Skip to content
Coverage

Health Insurance

Health insurance is the layer between you and the full cost of medical care. The right plan depends on your state, your preferred providers, your prescriptions, and how you use healthcare.

Most individuals and families choose between qualified ACA (marketplace) plans and private plans. Qualified plans cover essential health benefits and may be eligible for premium tax credits based on household income. Private plans may be a better fit for self-employed or higher-income clients who don't qualify for subsidies and want network flexibility.

Beyond premium, the plan's deductible, out-of-pocket maximum, provider network, and prescription formulary matter more than headline price. A low-premium plan with the wrong network or a formulary that excludes your medication is often more expensive in practice than a slightly higher-premium plan that matches your actual usage.

We walk through plans side-by-side across those real-world dimensions — not just the premium. If you qualify for a subsidy on the marketplace, we show you both subsidized and off-marketplace options so you understand the trade-off.

Who it typically fits

  • Self-employed individuals and families needing coverage outside employer plans.
  • Early retirees bridging the gap to Medicare at 65.
  • People between jobs or during open enrollment windows.
  • Families whose employer plans don't cover a specific need (dependent, provider, or medication).

Frequently asked questions

Can you help me enroll in a marketplace plan?+
Yes. We help you understand subsidy eligibility, compare plans across carriers in your state, and enroll in the plan that fits your usage and budget.
What's the difference between an HMO and a PPO?+
HMO plans typically require you to use in-network providers and get referrals for specialists. PPO plans offer out-of-network coverage (at higher cost) and usually don't require referrals.
What is a deductible vs. an out-of-pocket maximum?+
The deductible is what you pay before the plan starts sharing costs. The out-of-pocket maximum is the total you'd pay in a plan year before the plan covers everything else. Both matter when comparing plans.
What happens if I miss open enrollment?+
You can still enroll if you have a qualifying life event (job loss, marriage, birth, move, loss of other coverage). We can confirm whether you qualify and help you enroll.
Do you work with carriers nationwide?+
We are licensed in multiple states and work with multiple carriers in each. We'll tell you up-front if the right fit isn't a carrier we represent so you can enroll where it is.

Moving Mountains Advisors does not guarantee approval, rates, or outcomes. Insurance product features vary by carrier, state, age, and health. All examples above are educational and not an offer of coverage.

Related reading from the blog