Jen Peppe Hahn Independent Insurance Agent

There are two versions of financial assistance outside of Medicaid

(you may qualify for both)

cost sharing (you must choose a Silver Plan): You will have a lower deductible, copayments and coinsurance as well as a lower out of pocket max 

a tax credit: This is based on your Modified Adjusted Gross Income, and you can choose to accept this credit monthly to lower your premium or in a lump sum at the end of the year. If you take this credit monthly and estimate less earnings than you actually make thus giving you too much of a credit, you will owe that money back

There are four levels of coverage:

Bronze, Silver, Gold, Platinum

Within these levels are:

HMO's (Health Maintenance Organizations) - lower monthly premiums, typically lower less out of pocket, in network providers, need referrals, must use Primary Care Physician as your first stop

PPO's (Preferred Provider Organizations)  - more flexibility to choose doctors, out of network doctors may cost more, claim to not need referrals in general though some facilities still require them regardless

To view a full list of types of coverage offered for individuals on the Maryland Health Benefits Exchange (MHBE) click here: 

https://www.marylandhealthconnection.gov/glossaryslug/plan-type/#:~:text=The%20types%20of%20health%20insurance,Account%20(HSA)%2Deligible%20plans.