There are four categories of plans in the SHOP Marketplace. They all offer similar benefits. This difference is on how your employees and the plan share the costs of care.
In all states, you can offer one plan to your employees. In some states, you can choose a category and let your employees choose any plan in that category. Learn more about Employee Choice.
The category you choose affects how much your employees pay for such things as premiums, deductibles and copayments, and their out-of-pocket costs for the year if they need a lot of care.
A plan’s category has nothing to do with the quality of care it provides. All plans offered through the SHOP Marketplace must provide a set of essential health benefits. Plus, they all cover pre-existing conditions
When you offer SHOP coverage you and your employees each pay part of a monthly premium. Just as important as the monthly premium is how much your employees have to pay out of pocket when they get care. The plan with the lowest premium may not provide you or your employees with the best overall value.
Give us a call so to discuss your options and what makes sense for you and your employees.
For more information visit www.healthcare.gov