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ICHRA

Texas individual health insurance 2022 options for Austin ICHRAs

Looking for the best individual health insurance options in Austin to use with an ICHRA? You're in the right place - and there's good news! The individual coverage HRA (ICHRA for short) is taking off where you live, thanks to a vibrant local individual health insurance market. That means more ACA-compliant, high quality health insurance choices for employees.  

We've put together this guide to help employees orient themselves to the local individual health insurance market in Austin to use with their Individual Coverage HRA. Health insurance can be confusing, and many employees offered an ICHRA will be buying their own health insurance for the first time. We've got you covered!

Who this guide is for: 

  • Employees shopping for health insurance to use with their ICHRA
  • Employers wanting to help their employees make educated decisions about their health plans to use with their ICHRA
  • Employers of any size considering implementing an ICHRA

What this guides covers:

 

What is an ICHRA? 

First things first. An Individual Coverage HRA (ICHRA, for short) is a fundamentally new model of benefits that allows employers to set aside tax-free dollars to reimburse employees for health plan premiums that individuals choose themselves. That means employees get to choose the best plan for their family, their unique health needs, and their budget.

 

 

2022 Austin individual health insurance options for ICHRA

A competitive individual insurance market in Austin sets the groundwork for ICHRA to take off in this location for the benefit of local workers.

This builds on an ongoing trend, signaling the health and affordability of the individual health insurance market. More and more employers in Austin are realizing their benefits dollars stretch further on the individual health insurance market instead of group plans, and this brings ample employee benefits too, like personalization and choice. 

 

Disclaimer: These rates are estimates for Austin in 2021 in the 78745 zip code. Your premiums may vary and we expect slight changes for 2022. See our window shopping tool to check for exact premium rates in your area.

Market Snapshot

Austin's competitive individual health insurance market and innovative carrier lineup mean more choices for employees. The infographic below demonstrates the wide range of carriers, network types, and average lowest cost premiums by tier. 

Pro-tip: To calculate costs for adding a spouse or family to a plan, use double the rate for married, or triple for families. 

Austin employees have 10 carriers and a hundred plans to choose from. There's something for everyone.

Austin Individual Health Insurance 2022

Disclaimer: Plan information is based on 78745, the most populated zip code in Austin. Rates will vary by zip code and county. 

Remember, all of the plans listed here are ACA-compliant, meaning they cover pre-existing conditions and 10 essential benefits. These benefits include coverage with no annual cap for the following:

  • Ambulatory patient services (outpatient services)
  • Emergency services
  • Hospitalization
  • Maternity and newborn care
  • Mental health and substance use disorder services, including behavioral health treatment
  • Prescription drugs
  • Rehabilitative and habilitative services and devices
  • Laboratory services
  • Preventive and wellness services and chronic disease management
  • Pediatric services, including oral and vision care

Have questions? Get in touch.

Employees: If you are an employee looking to sign up for individual health insurance in Austin to use with your ICHRA, our enrollment team is standing at the ready to help. You can set up a call with enrollment team here.

Business owners: If you're a business owner and have questions about ICHRA, please schedule a time to chat with our HRA Design team to see if ICHRA is a good fit for you.

Brokers: If you're a broker considering ICHRA as an option for a client, submit an HRA Design request to see if this is a good fit for your client. 

 

The lineup: Austin's best individual health insurance carriers to use with ICHRA

Austin has ten individual insurance carriers to choose from this year.

These include (in alphabetical order):


  1. Aetna (new for 2022!)
  2. Ambetter
  3. BlueCross BlueShield of Texas
  4. Bright Health Plan (new for 2022!)
  5. Friday Health Plans
  6. Moda Health (new for 2022!)
  7. Oscar
  8. Sendero
  9. Scott and White
  10. United Healthcare (new for 2022!)

Here's an Austin health insurance infographic for a quick visual. 

  Aetna Ambetter BlueCross BlueShield of Texas Bright Health Plan Friday Health Plans Moda Health Oscar Sendero Scott and White United Healthcare
Recommended for ICHRA     ✔️ ✔️ ✔️   ✔️      
Easy Enroll options ✔️ ✔️ ✔️ ✔️ ✔️   ✔️     ✔️
AutoPay eligible   ✔️ ✔️ ✔️ ✔️   ✔️      
Off-exchange options   ✔️ ✔️   ✔️ ✔️ ✔️ ✔️ ✔️  

*Autopay is a new feature on our platform that enables employers to take advantage of ICHRA and all its benefits without asking their employees to pay premiums out of pocket and wait for reimbursements.

One simple monthly payment that covers all of the reimbursements for insurance premiums (and medical expenses) for all employees. Our platform will manage the payments for employees' health benefits, reconciling their premiums and allowance with payroll. Learn more here.

*Easy Enroll is a plan feature that allows employees on the Take Command platform to enroll directly in the portal with no further steps needed. This is the simplest type of plan to choose.  

*Off-exchange options are important for employees that choose a plan that costs more than their allowance, since they'll have to put in some of their own money to cover the difference. That difference can be tax-free when combined with a Section 125 payroll deduction but only for off-exchange plans (due to some ACA restrictions).

Here's another handy infographic that includes some of our favorite things about each individual health insurance carrier in Austin. 


Austin Carriers

GET IN TOUCH

 

How much does individual health insurance cost in Austin per carrier?

The below rates are 2021 estimates based on Austin zip code 78745 only.  We will update this section with 2022 rates as the information becomes available. 

ambetter_logo

What we love:

  • 244-hour $0 co-pay telehealth visits 
  • Gym discounts, healthy eating discounts like Home Chef
  • AutoPay eligible
  • Easy Enroll options

What we don't love:

  • Frustrating customer service 

Lowest cost by metal tier for Ambetter in Austin

Age Bronze Silver Gold
20 $320 $280 $360
30 $380 $320 $420
40 $420 $370 $440
50 $590 $510 $660
60 $890 $780 $1,010

 

BCBSoftexas

 

What we love:

  • Blue365 program with gym, products, hearing and vision perks
  • Telehealth includes behavioral and mental well-being visits 
  • free health coaching with local health coaches 
  • Easy Enroll options 
  • AutoPay eligible

Lowest cost by metal tier for BlueCross BlueShield of Texas in Austin

Age

Bronze Silver Gold
20 $320 $360 $430
30 $370 $420 $500
40 $420 $480 $560
50 $580 $670 $780
60 $890 $1,010 $1,190

 

 

Friday_Health_Plans_Logo_Logo

What we love:

  • Unlimited in-network $0 doctor visits and virtual doctor visits on most plans
  • Free mental health visits 
  • Easy Enroll options
  • AutoPay eligible
  • Recommended for ICHRA

Lowest cost by metal tier for Friday Health Plans in Austin 

Age

Bronze Silver Gold
20 $200 $230 $300
30 $230 $270 $350
40 $260 $300 $390
50 $360 $420 $550
60 $550 $640 $830

Oscar_Logo_Blue2-01

What we love:

  • Talk to a doctor 24/7 for $0
  • Free telehealth
  • $1/day for meeting step goals (up to $100)
  • Prescription refills over the phone
  • Great customer service
  • AutoPay eligible 
  • Easy Enroll options
  • Recommended for ICHRA

Lowest cost by metal tier for Oscar in Austin 

Age

Bronze Silver Gold
20 $280 $310 $400
30 $320 $360 $470
40 $360 $410 $530
50 $510 $570 $740
60 $770 $860 $1,130

 

 

 

swhp-logo

What we love:

  • 24/7 Telehealth visits
  • Highly specialized maternity care programs
  • multiple discount programs for wellness and restaurants 

Lowest cost by metal tier for Scott and White in Austin 

Age

Bronze Silver Gold
20 $290 $340 $350
30 $330 $390 $410
40 $380 $440 $470
50 $530 $620 $650
60 $800 $940 $990
 
 

 

SenderoHealth_Logo-300x84

 

What we love:

  • Wellness, prevention and management programs
  • free telemedicine to all members 

Lowest cost by metal tier for Rocky Mountain Health Plans in Denver 

Age

Bronze Silver Gold
20 $290 $420 $450
30 $340 $490 $530
40 $380 $550 $600
50 $530 $770 $900
60 $810 $1,170 $1,270

 

For rates in your area based on your age, family size, and other variables, check out our window shopping tool!

 

What health plans are in network with your hospitals in Austin? 

  Aetna Ambetter BlueCross BlueShield of Texas Bright Health Plan Friday Health Plans Moda Health Oscar Sendero Scott and White United Healthcare
Ascension Seton Health ✔️   ✔️       ✔️ ✔️    
HCA Healthcare (St. David's Medical Center) ✔️   ✔️              
Baylor Scott and White Health (including Round Rock Hospital) ✔️   ✔️              

Disclaimer: Networks and plans can change year over year. We keep this information as up to date as possible, but please check with your provider to make sure your insurance is accepted. 

How do I choose the best individual insurance plan for me? 

One of our favorite things about ICHRA is that it allows employees to choose the best plan for them, as opposed to a one size fits all group plan where they only have one or two options. At Take Command, we have tools to help employees sort through the options. 

  • Doctor search: Try out our doctor search tool to ensure that your trusted doctors stay in network with your new health plan. Try out our window shopping tool and search for plans that work with your doctors!
  • Prescription search: Prescriptions can also be a big expense! Different carriers cover them differently, so it’s important to price check and take a good luck at formularies for all of your health plan options, especially if there’s something you take regularly to manage chronic conditions. Our new prescription search tool allows you to compare plan coverage and formularies side by side to find the best coverage at the lowest cost to you. Check it out here. 

  • Be informed! We've put together an Open Enrollment Guide that will give you all of our best tips and tricks. 

To get started shopping for a plan, head on over to our individual health insurance shopping page to compare plans side by side and find one that will work for you and your HRA.

How Take Command can help

With an abundance of quality health insurance plans for employees to choose from throughout the state, Austin employees are positioned for success in terms of satisfaction with their ICHRA.

  • Employees: If you are an employee looking to sign up for individual health insurance in Austin to use with your ICHRA, our enrollment team is standing at the ready to help. You can set up a call with enrollment team here.
  • Business owners: If you're a business owner and have questions about ICHRA, please schedule a time to chat with our HRA Design team to see if ICHRA is a good fit for you. 
  • Brokers: If you're a broker considering ICHRA as an option for a client, submit an HRA Design request to see if this is a good fit for your client. 



GET IN TOUCH

Other questions? Email support@takecommandhealth.com or chat with us on the website. We'd be pleased to help!

ICHRA

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