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3
Understanding the Marketplace
You may qualify for financial
assistance.
Co-payment
Your cost-share of the service being
received. Co-pays count toward the
out-of-pocket maximum but not
towards the deductible. Co-payments
are included in most of our plans.
Deductible
The amount you pay before any
company payment is applied (unless
a co-payment exists). Deductibles
are paid first, and then co-insurance
is applied. All SoloCare plans have a
deductible. There is a maximum dollar
amount you would pay in any given
calendar year.
Co-insurance
The portion where we share the
covered costs with you. This amount
is expressed as a percentage and is
applied after the deductible is met
(for example, Alliant pays 80% and
you pay 20%).
Out-of-Pocket Maximum
The maximum amount of money you
will pay out-of-pocket during a calendar
year. It includes deductibles, co-pays
and co-insurance but is in addition
to your regular monthly premium.
After you reach your out-of-pocket
maximum, you would pay nothing for
additional covered medical expenses
for the rest of the plan year.
Premium
The total amount you pay to obtain and
keep your health insurance active.
Important Terms to Know
The Health Insurance Marketplace (also referred to
as the Marketplace, Exchange or HealthCare.gov) is
where individuals and families can compare plans
and purchase health insurance. You can purchase an
Alliant plan on the Marketplace or directly through
us. Individuals who qualify for tax breaks or financial
assistance from the government must purchase a plan
through the Marketplace in order to take advantage of
tax credits.
An Advanced Premium Tax Credit (APTC) can lower
the amount you pay toward your monthly premium.
Tax credits are available to individuals and families
who earn at least 138% but not more than 400% of
the Federal Poverty level. Only the Marketplace can
determine if you are eligible and how much you may
receive in tax credits.