❓ Frequently Asked Questions (FAQ) | Generation Health
At Generation Health, we know choosing the right health insurance can feel overwhelming. Below are answers to the most common questions about Medicare, the Health Insurance Marketplace, and finding the best plan for your needs.
🧑⚕️ Medicare FAQs
1. What is Medicare and who qualifies?
Medicare is a federal health insurance program primarily for people 65 and older, and for some younger individuals with certain disabilities or medical conditions.
2. What are the different parts of Medicare?
- Part A – Hospital coverage
- Part B – Doctor visits & outpatient care
- Part C (Medicare Advantage) – Combines Parts A & B, often with added benefits
- Part D – Prescription drug coverage
3. How do I enroll in Medicare?
You can enroll online through Social Security or get help comparing plans with Generation Health. We guide you step by step to ensure you don’t miss important enrollment deadlines.
4. What’s the difference between Original Medicare and Medicare Advantage?
- Original Medicare covers hospital and medical care but may leave gaps.
- Medicare Advantage plans are offered by private insurers, often including vision, dental, hearing, and prescription coverage.
🏥 Health Insurance Marketplace FAQs
5. What is the Health Insurance Marketplace?
The Health Insurance Marketplace (also called the “Exchange”) is where people under 65 can shop for affordable health insurance plans under the Affordable Care Act (ACA).
6. Who qualifies for Marketplace health insurance?
Anyone who doesn’t have affordable employer coverage, Medicaid, or Medicare can apply. Subsidies and tax credits may lower your monthly premium based on income.
7. How do I apply for Marketplace coverage?
You can apply online during Open Enrollment or if you qualify for a Special Enrollment Period (e.g., job change, marriage, moving). Generation Health can help you compare plans and apply.
8. What types of Marketplace plans are available?
Marketplace plans are organized into tiers:
- Bronze – Lowest monthly cost, higher deductibles
- Silver – Balanced coverage and cost (often best for subsidies)
- Gold/Platinum – Higher monthly premium but lower out-of-pocket costs
💡 General Health Insurance FAQs
9. Should I choose Medicare or the Health Insurance Marketplace?
- If you’re 65 or older, you’ll likely qualify for Medicare.
- If you’re under 65, the Marketplace is your best option.
Generation Health helps you explore both options to ensure you’re fully covered.
10. How can Generation Health help me?
We make health insurance simple. Whether you’re exploring Medicare Advantage, Part D plans, or Marketplace coverage, our tools and licensed agents help you:
- Compare plans side by side
- Check eligibility for subsidies
- Enroll without stress
11. When can I change my health insurance plan?
- Medicare – During Annual Enrollment (Oct. 15 – Dec. 7) or Special Enrollment.
- Marketplace – During Open Enrollment (Nov. – Jan.) or Special Enrollment.
12. How do I get started with Generation Health?
Simply visit GenerationHealth.me, explore Medicare and Marketplace options, and let our team help you choose the best plan for your budget and needs.
13. We are currently listened in the following states, NC, SC, VI, AL, AR, WV, TX, UT, OK, NE, GA, IA, LA, KY
What is Medicare and who qualifies?
Medicare is a federal health insurance program for people age 65 and older. It also covers some younger people with disabilities or certain long-term medical conditions.
What are the different parts of Medicare?
- Part A – Hospital coverage
- Part B – Doctor visits and outpatient care
- Part C – Medicare Advantage plans that combine A and B, often with extra benefits
- Part D – Prescription drug coverage
How do I enroll in Medicare?
You can enroll through the Social Security website, or you can work with Generation Health for step-by-step help comparing plans and making sure you don’t miss enrollment deadlines.
What is the Health Insurance Marketplace (ACA)?
The Marketplace, sometimes called the ACA Marketplace or “Obamacare,” is where individuals and families can shop for affordable health plans and apply for premium tax credits based on income.
Who is eligible for ACA Marketplace plans?
Most U.S. citizens and legal residents who don’t have access to affordable employer insurance, Medicare, or Medicaid can enroll. Eligibility depends on your income, household size, and state of residence.
Can I get help paying for ACA health insurance?
Yes. Many people qualify for premium tax credits or cost-sharing reductions, which lower monthly premiums and out-of-pocket costs. The amount of help depends on your household income and ZIP code.
When can I enroll in an ACA health plan?
The Open Enrollment Period runs from November 1 through mid-January in most states. You may also qualify for a Special Enrollment Period if you lose coverage, move, get married, or have a baby.