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Marketplace & Medicare

Talk to a real person. One Agent for Life - AI assisted.

Get matched to a dedicated, licensed agent who stays with you. Marketplace today, Medicare tomorrow. Our licensed partners provide service nationwide. AI speeds comparisons and paperwork; your agent verifies the details and makes the recommendation.

How we help Marketplace (ACA) Medicare Disclaimer

How we help (clear steps)

AI compares in seconds

We check doctors, drugs, networks, premiums, and subsidies in seconds, then your agent confirms the fit and explains trade-offs.

  • Doctors & hospitals in-network
  • Medications covered (formulary + tier costs)
  • Subsidy fit (household, income, SLCSP benchmark)
  • Total cost math (premium, deductible, MOOP)
  • Metal tier trade-offs (Bronze/Silver/Gold/Platinum)

Human verifies and recommends

Your licensed agent verifies the details, confirms the fit, and explains trade-offs clearly.

  • One relationship that lasts. Keep the same agent for plan changes, renewals, life events, and your Medicare transition at 64ยฝ.
  • No-cost assistance. You wonโ€™t pay us for help. We may receive fixed marketing/referral fees from licensed third-party agency partners; your premium is not affected. Plan and carrier availability varies by state and county.

Marketplace (ACA)

Key dates (most states)

  • Open Enrollment Nov 1 โ€“ Jan 15. Need assistance outside the window? Weโ€™re here all year
  • Enroll by Dec 15 for a Jan 1 start; enroll by Jan 15 for a Feb 1 start.
  • Some stateโ€‘run exchanges set different windows; your agent checks your stateโ€™s exact dates.

Lower costs (through 2025)

Enhanced premium tax credits (subsidies) remain in place through plan year 2025, keeping net premiums lower for many households.

Special Enrollment (outside Novโ€“Jan)

You may qualify after certain life events (move, loss of coverage, marriage/divorce, birth/adoption, income change, and more). Note: the monthly Special Enrollment Period for people at โ‰ค150% FPL has been repealed; eligibility and verification are stricter. Your agent will check what applies in your state.

What we check before you enroll

  • Doctors & hospitals in-network
  • Medications covered (formulary + tier costs)
  • Subsidy fit (household, income, SLCSP benchmark)
  • Total cost math (premium, deductible, MOOP)
  • Metal tier trade-offs (Bronze/Silver/Gold/Platinum)

Medicare (Original, Advantage, Part D, Medigap)

Your enrollment windows

  • Initial Enrollment Period (IEP): around your 65th birthday.
  • Annual Open Enrollment (AEP): Oct 15 โ€“ Dec 7 (changes take effect Jan 1).
  • Medicare Advantage Open Enrollment: Jan 1 โ€“ Mar 31 (switch MA plan or return to Original Medicare).
  • General Enrollment (if you missed Part A/B): Jan 1 โ€“ Mar 31; coverage starts the month after you sign up.

2025 prescription-drug changes (Part D)

New $2,000 annual cap on Part D out-of-pocket costs, plus an option to smooth payments across the year. Structural updates tied to recent law changes: coverage-gap redesign and updated plan funding rules.

What we compare for Medicare

  • Original Medicare + Medigap + Part D vs Medicare Advantage (Part C)
  • Your doctors/hospitals, drug list & tiers, prior authorization rules
  • Extras (dental/vision/hearing/OTC), and annual max out-of-pocket

Talk through your options

Speak with a licensed agent to compare side-by-side and get clear recommendations.

Compliance notice

We are not connected with, or endorsed by, the U.S. Government or the federal Medicare program. โ€œOne Agent for Lifeโ€ reflects our service model: continuity with the same licensed agent whenever possible, subject to licensure and availability; you may request a different agent at any time.

We do not offer every plan available in your area; information is limited to the plans we do offer. Visit Medicare.gov or call 1-800-MEDICARE for all options.

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