What Is the Health

Insurance Marketplace?

The Health Insurance

Marketplace is a resource
that helps you shop for health
coverage that fits your needs
and budget. The same set of
10 essential health benefits is
included in every Marketplace
plan.1 Your current plan offers
you even more!

The Marketplace provides information that

allows you to:2
• Compare plans for coverage and cost
• Get answers to your health insurance
questions
• Find out if you qualify for any tax credits
• Enroll in a plan that best meets
your needs

Here’s how your health plan gives you more

The Centers for Medicare and Medicaid

Services (CMS) requires Marketplace health
insurers to offer the 10 essential benefits3
to everyone. Your current plan meets and
exceeds the CMS requirements by offering
additional benefits:

My Health Pays®
Rewards program
Earn rewards for healthy things
you’re already doing, like eating
right, moving more, saving
smart and being well. The more
activities you complete, the
more rewards you’ll earn!

Urgent care centers

Enjoy walk-in convenience for
non-emergency care.

Prescription delivery
You may be eligible to enroll
in our mail-order pharmacy
program for convenient delivery
of your prescriptions.

Wellness programs and tools

Find support to help make
positive, lasting health changes
— at no extra charge.

4 good terms to know

As you plan for the coming year, it might

be helpful to understand the words and
phrases below. A basic part of any health
plan, you’re sure to see them often.

Premium
The amount of money you pay
each month to have health
insurance.

Deductible
The fixed amount of money you
must pay for certain services
each year before your health
plan begins to pay.

Coinsurance
The costs your health plan
shares with you. After you meet
your deductible, you will pay
a percentage of your health
insurance and your health plan
will pay the rest.

Out-of-pocket-costs
The amount you must pay
for medical services. This
may or may not include your
deductible, coinsurance, and
copayments.

You might want to take advantage of your

plan’s extras.

Sources

Health Insurance Marketplace. Benefits.gov. Accessed April 4

1

2023. https://www.benefits.gov/benefit/6173.

2
What is the Health Insurance Marketplace? U.S. Department
of Health and Human Services. Last reviewed August 4, 2017.
Accessed April 4, 2023. https://www.hhs.gov/answers/health-
insurance-reform/what-is-the-health-insurance-marketplace/
index.html

3
What Marketplace health insurance plans cover. HealthCare.gov.
Accessed April 4, 2023. https://www.healthcare.gov/coverage/
what-marketplace-plans-cover/

 he information provided through the My Health Pays® program

T
is for general information purposes only and is to be used
at your sole risk. This is not intended to diagnose problems
or recommend treatment and is not a substitute for your
doctor’s care. My Health Pays is not affiliated with nor is in
any way officially connected with the source(s) cited here. The
Information is provided by My Health Pays is “AS IS.” My Health
Pays makes no representations or warranties of any kind about
the completeness, accuracy, or reliability of the information
provided on the website or by third parties. Through the My
Health Pays website You may be able to link to other websites
which are not under the control of My Health Pays. We have no
control over the nature, content and availability of those sites.
The inclusion of any links does not imply a recommendation or
endorse the views expressed within them.

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