Health Insurance

Your Options

Please CLICK HERE to get a quote and/or sign up all the way! (NO-ONE except Andy Simmons will see what you input!)

We can help you navigate your health insurance options for 2019. We are certified to sell the new Affordable Care Act (ACA) health insurance plans ON or OFF the Marketplace, so please give us a call to get insured now! We represent Blue Cross, Priority, United Health Care, and Humana so we can definitely find a plan that fits your needs.

First of all, there's one decision that will be simple - whether or not to use an agent. You have nothing to lose and a lot to gain by using an agent. Also, it does not cost you more!! Many people think that if they use an agent, their insurance premiums are higher. Nope!

Once you learn what your tax credit will be (or not) and research the plans a bit by clicking the quoting link above, you can give us an email or a call and we'll help discuss your plan options.

If you are sure you won't qualify for a tax credit, then I would recommend signing up for a Priority Health plan since, for 2018, in my opinion, they have the best combination of price, customer service, and coverage. Click here to sign up in 5 minutes.

Open Enrollment is from 11/1/18 to 12/15/18, which means that there are only certain ways that you can purchase a new plan outside of open enrollment. To see if you are eligible to sign up outside of open enrollment, please click here. If you are not eligible to purchase a new policy, you will have to wait until the next open enrollment period, OR,

Some folks are choosing to purchase Short Term policies which are significantly less expensive than the new ACA policies so you would still end up money-ahead. To get a quote for that, please click here We usually recommend the 'Medical Plus' plan.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Some Math behind the logic of the tax credit.....

If your household makes less than 250% of the Federal povery level (FPL), then signing up ON the Marketplace will benefit you most. Especially since you will not only receive help paying your premium (Advance Premium Tax Credit = APTC), but you'll also get help paying your deductible and other things to help reduce your out of pocket exposure (Cost Sharing Reductions = CSR). If you make between 250% and 400% of the FPL, then you will get a tax credit, but it won't be as much (You'll just get the APTC.)

Example of estimating (using fake numbers!)

If you estimate $40K, you would earn a $500 tax credit per month

If you estimate $50K, you would earn a $400 tax credit per month

So if you estimate $40K, but you actually earn $50K, then you would have to pay back $1,200 when you do your taxes. [ (500-400)x12]

But the opposite is also true... if you estimate $50K, but only make $40K, then you get $1,200 added to your tax returns

Use the chart below to determine your potential tax credit for 2019. The household size would be for the people that you claim on your taxes, whether they will be on the plan or not. More details found here.

Federal poverty Level Chart (eff. 1/25/18) - estimated household income (Adjusted Gross - line 37 of your fed 1040 tax form is not 100% accurate, but it is the easiest way to get a very close estimate). More specific details found here.

Screen Shot 2019-04-15 at 2.52.14 PM.png


Another COMPLETELY different option is Medishare! None of the gobbledygook above matters with Medishare! We're licensed to sell that now and Dave Ramsey has started endorsing it! Please CLICK HERE to learn more about it! If you are healthy and Christian, this could be a great idea for you!

Please call or email us any time and we'd be happy to walk you through this process. We can usually get you fully signed up in under 30 minutes. 616-896-4600 or email us at info@shieldagency.com