HEALTH INSURANCE
Protect Your Health,
Secure Your Future.
Personalized health insurance guidance for individuals, families, seniors, and small businesses
( ACA/Marketplace, Medicare, Long-Term Care, and Travel Insurance )
Who are you looking for coverage for ? Select your situation to see the plans
Government Health Insurance
Programs funded by the U.S government for specific groups:
- Medicare : For age 65+ or certain disabilities. Covers hospital (Part A), out-patient (Part B), drugs (Part D)
- ACA/Marketplace Place (others name: Obamacare, Healthcare.gov ) : Subsidized insurance via government exchange Based on income (tax credits may reduce cost)
- Medicaid : For low-income individuals/families, Income-based qualification (varies by state)
- CHIP (Children’s Health Insurance Program) : provides low-cost, comprehensive health coverage for uninsured children and teens (up to age 19) in working families that earn too much to qualify for Medicaid but cannot afford private insurance.
Employer / Commercial Health Insurance
At QuyenLeServices, we help businesses provide quality health insurance benefits that attract and retain valuable employees while managing costs. Whether you're a small business, growing company, or large organization, we work with leading insurance carriers to find the right coverage for your workforce..
- How it works: Company pays part of premium (often 50–80%) ; Employee pays remaining portion from paycheck ; Group rate is cheaper than individual plans
- Best for : Full-time employees ; Families (often cheaper than private plans)
Private Insurance (Directly Buy)
Need health insurance without enrolling through the Marketplace? We can help you purchase a Private Health Insurance Plan directly from leading insurance companies. Private health insurance offers flexible coverage options for individuals, families, self-employed professionals, and those who do not qualify for government programs or prefer plans outside the ACA Marketplace. Who Should Consider Private Insurance?
- Individuals who do not qualify for premium tax credits
- Self-employed business owners and freelancers
- Families seeking customized coverage
- Those who missed the Marketplace Open Enrollment period
- Individuals looking for broader provider networks or additional plan options
Simple Comparison
| TYPE | WHO PAYS | BEST FOR | COST LEVEL |
|---|---|---|---|
| Private (direct) | You | Self-employed / individuals | Medium - High |
| Employer plan | You + employer | Workers | Low - Medium |
| Government plan | Tax-funded | Seniors / low-income | Low / Free or subsidized |
It's Not Just Coverage
It's the Right Coverage for Your Situation
- Health insurance is not one-size-fits-all. The right plan for a 35-year-old family is completely different from the right plan for someone turning 65 — and different again for a small business trying to attract talent.
- Our bilingual team walks you through plan comparisons, enrollment deadlines, subsidy eligibility, and compliance requirements. We don’t hand you a brochure — we sit down with you, understand your situation, and guide you to the plan that actually fits.
- Whether you’re enrolling for the first time, navigating Medicare’s enrollment windows, or building a benefits package for your team — we’re with you every step of the way.
Because access to quality healthcare is a top priority for our clients, we focus on preparing ahead — helping you enroll in the right plans, understand your options, and stay protected when healthcare needs arise.
MBA. Quyen Le
Professional of Financial and Professional of Health Insurance
Plan Details & Enrollment Guides
Select a plan type to see key details, benefits, and what to expect during enrollment. Each section includes the information you need to make a confident decision.
Medicare — Enrollment Timeline & Plan Options
Comprehensive coverage for individuals 65+ or those with qualifying conditions. Enrollment timing is critical — missing your window results in permanent late penalties added to your monthly premium for life.
Enrollment Periods — When You Can Apply
| PERIOD | DATES | WHAT YOU CAN DO |
|---|---|---|
| Initial Enrollment (IEP) | 3 months before to 3 months after 65th birthday — 7-month window | First-time enrollment in Medicare Parts A & B. Apply early for best coverage start date. |
| Annual Enrollment (AEP) | Oct 15 – Feb 7 (effective Jan 1) | Switch plans, review coverage, or update Part D. Check Annual Notice of Change (ANOC). |
| Open Enrollment (OEP) | Jan 1 – Mar 31 | Make one change if already in Advantage plan or return to Original Medicare. |
| Special Enrollment (SEP) | Triggered by qualifying life event | Applies for job loss, moving, Medicaid changes, or other eligibility events. |
Processing time: 2–4 weeks when applying early. May take up to 60 days if additional verification is required.
After Parts A & B Are Approved — Choose Your Next Step
OPTION 1 - Medicare Advantage (Part C)
- Bundles Parts A + B + D in one plan
- May include dental, vision, and hearing
- Offered by private insurers
- Enrollment: 24–72 hrs after verification
OPTION 2 - Medicare Supplement (Medigap)
- Covers remaining out-of-pocket costs not paid by Original Medicare
- Guaranteed approval only in first 6 months of Part B — don't miss this window
OPTION 3 - Stand-Alone Part D
- Prescription drug coverage only
- Can be added alongside Original Medicare or Medigap
- Coverage starts 1st of next month
Healthcare Marketplace — ACA / Obamacare
Also known as Obamacare, the Affordable Care Act, or Healthcare.gov — ACA plans provide comprehensive, government-supported coverage. Open enrollment runs Nov 1 – Jan 15 annually. Special Enrollment Periods apply for qualifying life events.
KEY BENEFITS
- Cannot be denied for pre-existing conditions Essential Health Benefits: doctor visits, ER, hospitalization, prescriptions, maternity, mental health, preventive care
- Financial subsidies & tax credits for low-to-moderate income households
- Preventive screenings and checkups covered at no extra cost
IMPORTANT NOTES
- Open enrollment: Nov 1 – Jan 15 each year Special Enrollment Period (SEP) for job loss, marriage, new baby, or move
- Plan rules, copays, deductibles, and subsidy amounts vary by state
- Higher-income individuals may have limited or no subsidies available
Long-Term Care Insurance (LTCI)
One of the most overlooked parts of retirement planning. LTCI covers nursing homes, assisted living, and in-home care. Medicare does NOT cover long-term care — only short-term rehab. Average nursing home cost: $100,000+ per year.
KEY POLICY FEATURES
- Benefit Amount: Daily or monthly payout limit
- Benefit Period: How long it pays — 3 years, 5 years, or lifetime
- Elimination Period: Waiting period before benefits begin (30–90 days)
- Inflation Protection: Increases benefit value over time — critical for long-term policies
POLICY TYPES
- Traditional LTCI: Lower initial cost. "Use it or lose it" — no payout if care is never needed.
- Hybrid (Life + LTC): Combines life insurance with LTC benefits. If LTC is never used, beneficiaries receive a death benefit — nothing is lost.
- Best purchased in your 50s or early 60s when premiums are significantly lower.
Small Group Health Insurance
COST STRUCTURE
- Employer pays: typically 50%–100% of employee premium
- Employee pays: remaining premium + deductibles & copays
- Costs vary by employee ages, location, plan tier, and headcount
PLAN TIERS & PROCESS
- Plan levels: Bronze, Silver, Gold, Platinum
- Employer selects plan(s) and sets contribution amount
- Employees enroll individually within employer's chosen plan
- Optional dental and vision add-ons available
Travel Insurance
WHAT'S COVERED
- Medical emergencies & hospital stays abroad
- Emergency evacuation — can cost $20,000–$100,000+ without coverage
- Trip cancellation / interruption — reimburses non-refundable expenses
- Travel delay — meals, hotels, transport after 6–12 hr delays
- Baggage loss, theft, or delay — covers essentials while waiting
WHAT'S NOT COVERED
- Pre-existing conditions (unless waiver purchased early)
- High-risk activities (unless added as rider)
- Travel against U.S. government advisories
- Normal pregnancy (complications may be covered)
- Claims without supporting documentation
Most important for: international trips · cruises or guided tours · traveling with elderly family members · expensive or nonrefundable bookings.
* Coverage options, subsidy amounts, and plan availability vary by state and individual eligibility. All information for illustrative purposes only.
Frequently Asked Questions
Open enrollment runs November 1 – January 15 each year. Outside of that, you may qualify for a Special Enrollment Period if you lose coverage, get married, have a baby, or move to a new state. We help determine if you qualify and handle the full enrollment process.
Original Medicare (Parts A & B) is federal government coverage for hospital and medical services. Medicare Advantage (Part C) is offered by private insurers — it includes everything in Original Medicare plus extras like dental, vision, and prescription drugs. We compare both options side by side for your specific situation.
You may face a permanent late enrollment penalty — 10% added to your Part B premium for every 12 months you were eligible but didn't enroll. This penalty stays for life. The next opportunity is the General Enrollment Period (Jan 1–Mar 31). Contact us immediately if you think you may have missed your window.
For most people, yes — especially because Medicare does not cover nursing home or assisted living care. The average cost exceeds $100,000/year. A policy purchased in your 50s or early 60s costs significantly less and cannot be declined for most health reasons. Waiting until retirement means higher premiums or possible denial.
Costs vary by number of employees, their ages, location, and plan tier (Bronze through Platinum). Employers typically cover 50%–75% of the employee premium, with employees covering the rest. We pull quotes from multiple carriers and present a side-by-side comparison so you can make the most informed decision for your business.
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