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Health Insurance Quotes in Miami

If you live in Miami, FL and you are currently uninsured or you are buying your own health insurance, this guide will help you determine your options and how you can get the best health insurance quotes in Miami.

The uninsured population in the entire state of Florida continues to be one of the highest in the United States. In fact, the Sunshine State has the highest open enrollment numbers in the nation.

As many as 2.8 million residents in Florida do not have health insurance. Many qualify for the Affordable Care Act but have chosen not to sign up, according to the Kaiser Foundation. Others can afford health insurance but have decided not to.

Do I Need Health Insurance?

The short and simple answer is YES. While you won’t get arrested for not having health insurance, you may be forced to pay the Obamacare penalty. The Individual Mandate requires every citizen of the U.S. under the age of 65 to enroll in a health coverage, or pay a fine. For 2016 tax year, the penalty is $695 per adult and $347.50 per child (maximum of $2,085 per family) or 2.5% of your family’s income, whichever is higher.

You may be exempt from the Individual Mandate and avoid the penalties if:

  • You’re in the United States illegally.
  • You’re in jail.
  • You have religious objections.
  • The cost of insurance exceeds 8% of your total household income.
  • You have hardship waivers.
  • You’re not covered for less than 90 days during the calendar year.

Is Obamacare Helping the Uninsured in Miami?

There is no information specific to Miami however, according to a Gallup survey, Florida’s uninsured rate has dropped from 22.1 to 15.7% between 2013 and 2015. The national average uninsured rate also went down from 17.3% to 11.7% within the same period. For states that expanded Medicaid and run their own health insurance exchange, the average is 7.8%. Florida doesn’t do either of these but its federally facilitated health insurance exchange has the highest enrollment numbers and the biggest number of eligible enrollees. If you are currently uninsured look into health insurance quotes in Miami to find out what you are eligible for.

Benefits of the Affordable Care Act (ACA/ Obamacare)

Private insurers offer plans that may offer additional benefits but the following are required across all states:

  • Emergency services
  • Ambulatory patient service
  • Hospitalization
  • Mental health and substance use services
  • Maternity and newborn care
  • Prescription drugs
  • Rehabilitative services and devices
  • Preventive and wellness as well as chronic disease management for children and adults
  • Pediatric services

There are also additional benefits mandated by the government for the insured residents of Florida and these are:

  1. Bone marrow transplants
  2. Home health care services
  3. Congenital anomaly
  4. Reconstructive surgery
  5. TMJ disorders
  6. Diabetes care management
  7. Off-label prescription drugs to treat life-threatening illnesses

Cost of Health Insurance in Miami, FL

If you want to enroll in a health plan, you should check and compare health insurance quotes in Miami so you can find a plan that suits your needs and budget. To help you compare benefits and costs, the ACA has designated qualifying health plans into four groups in terms of coverage: Platinum, Gold, Silver and Bronze. They are based on the average healthcare costs covered by the plan as a percentage of what your insurance provider covers and what is paid by you.

The following are the plan coverage levels available:

  • Platinum – Insurer pays 90%, you pay 10%
  • Gold – Insurer pays 80%, you pay 20%
  • Silver – Insurer pays 70%, you pay 30%
  • Bronze – Insurer pays 60%, you pay 40%

It’s also worth noting that for the 2017 open enrollment, the 8 carriers that offer coverage through Florida’s insurance exchange have made requests for increases in the rates and such requests are currently being reviewed. The proposed increase ranges from 0.8% to 44.3% and the final approved rates will be available on or before November 1, 2016.

To help you find affordable health plans, check out our health insurance quotes in Miami.

Your Health Insurance Options in Miami, FL

You can choose from individual and family health plans from various insurance companies and pick the plan that is best suited for your own health care needs. You should consider enrolling in a private health insurance plan if you fall into any of these categories:

  • You’re self-employed.
  • Your employer does not provide a group health plan.
  • Your health insurance plan does not cover your dependents.
  • Your health insurance premiums are too high.
  • Your health care needs have changed.

For 2017, there will be eight carriers offering coverage through Florida’s exchange and they are: Florida Blue, Florida Blue HMO, Humana, Florida Health Care Plan Inc., Ambetter (Celtic), Cigna, Molina and Health First Health Plans. A health insurance quote in Miami will consider all of the above carriers. is not a licensed health insurance carrier, and we are unable to directly issue health insurance policies, or alter existing policies. If you wish to inquire about your current plan, please contact your health insurance provider for more information.