ACA-compliant health insurance
———
Coverage Covers all of the essential health benefits May not cover all of the essential health benefits
Out-of-pocket costs Has limits on out-of-pocket costs May have higher out-of-pocket costs
Cost May be more expensive than non-ACA-compliant health insurance May be less expensive than ACA-compliant health insurance

If you want to buy a plan yourself, you may be eligible for the ACA tax credit. Our licensed agents can help, call to see if you qualify.