Plans and Networks

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Kynect offers a number of different types of plans and tiers for residents in search of quality healthcare. When residents go to their site, they will be able to see all of the possible coverage options after submitting just a single application.

What Do the Plans Need to Cover?

All health plans that are a part of the Kynect network need to cover a certain number of “basics”. They are called Qualified Health Plans, or QHPs. All of the plans have to have the same ten essential health benefits, at a minimum. They include hospitalization, emergency care, doctor visits, maternity and newborn care, pediatric care (including dental and vision), prescriptions, medical tests, mental health care and substance abuse, physical, speech and occupational therapy, and wellness.

The plans need to cover preventative care as well, at no cost to the patient. This includes routine vaccinations as well as pneumonia shots and flu shots. Plans must also cover most cancer screenings, including colonoscopies and mammograms.

The Four Types of Plans

Even though all of the plans must have the same type of coverage, there are four different tiers or levels. The quality of care and the amount of care are the same across the board. These levels are based on the distribution of costs between you and the insurance company. The available levels are bronze, silver, gold, and platinum.

The level that you choose will determine the amount of your monthly premium, as well as the part of the bill you will have to pay for certain services, such as prescription costs or hospital care. For those who need a substantial amount of care, it also determines the amount of out of pocket costs they will need.

Bronze is the lowest tier of the plans, and this is the cheapest of the options. However, it will have much higher out of pocket expenses. The highest tier is platinum, and this will have higher premiums, but it will cover more of the overall expenses as you and your family need medical care through the year. If you expect that you may have a large number of doctor visits and medical costs over the year, then choosing the gold or the platinum plan would be the best option.

The one that you choose will depend on how much you are able and willing to spend. Keep in mind that you and your family may be eligible for financial help paying for a portion of your plan.

What Are Catastrophic Plans

There are minimum coverage plans, or catastrophic plans, available for some individuals as well. These are only for certain individuals though. You would need to be less than 30 years old or able to qualify for hardship exemptions. It will only provide help for unexpected, large medical costs.

Available Networks

Through Kynect, residents of Kentucky can choose between a number of different companies. However, the exact options will vary depending on the county in which you live. All of the following companies currently offer insurance through the system – Anthem, Care Source, Humana, Kentucky Health Cooperative, and WellCare. In 2016, they will be adding Bluegrass Family Health, Aetna, and United Healthcare.

When you are choosing one of the healthcare plans and networks, consider your household status, you and your family’s healthcare needs, and the amount of money the plans cost, as well as what you can afford to pay on a monthly basis.

 

Speak with a Live representative, call (855) 303-0841

  • Get a Free Health Quote - No Hidden Fees
  • Speak to a Real Human
  • We will answer any other Health questions
  • Learn How to Avoid the Tax Penalty

(Operators available 9am-9pm EST)