Frequently Asked Questions
Key U.S. Enrollment Dates
PLANS
Medicare
Initial Enrollment: 7 months – 3 months before, your birth month, and 3 months after
General Enrollment: January 1 – March 31
Open Enrollment: October 15 – December.
PLANS
Obamacare (ACA)
Open Enrollment: November 1 – January 15
Coverage starting January 1: October 15 – December.
Special Enrollment (SEP): Due to life events such as marriage, relocation, or loss of coverage.
INSURANCE
Life Insurance
Medicaid does not have a fixed annual enrollment period. You may apply at any time during the year depending on your income, state, and household size.
General Questions
Is there any cost for guidance?
No. Our guidance is completely free. We help you understand your options and choose a plan at no additional cost to you.
Can I receive assistance in Spanish?
Yes. Our entire team provides service in Spanish so you can make decisions with clarity and confidence.
Do I need to be a U.S. citizen to apply?
Not necessarily. Options are available for legal residents who meet the requirements of the corresponding program.
When can I enroll in Medicare?
It depends on your situation. There are specific periods such as the Initial Enrollment Period, Annual Enrollment Period, and other special periods.
Can I change my plan if I already have one?
Yes, during certain times of the year or if you qualify for a Special Enrollment Period.
What happens if I choose the wrong plan?
A mistake may result in unnecessary costs or lack of coverage. That’s why we help you compare options before making a decision.
Does Obamacare apply to families?
Yes. Obamacare offers plans for individuals and families, with possible subsidies based on income and household size.
What documents do I need to apply?
It depends on the type of insurance, but generally personal information, income details, and legal status documentation are required.
Do you assist after enrollment?
Yes. Our support continues throughout the life of your plan for changes, renewals, and ongoing assistance.
How do I start the process?
Simply contact us. An advisor will review your situation and guide you step by step.
Marketplace Health Insurance (ACA) / Obamacare
If you are looking for health insurance in the United States under the ACA (Obamacare), here we answer the most common questions: coverage, enrollment, in-network doctors, costs, and financial assistance available for Hispanic families.
What is the difference between deductible, copayment, coinsurance, and out-of-pocket maximum?
Deductible: The amount you pay first before your insurance begins covering costs.
Copayment: A fixed fee for each visit or service.
Coinsurance: The percentage you pay after meeting your deductible.
Out-of-pocket maximum: The annual limit you pay; once reached, your plan covers 100% of in-network services.
Do plans cover pre-existing conditions?
Yes. ACA Marketplace plans cannot deny coverage or increase premiums due to pre-existing conditions, as long as you enroll in a compliant plan.
When can I enroll?
Each year there is an Open Enrollment Period. You may also enroll during a Special Enrollment Period (usually within 60 days) if you experience a qualifying life event such as loss of coverage, relocation, marriage, or the birth of a child.
Can I keep my current doctor?
Yes, as long as the doctor is in the plan’s network. We can help you verify whether your preferred doctors and hospitals are included before enrolling.
What type of financial assistance can I receive?
Many families qualify for premium tax credit subsidies that reduce monthly premiums. Additionally, with Silver plans you may qualify for cost-sharing reductions that lower deductibles and copayments, depending on your income and household size.
What is the difference between HMO, PPO, and EPO?
HMO: Requires a primary care physician and referrals; generally does not cover out-of-network services (except emergencies).
PPO: Does not require referrals; offers more flexibility and limited out-of-network coverage.
EPO: Does not require referrals but generally does not cover out-of-network services.
What is an HDHP and an HSA?
An HDHP is a High Deductible Health Plan that allows you to open a Health Savings Account (HSA). Contributions to an HSA have tax advantages and can be used for qualified medical expenses.0
Do plans include prescription medications?
Yes. Each plan has a formulary with medication tiers. Costs depend on the drug tier and whether the pharmacy is in-network. We can review your specific prescriptions.
Do I need referrals or prior authorizations?
It depends on the plan. HMOs typically require referrals. Many services and certain medications also require prior authorization regardless of plan type.
How quickly does coverage begin?
Coverage begins after application, underwriting, and policy issuance. In some cases, temporary or provisional coverage may be available during the process, depending on the insurer and type of application.
Life Insurance
We answer the most common questions about life insurance: policy types, how much coverage you need, medical exams, beneficiaries, and more — clearly explained for families in the U.S.
Which is better for me: Term or Whole Life insurance?
- Term: Typically the most affordable option for temporary needs (10–30 years).
- Whole/Permanent: Provides lifetime coverage and builds cash value, but premiums are higher.
How much coverage do I need?
A quick rule of thumb is 10–15 times your annual income, adjusted for debts, children’s education, and savings. We can provide a personalized analysis for you.
Do I need a medical exam to get coverage?
Not always. Many insurers offer accelerated underwriting (no-exam) if you qualify; however, the best rates often require a brief medical exam.
Can I get coverage if I have health issues?
Often, yes. We work to find insurance companies that best fit your situation and offer underwriting guidelines favorable to your condition.
What is a beneficiary and how do I update one?
A beneficiary is the person or trust that receives the policy payout. You can update beneficiaries at any time; it’s recommended to review them after major life events such as marriage, birth, or divorce.
What does convertibility mean in term policies?
It is the option to convert your term policy into a permanent policy without undergoing a new medical evaluation, as long as it is done within the timeframe established in the contract.
What additional riders should I consider?
Common riders include:
Accelerated death benefit (for terminal illness).
Waiver of premium.
Child rider.
Accidental death benefit.
Long-term care or chronic illness rider.
Can I borrow against my policy?
Permanent policies typically allow loans against the cash value (interest applies). Keep in mind that unpaid loans reduce the final death benefit.
What factors affect my premium?
Age, health status, tobacco use, coverage amount, policy type and term length, occupational or hobby risks, driving record, and family medical history.
How quickly does coverage begin?
Coverage begins after application, underwriting, and policy issuance. In some cases, temporary or provisional coverage may be available during the process, depending on the insurer and type of application.
Do you have another question or need personalized guidance?
We understand that choosing the right insurance is an important decision for your family. If your question is not listed or you prefer to speak with an expert for step-by-step guidance, we are ready to help.