Experient Health Addresses Marketplace Terms Definitions in Blog Series

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Experient Health launched a Health Care Reform FAQs Blog series on its web site to help keep the community informed on changes they could face under the Affordable Care Act. In this latest edition, Experient Health defines marketplace terms.

Virginia Farm Bureau and Experient Health work together to keep the community informed about health care reform.

Tax credits? Cost sharing subsidies? Essential health benefits? Wondering what all that means and how it can impact families and businesses? Experient Health addressed marketplace term definitions in their latest post in a new Blog series on Health Care Reform.

The marketplace, formerly called exchanges, is the government-regulated marketplace for health insurance.

“Individuals and families with household incomes between 100 and 400 percent of the federal poverty level are eligible for a tax credit when they enroll through a marketplace,” Experient Health explained in its definition about tax credits.

In 2012, 400 percent of the federal poverty level is approximately $44,000 for an individual and $92,000 for a family of four.

As for cost sharing subsidies, for individuals and families with household incomes at or below 250 percent of the federal poverty level, the Affordable Care Act “limits the amount they have to spend of their own money on their health care, when they enroll in a silver level plan through a marketplace.”

In 2012, 250 percent of the federal poverty level is approximately $28,000 for an individual and $58,000 for a family of four.

The essential health benefits, Experient Health detailed, that any benefits package sold on our off the marketplace to individuals and small group employees include the following:

  •     Ambulatory services
  •     Emergency services
  •     Hospitalization
  •     Rehabilitative/habilitative services
  •     Laboratory services
  •     Preventive/wellness services
  •     Maternity/newborn care
  •     Mental/behavioral health
  •     Prescription drugs
  •     Chronic disease management
  •     Pediatric services

Have additional questions? Visit http://www.experienthealth.com to request a private consultation.


For years, Experient Health, a Virginia Farm Bureau company, has helped people find the right insurance coverage and get the most for their health care dollars. The Richmond, Va.-based group is dedicated to providing high quality health insurance options to customers in Virginia, Maryland, and Washington DC. As a result, its consultants, with an average of more than 20 years’ experience, are intimately familiar with the states’ provider networks, products and regulations.

Representing the top national insurance carriers, Experient Health provides customers with multiple policy options designed to meet wellness needs and financial requirements.

Experient Health grew out of Virginia Farm Bureau and is a “hometown agency” in that it operates a network of more than 100 offices. However, it boasts the resources and technology of larger firms.

Consultants are available online, via phone and through their offices.

Learn more at http://www.experienthealth.com, utilize the online health insurance quote calculator or contact a consultant directly at 855.677.6580.

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Stephanie Heinatz
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Brad Spence
Experient Health
since: 04/2013
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