PIERSON INSURANCE, INC.
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Health Insurance Individual & Family

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Are your looking for affordable health insurance?

​You might qualify for an "Advanced Premium Tax Credit" (APTC) that could be applied to your health insurance premium if purchased through the Idaho marketplace (Your Health Idaho). This credit is determined based on your expected income for the year and household size.

​Important Dates:

​Every year (between October 15th and December 15th) is Open Enrollment for the Heath Exchange. This is your time to enroll for the first time or make a new health plan selection. You might qualify at other times of the year if you have a life-changing event (such as moving, loss of employment or a change in household size).

Take Note:

To qualify for an Advanced Premium Tax Credit (APTC), you cannot have coverage from an employer that is considered “affordable”. If your employer offers you “affordable” health insurance and you decline, you don’t qualify for APTC to help pay your premiums on the health exchange.   You can still purchase a plan on the exchange (during open enrollment or another special enrollment period) just without the tax credit.  In other words, you will pay the full premium price.  

So that begs the question, what is considered “affordable”?   It comes down to what the employee’s portion of the premium is for the lowest-priced plan that you are offered.  For the year 2024, if your premium is greater than 8.39% of your annual household income, or if your plan is not considered minimum essential coverage, you might be able to file an appeal to have your coverage reviewed for APTC eligibility.  Give me a call and let’s talk about your situation.
 
The second point to note:  APTC  is based on your modified adjusted annual income. If your income is above what you anticipate, then you will likely have to pay back the excess when you file your tax return. If on the other hand, you make less, you will potentially get a refund. (Please talk to your tax advisor to determine your income.)
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The last point that we want to highlight: There is a minimum income threshold, based on family size, that must be met to qualify for APTC. If you don’t meet the minimum income limit, then you might qualify for Medicaid.  Again, let’s talk about your unique situation.

​FREE Enrollment Help:

​Let me help guide you through this process. As your Agent, I am able to help you with your application for the Advanced Premium Tax Credit and with the selection of a health insurance plan that meets your needs. Please use the link above to the right to schedule a time that would work for you to talk or give me a call. 208-869-8024

I look forward to working with you!

~Robert
Contact Us
(208) 869-8024
PO BOX 5926
Boise, ID 83705​​
Click Here to Email Us
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Pierson Insurance, Inc.
PO BOX 5926
Boise, ID 83705​
(208) 869-8024
​Click Here to Email Us
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*DISCLAIMERS
  • Plans are insured or covered by a Medicare Advantage (HMO, PPO and PFFS) organization with a Medicare contract and/or a Medicare-approved Part D sponsor. Enrollment in the plan depends on the plan’s contract renewal with Medicare.
​
  • We do not offer every plan available in your area.  Currently we represent six organizations which offer twenty-seven products in your area.  Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Assistance Program (SHIP) to get information on all of your options.
 
  • When you call the number listed on this website, you will be directed to a licensed insurance sales agent or broker.
 
  • This website is a solicitation for insurance. By providing us with your contact information, you agree that an authorized representative or licensed insurance agent/producer may contact you by telephone, email or mail to answer your questions or provide additional information about Medicare Advantage, Part D or Medicare Supplement Insurance plans.
 
  • The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex.
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© 2025 Pierson Insurance, Inc.

  • Home
  • Health Quotes
    • Medicare Advantage Plan Quote
  • About
    • Staff Directory
    • Client Testimonials
    • Refer a Friend
    • Insurance Carriers
    • Newsletter Signup
    • Accessibility Statement
  • Service
    • Update Contact Info
    • Contact My Carrier
    • Free Consultation
    • Medicare Appointments
    • Scope of Appointment
    • Medicare 101
    • Turning 65 in Idaho – What You Need to Know About Medicare | Pierson Insurance
  • Insurance
    • Health >
      • Dental Insurance
      • Vision Insurance
      • Small Business Group Health Insurance in Idaho | Pierson Insurance
      • Medicare Advantage Plans
      • Medicare Supplement Coverage
      • Medicare Prescription Drug Plans
      • Hospital Indemnity Insurance
      • Health Insurance Individual & Family
      • Short-Term Health Insurance & Bridge Policies in Idaho – Temporary Coverage Options | Pierson Insurance
    • Travel Insurance
    • Life Insurance
    • Final Expense Insurance
  • Contact
    • Schedule an Appointment
  • Privacy Policy