The health insurance marketplace in Arizona is a one-stop shop to purchase health plans after comparing different plan options and costs in one place. All the major medical plans that are sold through health insurance exchange are qualified health plans covering all the ten essential health benefits. The amount of coverage and the plans price may vary depending upon your area and the plan you select. However, you have the opportunity to pick the best plan depending on your need and budget. You can choose health insurance plans in Arizona either through federal exchange or from participating private insurers. The open enrollment of Arizona Health Insurance Marketplace’s period will be from November 1, 2019 to December 15, 2019 for 2020 coverage.
Arizona Healthcare Marketplace Highlights and Updates
- Open enrollment for enrolling in 2020 health insurance plans in Arizona will run from November 1 to December 15, 2019.
Average premiums are expected to slightly decrease in the year 2020
- In Arizona short term health plans can be sold with initial plan terms of up to 185 days.
- With the lower benchmark premiums the subsidies for premiums have dropped in some areas.
- Since 2015, enrollment for health insurance plans have dropped by nearly 22%
- There are currently five health insurance carrier operating in Arizona in 2019.
Arizona Individual and Family Health Insurance
At one time Arizona was President Trump’s poster child for the failure of Affordable Care Act but with significant increase in the premium price, nearly 200,000 Arizonans are enrolling in enrolling in individual health insurance through the marketplace and especially who do not qualifies for the government subsidies, which is designed to help people save premium costs. In Arizona, individual and family health insurance plans are available through Affordable Care Act or Obamacare. As far as Individual and family health insurance plans are concerned you can avail these plans either through the Affordable Care Act’s marketplace or you can purchase directly from the insurance carrier. Besides ACA the following type of Individual and family health insurance options are also available in Arizona that you can purchase either through private health insurance providers or providers functioning in Arizona through the federal exchange.
Preferred Provider Organizations
Individuals having this plan have access to a network of healthcare providers associated in their chosen PPO plan. In this you don’t need a primary care doctor or obtain a referral to see any in-network provider. Though some of the plans in this category may require you meet a deductible before starting the coverage.
Health Maintenance Organizations
In you are enrolled in HMO plans the you need to select a primary care physician to manage your healthcare and if required they will also provide referrals to specialists. These plans usually charge a fixed co payment for every doctor visit and other care provided. In additions to the co payments some of the HMO plans may have a low deductible or no deductible. You need to avail all healthcare services through the HMO’s network unless otherwise stated in the plan.
High Deductible Health Plans with Health Savings Accounts
If you are enrolled in these plans then you have more control on your out-of-pocket expenses, as these plans have lower monthly premiums with higher deductibles. These plans are combined with Health Saving Accounts where you can keep interest-earning pretax funds or tax deductible funds, which you usually deposit in a private account. This fund can be used to cover your healthcare costs.
Flexible Spending Accounts
As per Affordable Care Act you can make tax-free contributions of up to $2,500 per year to an Flexible Spending Accounts that can be used for out-of-pocket healthcare expenses that are not included in your health plan. It can includes OTC items, equipment and devices that are allowed by law. Though you need to provide a prescription for OTC items and submit an itemized receipt to qualify for tax deduction.
Individual health insurance programs are designed for individuals and families who cannot obtain health insurance through an employer. Due to the continually rising cost of medical care, it has become more important to provide health insurance for you and your families. Arizona uses the federally facilitated exchange, so residents in the state use Healthcare.gov to enroll in exchange plans. 160,456 people enrolled in individual market plans through the Arizona exchange during open enrollment for 2019 coverage — down about 5,000 people from 2018, and nearly 21 percent lower than enrollment had been in 2016.
Short-Term Health Insurance in Arizona
In Arizona people have access to short term health insurance plans that are designed to provide short term health coverage for individuals who are without health insurance. As per the state regulations, the short-term plans in Arizona is available for up to six months ad allow renewability for an additional six months there after. Most of these plans do not cover the essential benefits like maternity, mental health and prescription drug coverage, as these are just used to bridge the coverage gap until you can obtain full-featured health insurance for yourself. These plans are Short-term health insurance is a great options in case if you have missed the open enrollment period for the Affordable Care Act or if you expect to qualify for the employer-provided health care soon or you are planning to marry or anticipate any similar qualifying life event that would make you eligible for special enrollment opportunity. These plans provide you much-needed protection in case of accident or illness.
Dental Insurance Plans in Arizona
Dental insurance in Arizona works exactly like medical insurance. You need to pay a monthly premium to obtain certain dental benefits like regular checkups, cleanings, x-rays and certain services that are essential for promoting general dental health. Some of the dental plans in Arizona provide broader coverage compared to other plans and some plans require a greater financial contribution from you for the services rendered. Some of the plans even provide coverage for certain types of oral surgery, dental implants or orthodontia.
Arizona dental insurance plans are categorized as:
Indemnity plans offer a wide selection of dental care providers who pay for covered dental services after receiving a bill for it. This means that you need to pay up-front and later on reimburse from your insurance carrier.
In this plan, dentists in Arizona participate in a network to provide dental services to you at pre-negotiated rates and then submit the claim to the dental insurance company. Therefore, you will have less paperwork and lower out-of-pocket costs while enrolling with managed-care plans.
Arizona Vision Insurance Plans
The Arizona state offers two vision plans:
Advantage Program – It is a voluntary insurance in which you need to pay the entire premium and it provides yearly coverage for a vision exam, glasses or contact lenses and you can receive additional optical purchases. You may require to make a co payment at the time of service but the balance is paid by the insurer.
Discount Plan – The discount vision plans provide you and your family with substantial discounts on vision exams and corrective materials. You need to pay full price for the services but it is lower than normal price, which the participating eye care practitioners have agreed to charge.