Find Out More About Individual & Family Plans

What Are Individual & Family Health Insurance Plans?

Individual and family health insurance plans are policies that you purchase directly for yourself or your family rather than through an employer or a government program like Medicaid or Medicare.

You can select a plan tailored to your medical needs and financial situation.

Speak With An Agent1 (800) 950-0608

What Types of Health Insurance Plans Are There?

What kinds of health insurance plans are there to choose from?

There are a variety of plan types available when it comes to individual and family health insurance. Most commonly these types include:

HMO (Health Maintenance Organization) Plans - These plans are typically lower-cost but will require referrals for specialized care.

PPO (Preferred Provider Organization) Plans – These plans are more flexible, allowing specialized care without the need for a referral. These plans are usually slightly higher-cost than an HMO plan.

EPO (Exclusive Provider Organization) Plans – These plans only cover services if your doctors, specialists, or hospitals are in the plan’s network (except in emergency cases). EPO plans generally offer lower-cost premiums.

POS (Point of Service) Plans – A type of hybrid plan that is typically lower-cost if you seek services from doctors, hospitals, or other providers that are already in network. POS plans also require referrals for specialized care.

How much do health insurance plans typically cost?

Health insurance costs can vary greatly based on the type of plan you have, the level of coverage you require, your location, and your age.

For individual plans, the average monthly premium is around $477 as of 2024, with an out-of-pocket limit of around $9,450. For family plans, there is an out-of-pocket limit of about $18,900.

Other factors, such as deductibles, premium tax credit eligibility, subsidies, and ongoing regulatory changes related to the Inflation Reduction Act, can also lower costs considerably.

How often am I able to switch health insurance plans throughout the year?

If you're on a marketplace health insurance plan, you can switch plans during the annual Open Enrollment Period (OEP), which occurs once per year in the fall.

Outside of OEP, you can also switch plans if you qualify for a Special Enrollment Period (SEP), which typically occurs when you experience major life events such as marriage, divorce, having a baby, aging into Medicare, or losing other coverage. SEPs usually last for up to 60 days after a qualifying major life event.

Do individual health insurance plans cover people with pre-existing conditions?

Yes! Individual marketplace health insurance plans are required to cover people with pre-existing conditions. Under the Affordable Care Act (ACA), insurers cannot deny coverage or charge higher premiums based on an individual's health status or pre-existing conditions.

This means that individuals with chronic conditions such as diabetes, cancer, or asthma can obtain health insurance through the marketplace without facing discrimination.

All marketplace plans must provide essential health benefits, including coverage for necessary treatments related to pre-existing conditions.

Benefits of Individual and Family Plans

Coverage Flexibility

We can help you find a policy that suits your individual or family health needs -- from maternity care and prescriptions to preventive services like check-ups.

Preventive Care Services

Most plans cover essential preventive services, such as vaccinations, health screenings, and wellness checkups at no additional cost to you.

Financial Protection

Insurance protects you from high medical bills in case of emergencies, surgeries, hospital stays, and chronic conditions.

Important Enrollment Periods

Compare Plans Side-By-Side

When it comes to finding the best possible health insurance coverage to fit your needs and lifestyle, options matter.

That’s why we offer you the flexibility to communicate directly with our agents in real-time as they help you explore plans available in your area.

Speak With An Agent1 (800) 950-0608

Privacy Policy

Your Data, Your Rights: We take your privacy seriously. This privacy policy describes what personal information we collect and how we use it.

Routine Information Collection

All web servers track basic information about their visitors. This information includes, but is not limited to, IP addresses, browser details, timestamps and referring pages. None of this information can personally identify specific visitors to this site. The information is tracked for routine administration and maintenance purposes.

Cookies and Web Beacons

Where necessary, this website uses cookies to store information about a visitor’s preferences and history in order to better serve the visitor and/or present the visitor with customized content.

Advertising partners and other third parties may also use cookies, scripts and/or web beacons to track visitors to our site in order to display advertisements and other useful information. Such tracking is done directly by the third parties through their own servers and is subject to their own privacy policies.

Controlling Your Privacy

Note that you can change your browser settings to disable cookies if you have privacy concerns. Disabling cookies for all sites is not recommended as it may interfere with your use of some sites. The best option is to disable or enable cookies on a per-site basis. Consult your browser documentation for instructions on how to block cookies and other tracking mechanisms.

Consent to Contact

By entering your contact information and submitting it anywhere on this site – including forms, email, or via our chat functionality – you consent to receive emails, telephone calls, and text messages from HealthInsurance.com and our affiliates or third-party partners. These communications will describe different health insurance products and services available to you, including ACA Health Insurance Plans, Medicare Advantage Plans, and/or Prescription Drug Plans. Entering your personal contact information – including your name, phone number, and email address – is optional, and you can make a purchase by calling 1-800-950-0608 TTY 711 to speak to a licensed insurance agent instead.

Contact Information

Concerns or questions about this privacy policy can be directed to our support staff at [email protected] for further clarification.