Skip to main content

Health Insurance Basics

Three basic questions about individual health insurance

1. What is individual health insurance vs. group insurance?

Individual health insurance — coverage you buy on your own from an insurance company. 
Group health insurance — coverage you obtain through your employer.

You buy individual health insurance because you may be: 

  • Unemployed
  • Self-employed
  • ​Early retired

You pay the entire premium each month. 

You can buy it by:

  • Working directly with an insurance company
  • Working with an insurance agent in your town
  • ​Going on the internet 

You can also buy this coverage through your state exchange or federal marketplace.  

If you enroll through Healthcare.gov, you may be eligible for subsidies based on your expected income level: 

  • Advance Premium Tax Credits: Lower monthly premium payments.
  • Cost Share Reduction plans: Lower the amount you have to pay for deductibles, copayments and coinsurance.

To see if you quality, visit Healthcare.gov.

2. What doctors can I see?

Your individual plan will have a network of doctors and other providers you can choose from. With some plans, you can use a doctor who is not in the network but you’ll end up paying more — sometimes much more.

In some plans, you’ll pay a deductible — the amount you pay before your plans starts to pay for covered services.

Find out more and see if your doctor is in the Innovation Health plan network.

More to remember:

  • Doctors and other providers are independent contractors.
  • They don’t work for Innovation Health or Aetna.
  • Neither Innovation Health nor Aetna provides care or guarantees access to health services.

​3. Are my prescriptions covered?

Many individual health plans cover your prescriptions. A  deductible — the amount you pay before your insurance begins paying benefits — is often required before the plan pays. 

Plan details differ.  So be sure to check how a plan covers:

  • Preferred drugs — These are brand-name drugs in the plan’s formulary or list of approved drugs.
  • Nonpreferred — These are brand-name drugs not in the plan’s formulary. You usually pay more for these drugs.
  • Generic drugs — These have the same active ingredients as brand-name drugs but usually cost the least. 

Health Plans for Individuals, Families and the Self-Employed are underwritten by Innovation Health Plan, Inc. or Innovation Health Insurance Company (Innovation Health). Innovation Health Insurance Company and Innovation Health Plan, Inc. are affiliates of Inova and of Aetna Life Insurance Company and its affiliates (Aetna). Aetna provides certain management services to Innovation Health.

This material is for information only. Health insurance plans contain exclusions and limitations. Not all services are covered. See plan documents for a complete description of benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by location and are subject to change. Investment services are independently offered by the HSA Administrator. Information is believed to be accurate as of the staging date; however, it is subject to change.

Web & Mobile Privacy Statement | Terms Of Use | Privacy Notices | Plan Disclosures | Limitations & Exclusions

The Partnership

Together, Aetna and Inova are taking a new approach to the way health care is offered. With this innovative partnership, these two industry leaders aim to provide more efficient and effective patient care at a more affordable cost. By joining the right medical professionals with the right technology, patients receive the benefit of quality, personalized health care.

What's New

Legal Notices & Privacy Policies

Health benefits and health insurance plans are offered and/or underwritten by Innovation Health Insurance Company and Innovation Health Plan, Inc. Innovation Health Insurance Company and Innovation Health Plan, Inc. are affiliates of Inova and of Aetna Life Insurance Company and its affiliates (Aetna). Aetna provides certain management services to Innovation Health.

www.innovation-health.com says:

You are now leaving the Innovation Health website.

Links to various non-Innovation Health sites are provided for your convenience only. Innovation Health and Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites.

Cancel Continue

www.innovation-health.com says:

You are now being redirected to www.aetna.com.

Innovation Health Insurance Company and Innovation Health Plan, Inc. (Innovation Health) are affiliates of Aetna Life Insurance Company (Aetna) and its affiliates. Aetna and its affiliates provide certain management services for Innovation Health.

Cancel Continue