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KEY CHANGES TO ACA BENEFITS

Open enrollment for ACA marketplace plans began on Friday, November 1, and runs until Wednesday, January 15, 2025.

I offer anyone interested the opportunity to sit down with me or a member of my team to review the available options, then help them make the selections that make the most sense for them and their families.

In 2025, the ACA will offer premium tax credits, expanding financial assistance to a wider range of income levels. This adjustment will help to reduce premiums for a larger number of people, making health insurance more affordable.1 

Additionally, new updates include caps on out-of-pocket costs such as deductibles and co-pays.2 

The ACA will also include provisions for lower co-pays on medications and expanded access to specialized care for chronic conditions.3

Additional support for low-income families includes increased premium tax credits and improved access to affordable care options.4

Eligibility for benefits and programs generally depends on several factors, including income, citizenship and specific health needs. Some people will qualify for premium tax credits and cost-sharing reductions for health insurance purchased through the ACA Marketplace.5

Give me a call to review your options, and, as always, my guidance is free of charge.

HealthMarkets Insurance Agency is located at 9551 Vista Way in Garfield Hts. To reach Scott McEvoy or a member of his team, call 216-815-1850. Virtual, phone and office appointments are available. *Source: HealthInsurance.org1, Healthcare.gov2, whitehouse.gov/briefing-room/statements-releases/3, HHS.gov4 , kff.org/health-policy-101-the-affordable-care-act/5.

HealthMarkets Insurance Agency, Inc. is licensed as an insurance agency nationwide except in MA. Not all agents are licensed to sell all products. Service and product availability may vary by state. Agents may be compensated based on enrollment. No obligation to enroll. 51731-HM-1024


FEATURED

By Scott McEvoy June 10, 2026
Six months before turning 65 is a good time to begin learning what to expect from Medicare, including deadlines for enrollment and the types of plan options that may be available, as well as how Medicare compares to employer-sponsored coverage.
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If you attended high school in 1979, you are likely nearing age 65, the point when you’ll start making decisions about your Medicare options.
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Once you hit a certain age, the idea of retirement is never really far from mind. Last month we talked about short-term medical coverage as one possible option to help bridge the health coverage gap between leaving your current employment and becoming eligible for Medicare during retirement. But securing interim coverage, if needed, is just a small part of preparing for Medicare. Six months before turning 65 is a good time to begin learning what to expect from Medicare, including deadlines for enrollment and the types of plan options that may be available, as well as how Medicare compares to employer-sponsored coverage. Many people don’t realize they may continue to work for their current employer if they’ve reached age 65 and still be on Medicare. In some situations, individuals may find that Medicare offers different coverage features than an employer‑sponsored plan, which can be worth understanding when evaluating healthcare options. Some people who switch to Medicare while still working may find their coverage needs are met differently than under an employer-sponsored plan. For example, certain Medicare plans may include additional benefits or features beyond what some employer plans offer. I’m available as a resource to share general Medicare information and help explain Medicare basics. I offer a Medicare 101 educational class for people who are newly 65 or about to turn 65, presented in an easy-to-understand format. Give me a call to schedule a time to meet or set up a time to attend the class, and, as always, my guidance is available at no cost to you. HealthMarkets Insurance Agency is located at 9551 Vista Way in Garfield Hts. To reach Scott McEvoy or a member of his team, call 216-815-1850. Virtual, phone and office appointments are available. HealthMarkets Insurance Agency, Inc. is licensed as an insurance agency nationwide except in MA. Not all agents are licensed to sell all products. Service and product availability may vary by state. Agents may be compensated based on enrollment. No obligation to enroll. 53164-HM-0426
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Short-term coverage may be an option for college students who are home for the summer, working temporary jobs, or who may experience a gap in coverage if they are no longer enrolled in a school-sponsored health plan.
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HealthMarkets Insurance Agency offers health care options from numerous different recognized carriers, and we’ve helped thousands of people choose health care options that best represents their individual and family needs.