Life & Health

Medical coverage for individuals and families outside an employer plan.

Self-employed, between jobs, or just don’t have access to employer coverage? Individual and family medical plans fill that gap with options built around your household’s needs.

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The Basics

How individual and family medical plans work.

Individual and family plans are purchased directly rather than through an employer, either on or off the ACA marketplace, and cover doctor visits, hospital stays, prescriptions, and preventive care.

Plans vary widely in premium, deductible, and network, which is why comparing a few options side by side usually makes more sense than picking the first plan you see.

  • Coverage for those without access to an employer plan
  • Available both on and off the ACA marketplace
  • Options across a range of premium and deductible combinations
  • Subsidies may be available depending on income

Common Situations

  • • Self-employed individuals
  • • Early retirees before Medicare
  • • Between jobs
  • • Part-time workers without benefits
What’s Included

Core elements of individual & family plans

Doctor Visits

Coverage for primary care and specialist appointments.

Hospital Care

Coverage for inpatient stays, surgery, and emergency care.

Prescription Drugs

Coverage for medications, often organized in cost tiers.

Preventive Care

Annual checkups and screenings typically covered at no additional cost.

Network Considerations

Understanding which doctors and hospitals are in-network for your plan.

Subsidy Eligibility

Help determining whether you qualify for a premium tax credit.

Common Questions

Individual & Family Medical FAQs

Can I get subsidies for an individual plan?
Depending on your household income, you may qualify for a premium tax credit through the marketplace. We can help you check eligibility.
What if I missed open enrollment?
You may still qualify for a special enrollment period if you’ve had a qualifying life event like losing other coverage, moving, or getting married.
How do I choose between a high or low deductible plan?
It depends on how often you expect to need care and what you can afford out of pocket. We’ll walk through the tradeoffs based on your situation.

Let’s talk about your individual & family medical coverage.

Belgrade-based advisors who know Montana risk, ready to help.

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