Navigating health insurance can feel overwhelming, especially when deciding between private insurance and a plan from the Health Insurance Marketplace. At Linda Dugan Insurance in Astoria, OR, we help individuals make sense of these options every day. While both choices provide coverage for medical needs, they function differently and may suit different situations.

What’s the Difference?

Private insurance refers to plans purchased directly from an insurance company or through an independent agency. These plans are not part of the government-run Marketplace and often offer a wider range of coverage options. Marketplace insurance, on the other hand, is part of the Affordable Care Act and is available through healthcare.gov. These plans are standardized and often include income-based subsidies to help reduce monthly premiums.

Which One Is Right for You?

The best choice depends on your needs and budget. If you qualify for government subsidies, Marketplace insurance can be more affordable, making it a great option for individuals and families with moderate to low income. However, if you’re seeking more flexibility in coverage or access to a broader network of providers, private insurance may be a better fit.

Can You Switch Between the Two?

Yes, but timing is important. Marketplace plans follow an open enrollment period, and changes outside of that window require a qualifying life event. Private plans, however, may offer more flexibility regarding enrollment.

Let’s Talk About Your Options

Choosing health insurance doesn’t have to be confusing. At Linda Dugan Insurance in Astoria, OR, we’re here to guide you through your options and help you find a plan that fits your needs. Contact us today, and let’s make health insurance easier to understand.