The Texas health insurance market has turned shopping for affordable health insurance quotes in Texas into a maze. Although there is no single “best” plan, there are some Texas health plans that will be better than others for you and your family’s health care needs. Plans differ, both in price and in access to service. To ensure you make the right decision in choosing an affordable health insurance plan in Texas for you and your family, contact Custom Health Plans. A Texas health insurance agent will be able to provide personalized attention and a health insurance quote in Texas to find the perfect plan for you.
Baylor Hospital, in Dallas, Texas, introduced the first pre-paid hospital insurance in 1929, offering to provide medical services to a group of Texas teachers for a premium of 50 cents a month. The plan worked on the principle of paying for the costs of care for a small group of sick individuals by spreading them out over a much larger pool. The concept caught on, and by the late 1930s, nearly 3 million Americans were enrolled in “Blue Cross” hospital plans.
No individual applying for health coverage through the individual marketplace will be discouraged from applying for benefits, turned down for coverage or charged more premium because of health status, medical condition, mental illness claims experience, medical history, genetic information or health disability. In addition, no individual will be denied coverage based on race, color, religion, national origin, sex, sexual orientation, marital status, personal appearance, political affiliation or source of income.

But the ACA changed all that. Medical underwriting is no longer used, although applicants can now only enroll during open enrollment or a special enrollment period triggered by a qualifying event (similar to how enrollment works for employer-sponsored plans). Essential health benefits are now covered on all new individual major medical plans in every state. And millions of people are receiving premium subsidies that cover the majority of their premiums for plans purchased in each state’s health insurance exchange (the ACA’s consumer protection reforms apply to plans sold outside the exchanges as well, but the subsidies are only available in the exchange). The ACA also limits the percentage of premiums that insurers can use for administrative costs, including profits and executives’ salaries; insurers have refunded billions of dollars to consumers as a result of the new rules.
There are premium subsidies available in the exchange, but you're not eligible for them if the plan offered by your employer is considered affordable and provides minimum value (this is true for your family members as well, if they have access to your employer-sponsored plan, even if the employer-sponsored plan is only affordable for the employee's portion of the coverage; this is known as the family glitch). Most employer-sponsored plans are affordable and do provide minimum value. So if you're shopping for an individual market plan instead, chances are high that you'll have to pay full price for it, without any subsidies.
The Texas health insurance market has turned shopping for affordable health insurance quotes in Texas into a maze. Although there is no single “best” plan, there are some Texas health plans that will be better than others for you and your family’s health care needs. Plans differ, both in price and in access to service. To ensure you make the right decision in choosing an affordable health insurance plan in Texas for you and your family, contact Custom Health Plans. A Texas health insurance agent will be able to provide personalized attention and a health insurance quote in Texas to find the perfect plan for you.
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