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Out-of-Pocket Maximums

Health insurance plans available on the Idaho Marketplace (ACA plans) and Medicare Advantage plans (MA, MAPD plans) all have an OUT-OF-POCKET maximum. This means medical bills that require you to pay a portion of the costs, such as copays, deductibles or coinsurance, is limited. Once you reach your out-of-pocket maximum amount, you will no longer […]

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Idaho ACA Health Plan Critical Updates for 2026

There are some significant changes on the horizon for individual health plans on the Idaho Marketplace. Those enrolled through yourhealthidaho.org who are using a tax credit to offset premium costs need to be prepared. This change, which will occur starting in 2026, was set in motion years ago through the Enhanced Premium Tax Credit (EPTC)

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