Healthcare Savings Center
Marketplace Alternative

More than the Marketplace.

If you don't qualify for big subsidies — or you want broader networks — a private PPO plan can be a flexible alternative to a Marketplace (ACA) plan.

  • Enroll any time — no open-enrollment window
  • Broad PPO networks, see any doctor
  • An option when subsidies don't apply
  • Free comparison with a licensed advisor
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Oscar
Aetna logo
Humana logo
Blue Cross Blue Shield logo
UnitedHealthcare logo
Cigna
Oscar

Marketplace Alternative

Private PPO vs. Marketplace / ACA

Marketplace plans work well for those who qualify for subsidies, but they often come with narrow HMO networks and limited enrollment windows. For many people, a private PPO offers broader access and year-round enrollment.

Private PPO vs. Marketplace / ACA

The Difference

Compare before you decide

Typical Marketplace Plan

  • Open-enrollment windows
  • Often narrow HMO networks
  • Referrals to see specialists
  • Limited to certain markets

Private PPO Alternative

  • Apply any time of year
  • Nationwide PPO access
  • See specialists directly
  • Flexible plan designs

How Does Your Plan Compare?

Private PPO vs. Marketplace / ACA

Typical Marketplace PlanHealthcare Savings Center
$750/month
VS
$300/month
Deductible
$15,000
$0
Telemedicine
$50
$0
Doctor / specialist visit
$50
$0 copay
Out-of-pocket max
$25,000
$3,000
Co-insurance
40%
100%
Network
HMO — referral required
PPO — see any doctor
Coverage area
Limited to certain states/markets
Nationwide

Examples shown for illustration only. Plans, pricing, and eligibility vary by state and individual circumstances.

FAQs

Frequently asked questions

Premium subsidies only apply to Marketplace plans. If you don't qualify for meaningful subsidies, a private PPO is often more competitive.

You generally choose one primary plan. An advisor can help you decide which makes more sense for your budget and needs.

Private plans enroll year-round, so in many cases you can move to one without waiting for open enrollment.

Often yes — many Marketplace plans use narrow HMO networks, while private PPOs offer broader, see-any-doctor access.

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