Health insurance FAQ
This health insurance FAQ answers the questions we hear most from people buying their own coverage, about private plans, 2027 deadlines, short-term plans, PPO networks and costs. Each answer links to a longer guide. For a question about your situation, call a licensed agent at (813) 724-3314.
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Can I buy health insurance anytime?
Yes. Private plans and short-term plans (where sold) can be bought year-round, so you don't have to wait for open enrollment. Need a person to help? Learn what a health insurance broker does.
What's the difference between ACA and private health insurance?
Private plans can be bought year-round with a short application, often use national PPO networks, and may cost less. ACA plans are sold during open enrollment.
When is open enrollment for 2027?
For ACA plans, November 1, 2026 to January 15, 2027 in most states. Private plans can be bought year-round. See all states, or read what's changing this open enrollment on our blog.
What happens if I don't have health insurance?
You pay the full cost of any care yourself, and there's no federal tax penalty. California, Massachusetts, New Jersey, Rhode Island and DC charge state penalties; Vermont requires reporting but has no penalty. Private plans can be bought year-round, so you can get covered any time.
Can I buy a short-term plan any time of year?
Yes, where they're sold. Short-term plans can be bought year-round, and some start the next day.
Does using an agent cost more?
No. We never charge you a fee for our help. Agents are paid by carriers.
What is an out-of-pocket maximum?
The most you pay for covered in-network care in a year, after which the plan pays 100%. Each plan lists its out-of-pocket maximum in the plan documents, and we review it with you.
What's a PPO?
A plan that lets you see any provider, usually without referrals, and pays something toward out-of-network care.
Can I deduct health insurance if I'm self-employed?
Often yes, via the self-employed health insurance deduction (IRS Form 7206). Ask your tax professional.
What documents do I need to apply?
Usually names, birth dates and your ZIP code. Your agent tells you anything else a specific plan needs.
Do you work in my state?
Ascend Health Consultants LLC works with licensed agents who are licensed in all 50 states (not the District of Columbia). We specialize in private, off-exchange plans.
What is an ERISA plan?
An employer-sponsored health plan governed by the federal Employee Retirement Income Security Act. Read what an ERISA plan is.
What is a TPA?
A third-party administrator runs a health plan's claims, ID cards and member service. See what a TPA health plan is.
What is an HSA-qualified plan?
A high-deductible plan that lets you open a Health Savings Account. See HSA-qualified plans and how an HSA works and its tax benefits.
Why do some applications ask health questions?
Medically underwritten plans use a short questionnaire. See what a health questionnaire is.
What is gap insurance?
Coverage that pays cash to help with your plan's out-of-pocket costs. See gap health insurance.
Do you also help with ACA Marketplace plans?
Yes. Our licensed agents can explain how ACA Marketplace plans work, walk you through 2027 open enrollment dates and metal tiers, and compare them side by side with private PPO plans. Start with our guide to ACA Marketplace plans.
Sources (checked November 4, 2026)
- KFF — Examining Short-Term Limited-Duration Health Plans
- IRS — About Form 7206, Self-Employed Health Insurance Deduction
Plan availability and eligibility are determined by the carrier.