Under-65 Insurance Carriers

Major medical health insurance plans are long-term, comprehensive plans that cover a majority of the medical costs that an average American will pay per year. These plans  provide benefits for an array of inpatient and outpatient healthcare services. They typically have a deductible which the consumer must pay. Once the deductible is paid, the plan covers most of the cost of care.

Major medical insurance is available through employers and individuals through ACA federal and private market health exchanges. It is also available through Medicare and Medicaid. 

Who Should Have Major Medical Insurance?

Major medical insurance is important for everyone, regardless of age. Designed to pay for hospital, surgical, and medical expenses, major medical insurance has guaranteed issue coverage. Consumers cannot be denied coverage or charged more based on their medical history.

Health insurance premiums for major medical insurance is based on the following five criteria, and cannot be impacted by medical history or gender:

  • Age
  • Location
  • Individual versus family enrollment
  • Tobacco use
  • Plan category

What Does Major Medical Insurance Cover?

Under the Affordable Care Act, major medical insurance plans must include coverage for the following services:

  • Emergency services
  • Hospitalization
  • Prescription drugs
  • Maternity and newborn care
  • Mental health and substance use disorder services, including behavioral health treatment
  • Ambulatory patient services
  • Pediatric services, including oral and vision services
  • Preventive and wellness services, as well as chronic disease management
  • Rehabilitative services and devices
  • Laboratory services

Our Major Medical Carriers

Americas Health Options
Bright Health