Health insurance should be simple

We help seniors who are looking for a health care plan through the Affordable Care Act (ACA) Marketplace.

For Individuals and Families

We assist individuals and families in finding affordable, reliable coverage that fits their needs. Thanks to the recent Inflation Reduction Act of 2022, many families can now enjoy even lower monthly premiums.

What Are ACA Plans?

The Patient Protection and Affordable Care Act, commonly known as the ACA or Obamacare, was signed into law in 2010 with the aim of improving accessibility, affordability, and quality of health insurance across the United States. Before the ACA, many Americans struggled to afford or obtain health insurance due to pre-existing medical conditions. The ACA has significantly reduced the number of uninsured people in the U.S.

ACA plans are available on the Marketplace or Exchange. These plans allow individuals and families to enroll in coverage independently of employer-sponsored or private plans. Pre-existing conditions do not prevent enrollment in an ACA plan, and many people receive tax credits and subsidies to lower their premiums.

All ACA plans must include the ten Essential Health Benefits (EHBs), which are:

  • Hospitalization
  • Emergency services
  • Ambulatory services
  • Prescription drugs
  • Maternity and newborn care
  • Mental health and substance abuse services
  • Lab tests
  • Chronic disease management, preventive, and wellness services
  • Pediatric dental and vision care
  • Rehabilitative services

HMO vs PPO: Which Insurance Plan Is Right for You?

Choosing the right health insurance plan is crucial. Two common types of plans are Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs).

What Are ACA Plans?

HMO plans require members to get care within a network of doctors and hospitals. Coverage is only available within this network. Members select a primary care physician who coordinates all their care, including specialist visits. HMO plans typically have lower premiums and out-of-pocket costs than PPO plans.

PPO Insurance Plans:

PPO plans also use networks but offer more flexibility. Members can receive care outside the network, though at a higher cost. There is no need to choose a primary care physician or get referrals to see specialists.

How Much Do ACA Plans Cost?

PPO plans also use networks but offer more flexibility. Members can receive care outside the network, though at a higher cost. There is no need to choose a primary care physician or get referrals to see specialists.

When Can I Enroll?

The ACA has an annual open enrollment period from November 1 to January 15 in most states. Some states have extended enrollment periods. If you enroll by December 15, coverage begins on January 1; if you enroll after December 15, coverage starts on February 1.

Many qualify for a Special Enrollment Period due to life changes such as employment changes, marriage, divorce, moving to a new city, or having a child, allowing enrollment in an ACA plan at any time of the year.

Get Help Choosing Health Insurance

Navigating health insurance can be confusing, but you don’t have to do it alone! The independent agents at J Johnston Insurance are here to guide you, understanding your health needs and budget to find the best options.

Even outside of Open Enrollment, we can explore ACA health insurance options for you. You might qualify for a Special Enrollment Period and get coverage sooner than you think. Call us today to get started!

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See what customers are saying...

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Based on 33 reviews
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Darcy Roy profile picture
Darcy Roy
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Great company. Denise and Lynn do a great job. very knowledgeable!
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Denise Pearson profile picture
Denise Pearson
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I have experienced the TRUE definition of Personal service so many times here. Along side is the professionalism and knowledge exhibited by these amazing brokers. I have and will continue to refer my friends to them.
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Linda Moore profile picture
Linda Moore
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With the help of Denise Anderson, I recently changed my health insurance. Denise answered all questions with patience and concern for my anxiety. After over two years of NOT changing, I finally did change to a new carrier. Everything she told me was true. I could not be happier or more satisfied with my choice. Thank you Denise for your patience and guidance.
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Kathy Fess
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We have been dealing with Denise Anderson, our Medicare Representative for about two to three years now. She is outstanding and is always timely and thorough, as well as helpful, cheerful and kind. She is quite knowledgeable and finds us the best way to go with our Medicare. We enjoy meeting with her and always come away pleased.
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Arnie Cicerone profile picture
Arnie Cicerone
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Very good meeting covered everything in detail . Extremely knowledgeable and pleasant to talk to.
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David Schlick profile picture
David Schlick
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I needed to change healthcare plans and Denise helped me out a lot, hooked me up with just the right plan. I would recommend this business and its employees wholeheartedly. They have the right amount of experience and a lot of expertise. Denise asked me questions to narrow down my needs and interests and found a plan that fitted me perfectly and did it so quickly and without any issues.
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Paul Pekarsky profile picture
Paul Pekarsky
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It was an absolute pleasure wading through the myriad of Medicare options with Denise as my guide. She is very knowledgeable, patient and helpful. She listened to all my questions and made sure I fully understood the answers. I would recommend Denise to anyone who has Medicare needs and questions.
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Norann King profile picture
Norann King
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For the first time I used a insurance broker for my Medicare insurance. I’ve had Kaiser for years and been very disappointed, it was time for a change. I did my research and discovered Make Medicare Work best decision I’ve ever made! My brokers name is Denise Anderson, she has been amazing! I gave her the information she needed and what I was looking for and she narrowed it down, gave me several choices plus doctors to choose from if I wanted that list, she did all the work for me and I believe I made the right choice with her help. Denise made it so easy, do not hesitate to let Denice help guide you to the right insurance, hospital and doctors when making your medical policy choices.
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Jean Peacock profile picture
Jean Peacock
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Denise was so helpful and knowledgeable when we were deciding on our Medicare strategy. She helped us make a decision and worked overtime to get us information in a timely manner.
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Martin Axel profile picture
Martin Axel
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Denise Anderson is a wonder! Always available and always goes the xtra mile to assist. A great agent. A getter human.

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DENISE ANDERSON
Founder, J Johnston Insurance
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