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4. The Health Insurance Landscape Today

Clients shopping for individual health coverage today fall into a few categories. Understanding which bucket they are in determines which solution fits:

Client Type

Situation

Best Fit

Low-income / subsidy-eligible

Income 100–400% of federal poverty level; qualifies for ACA tax credits

ACA Marketplace plan

Self-employed, healthy

Does not qualify for subsidies or subsidy value is minimal; wants affordable PPO

Our plans (Optimum Health Saver)

Lost group coverage

Recently left employer; COBRA too expensive; needs bridge coverage

Our plans

1099 / gig worker

No employer coverage; budget-conscious; healthy

Our plans

Complex medical needs

Chronic conditions requiring frequent specialist care, ongoing Rx, or surgeries

ACA or refer out

Short gap in coverage

90 days or less between jobs or life events

Short-Term Medical (STM)