COMMON QUESTIONS
Get the answer. Keep your confidence.
Tap any question to open it. If your situation is more specific, a licensed advisor can walk through it with you.
◆ Hawk tip: The “best” plan is the one that fits your doctors, prescriptions, budget, and risk—not the one with the lowest sticker price.
Why do you ask for my estimated household income?
Estimated household income may help determine whether you could qualify for income-based savings on Marketplace coverage. It also helps your advisor compare the available paths more accurately. You do not need to provide tax documents through this website form.
How do I choose a deductible that fits me?
Balance the monthly premium against what you could comfortably pay before major benefits begin. Someone who uses care often may prefer a lower deductible; someone who rarely needs care may value a lower premium. We compare both sides with you.
What’s the difference between a copay and coinsurance?
A copay is generally a set dollar amount for a covered service. Coinsurance is a percentage of an allowed charge that you may pay, often after the deductible is met.
What should I look for in an out-of-pocket maximum?
This is the most you could pay for covered, in-network care during the plan year, excluding premiums. Choose a limit your household could realistically manage during a serious medical year.
How are PPO and HMO networks different?
PPO plans often offer more provider flexibility and may cover out-of-network care at a higher cost. HMO plans usually keep care within a defined network and may require referrals. Exact rules depend on the plan.
Can I cancel a health plan whenever I need to?
Rules and effective dates vary by plan type and carrier. Many individual plans can be ended prospectively, while employer coverage follows workplace rules. We’ll confirm the details before you enroll.
Could I qualify for a private plan?
Some private options use medical underwriting, so approval depends on health history and carrier guidelines. We can review your situation and show you other routes if a private plan is not the right fit.
Do private plans require Open Enrollment?
Many private options accept applications throughout the year. Marketplace plans usually follow annual enrollment dates unless you have a qualifying life event that opens a Special Enrollment Period.
Can you help with dental and vision coverage too?
Yes. We can also review dental and vision options available in your area and help you understand how those benefits work alongside medical coverage.
Are private plans always less expensive?
Not always. Price depends on age, location, health, household needs, network, and benefits. We compare the total value and potential out-of-pocket exposure—not just the monthly premium.
Does using an advisor add a fee to my plan?
No. Our guidance is free to you. If you enroll, the insurance carrier may compensate the advisor; you do not receive a separate advisory bill from My Health Hawk.