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Helping Americans Find Affordable Coverage

Our licensed agents work with top-rated carriers to match you with the right plan at the right price

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Insurance Carriers
48
States Covered
$0*
Plans Available with Subsidies
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Average Quote Time

Understanding Health Insurance in 2026

What you need to know before choosing a plan

Health insurance protects you from the high cost of medical care. Without coverage, a single emergency room visit can cost $2,000 to $5,000, a hospital stay can exceed $10,000 per day, and surgery can run into six figures. Health insurance spreads these costs across monthly premiums, deductibles, and copays so that a medical event doesn't become a financial crisis.

The Affordable Care Act (ACA) requires all major medical plans to cover 10 essential health benefits: doctor visits, emergency care, hospitalization, maternity and newborn care, mental health and substance abuse services, prescription drugs, rehabilitative services, laboratory tests, preventive and wellness services, and pediatric services including dental and vision for children.

Under the ACA, insurers cannot deny you coverage or charge more based on pre-existing conditions like diabetes, asthma, heart disease, or prior cancer treatment. This means everyone has access to comprehensive coverage regardless of health history.

Key Terms You Should Know

Premium

Your monthly payment to maintain coverage. This is what you pay whether or not you use medical services. Lower premiums typically mean higher out-of-pocket costs when you need care.

Deductible

The amount you pay out of pocket before your insurance starts covering costs. For example, with a $2,000 deductible, you pay the first $2,000 of covered services each year.

Copay

A fixed amount you pay for specific services, such as $30 for a primary care visit or $50 for a specialist. Copays apply even after you meet your deductible on most plans.

Out-of-Pocket Maximum

The most you will pay in a year for covered services. Once reached, your insurance pays 100% of covered costs. For 2026, the ACA limits this to $9,450 for individuals and $18,900 for families.

Coinsurance

Your share of costs after meeting your deductible, expressed as a percentage. With 20% coinsurance, you pay 20% and insurance pays 80% until you reach your out-of-pocket maximum.

Network

The group of doctors, hospitals, and pharmacies that contract with your insurance plan. Using in-network providers costs significantly less. PPO plans offer some out-of-network coverage while HMO plans typically do not.

Compare Plan Types

Understanding which plan type fits your situation

Feature PPO HMO Short-Term
Monthly Premium $$$ Higher $$ Moderate $ Lowest
See Any Doctor Yes In-Network Only Yes
Referral Needed No Yes No
Pre-Existing Conditions Covered Covered May Exclude
Preventive Care Free (In-Network) Free (In-Network) Not Required
Prescription Coverage Included Included Limited/None
Subsidy Eligible Yes Yes No
Best For Flexibility, keeping your doctor Lower costs, coordinated care Temporary gaps in coverage

Not sure which plan type is right for you? Our licensed agents will help you compare options based on your specific needs and budget.

Access to Top-Rated Providers

We've partnered with a vast network of providers, preferred doctors, and hospitals to ensure you have access to top-tier medical care. With us, you can choose the healthcare professionals you trust most, all while benefiting from cost savings and convenience. Experience peace of mind knowing that quality healthcare is readily accessible.

Provider Network Matrix
Individual

Individual

Your health is your greatest asset, and it deserves personalized care. We're here to provide you with individual health insurance coverage that's tailored to your unique needs. We understand that every person's healthcare journey is different, and that's why our plans are flexible and customizable. With our individual health insurance, you have the freedom to choose the coverage that suits you best, ensuring that you get the care you deserve when you need it. Our policies offer comprehensive benefits and access to a wide network of healthcare providers. Take control of your health and well-being by requesting a quote today. Your health, your choice, our commitment.

Get Individual Quote
Family

Family

We understand that your family's well-being is your top priority. That's why we offer comprehensive and affordable family health insurance coverage that puts your loved ones first. With our plans, you can rest easy knowing that you have access to a network of top-notch healthcare providers, ensuring that your family receives the best care when they need it most. We believe that health insurance should be simple and stress-free, which is why our policies are designed with you in mind. Whether it's preventive care, doctor visits, or emergencies, we've got you covered. Take the first step in securing a healthier future for your family by requesting a quote today. Let us be your partner in safeguarding the health and happiness of those you hold dear.

Get Family Quote
Short Term

Short Term

Life is full of unexpected twists and turns, and sometimes you need health coverage that fits your changing circumstances. We offer short-term health insurance coverage designed to provide you with flexibility and peace of mind. Whether you're in between jobs, waiting for your employer's coverage to start, or simply need temporary health insurance, our short-term plans have you covered. With affordable premiums and a quick and easy enrollment process, you can have the protection you need, when you need it most. Our short-term health insurance plans offer a range of benefits, including access to healthcare providers and essential services. Take control of your healthcare decisions and secure your well-being with short-term coverage. Request a quote today and enjoy the confidence of knowing you're prepared for whatever life throws your way.

Get Short-Term Quote

Health Insurance Costs & Subsidies in 2026

Most Americans qualify for financial help to lower their monthly premiums

Health insurance costs vary based on your age, location, plan type, and whether you use tobacco. The ACA marketplace uses metal tiers to categorize plans: Bronze plans have the lowest premiums but highest out-of-pocket costs, while Platinum plans have the highest premiums but cover the most when you need care. Silver and Gold plans fall in between.

Premium tax credits (subsidies) can significantly reduce what you pay. If your household income falls between 100% and 400% of the federal poverty level, you likely qualify. For a single person in 2026, that means income roughly between $15,060 and $60,240. A family of four may qualify with income up to approximately $124,800. Many people with subsidies pay less than $100 per month for comprehensive coverage.

If you don't qualify for marketplace subsidies, short-term health insurance plans offer coverage starting at $59 per month. These plans provide protection against major medical expenses while keeping monthly costs low. Our agents will calculate your exact subsidy amount and show you all available options at every price point.

Bronze
60/40
Plan pays 60%, you pay 40%
Lowest premium, highest deductible
Silver
70/30
Plan pays 70%, you pay 30%
Most popular, CSR eligible
Gold
80/20
Plan pays 80%, you pay 20%
Good balance of cost and coverage
Platinum
90/10
Plan pays 90%, you pay 10%
Highest premium, lowest out-of-pocket

10 Essential Health Benefits Covered by Law

All ACA-compliant major medical plans must cover these services

🏥

Hospitalization

Inpatient hospital stays, surgeries, and overnight care are covered. Learn more

🩺

Doctor Visits

Primary care and specialist office visits with set copays. Learn more

💊

Prescription Drugs

Generic and brand-name medications at tiered pricing. Learn more

🚨

Emergency Services

Emergency room visits covered at in-network rates even out of network. Learn more

🤰

Maternity & Newborn Care

Prenatal visits, delivery, and newborn care covered from day one. Learn more

🧠

Mental Health Services

Therapy, counseling, and psychiatric care at parity with medical care. Learn more

Preventive Care

Annual checkups, vaccines, and screenings at no cost in-network. Learn more

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Rehabilitative Services

Physical therapy, occupational therapy, and speech-language services. Learn more

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Laboratory Services

Blood tests, imaging, X-rays, and diagnostic procedures. Learn more

👶

Pediatric Services

Children's health care including dental and vision coverage. Learn more

What Our Customers Say

Real experiences from people we've helped

⭐⭐⭐⭐⭐

"The agent was incredibly helpful and patient. She found me a plan that saved me $200/month compared to what I was paying before. The whole process took less than 30 minutes!"

- Sarah M., Texas

⭐⭐⭐⭐⭐

"I was overwhelmed by all the options until I called. My agent explained everything clearly and helped me find coverage that included my doctors. Highly recommend!"

- Michael R., Florida

⭐⭐⭐⭐⭐

"After losing my job, I thought I couldn't afford health insurance. They found me a subsidized plan for less than $100/month. Such a relief for my family!"

- Jennifer L., California

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Frequently Asked Questions

Quick answers to the most common health insurance questions

What types of health insurance plans are available?+
The main types include major medical (ACA-compliant) plans that provide comprehensive coverage, short-term health insurance for temporary gaps, fixed indemnity plans that pay a set amount per service, and health sharing programs. Major medical plans offer the broadest protection including preventive care, prescriptions, hospitalization, and mental health. Our agents will help determine which type best fits your healthcare needs and budget.
How much does health insurance cost in 2026?+
The average monthly premium for an individual ACA marketplace plan ranges from $400 to $600 before subsidies. However, with premium tax credits, many people pay between $0 and $150 per month. Short-term plans start as low as $59 per month. Your actual cost depends on your age, location, tobacco use, plan level (Bronze through Platinum), and household income. Our agents provide free quotes so you can see exact pricing for your situation.
Do I qualify for health insurance subsidies?+
You may qualify for premium tax credits if your household income falls between 100% and 400% of the federal poverty level. For 2026, that's approximately $15,060 to $60,240 for an individual or $31,200 to $124,800 for a family of four. Enhanced subsidies may extend beyond these limits depending on current legislation. Our agents can calculate your exact subsidy amount and show you what you'd actually pay.
What is the difference between HMO and PPO plans?+
PPO plans let you see any doctor without referrals and provide some coverage for out-of-network providers. They offer maximum flexibility but come with higher premiums. HMO plans require you to choose a primary care physician who coordinates your care and provides referrals to specialists. HMOs typically have lower premiums and copays but limit you to in-network providers. Learn more about PPO features.
Are pre-existing conditions covered?+
Under the ACA, all major medical plans must cover pre-existing conditions without charging higher premiums. This includes diabetes, heart disease, asthma, cancer history, mental health conditions, and any other prior diagnosis. Short-term plans may exclude pre-existing conditions, so it's important to discuss your health history with an agent to find the right plan type for you.
When can I enroll in health insurance?+
Open Enrollment for ACA marketplace plans typically runs from November through January. Outside this period, you can enroll if you experience a qualifying life event such as losing existing coverage, getting married or divorced, having a baby, or moving to a new state. Short-term health insurance plans can be purchased year-round with coverage starting as soon as the next day.
What does health insurance typically cover?+
ACA-compliant plans cover 10 essential health benefits: doctor visits, emergency care, hospitalization, maternity and newborn care, mental health and substance abuse services, prescription drugs, rehabilitative services, laboratory tests, preventive and wellness services, and pediatric services including dental and vision for children. Preventive care like annual checkups and screenings is covered at no cost when using in-network providers.
Is your quote service really free?+
Yes, our service is 100% free with no obligation. We are compensated by insurance carriers when you enroll in a plan. You will never pay more for a plan through us than you would going directly to the insurance company. Our licensed agents provide personalized guidance, compare options from multiple carriers, and help you find the best value for your budget at no cost to you.

Have more questions? Visit our full FAQ page or call (888) 817-0413 to speak with a licensed agent.

Coverage Available Nationwide

We help individuals and families across the United States find affordable health insurance

Our licensed agents serve 48 states and work with over 50 insurance carriers to find you the best coverage at the best price. Whether you live in a state that runs its own health insurance marketplace or uses the federal HealthCare.gov platform, we can help you navigate your options.

Health insurance plans and pricing vary significantly by state and even by county. Factors like available carriers, state regulations, local healthcare costs, and Medicaid expansion status all affect your options. That's why working with a knowledgeable agent who understands your local market matters.

Plans are available through South Salem Health Insurance Agency, LLC, a subsidiary of Convert IQ, licensed and appointed in all operating states. View our licensing information.

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