The Best Alternatives to ACA Insurance in 2024 

ACA Alternatives-SGIC insurance

Healthcare is an essential aspect of life, and it is crucial to have access to quality healthcare services. The Affordable Care Act (ACA) has been a momentous change, improving access to health insurance since its inception. However, as the years go by, it is important to continuously evaluate and explore your alternative insurance options that may better suit your individual needs. 

In this comprehensive guide, we will explore the best insurance alternatives to ACA in 2024. We will address recent changes to ACA, the need for these alternatives, and undertake a detailed comparison of available options. 

Whether you are a gig worker trying to understand medical insurance, a small business owner looking for affordable healthcare options for your employees, or simply an individual wanting to explore different insurance choices, this guide will provide valuable insights and recommendations. 

Changes to ACA in 2024 

The ACA, also known as Obamacare, has undergone significant changes since its implementation in 2010. These changes have had a direct impact on healthcare costs, coverage options, and enrollment periods for individuals and families. 

As of 2024, the ACA is set to undergo another major shift with the introduction of the American Rescue Plan Act (ARPA). This federal law aims to make healthcare more affordable for Americans by providing temporary subsidies and expanding eligibility for financial assistance. 

Cities and counties will receive a total of $130.2 billion to utilize until December 31, 2024, under the administration of the U.S. Treasury Department. 

The premiums are rising by an average of 5% in 2024. Premiums for the lowest cost bronze plans (the least expensive plans on the Marketplaces) are also rising by as much as 6%. This also depends on the state, so you can check on a state-level using the data here). 

The Need for Alternatives to ACA 

Many individuals and families may still struggle to afford healthcare coverage. This is especially true for those who are not eligible for subsidies or financial assistance. 

Moreover, there may be limitations in coverage and choices with ACA plans, making it difficult for some individuals to find suitable options for their specific needs. As a result, exploring alternative insurance options may be necessary to ensure comprehensive and affordable coverage. 

Some individuals may also want more flexibility, such as the ability to choose their healthcare provider or have access to a wider network of doctors and hospitals. ACA plans may not always provide these options, making alternatives worth considering. 

Comparison of Alternative Insurance Options 

There are various alternative insurance options available in 2024, each with its own unique features and benefits. 

Here are some of the top options to consider: 

Short-Term Medical Insurance 

Short-term medical insurance plans offer a bridge for coverage gaps. These plans may be a cost-effective solution for those in transition periods, such as recent graduates or individuals between jobs. It is also great for COBRA insurance alternatives, retirees, or healthy people looking for catastrophic coverage. 


Short-term medical insurance is open for enrollment throughout the year but varies by state regulations and individual insurance providers. 


These plans cover emergency medical services and sometimes other basic care but may not cover pre-existing conditions or preventive services. 


Short-term plans generally have lower monthly premiums compared to ACA plans; however, they may carry higher deductibles and out-of-pocket maximums. It is important to carefully review the terms and coverage limits before enrolling in these plans. 

Private Faith Based Plans 

Private faith-based plans, also known as healthcare sharing ministries, are an alternative to traditional health insurance. These plans are based on a community of individuals who share common religious beliefs and pool their resources to cover each other’s medical expenses. 


Eligibility for health sharing ministries typically requires members to adhere to certain lifestyle standards and agree to a specific set of faith-based principles. 


Health sharing ministries provide coverage for a wide range of medical services, but the specifics can vary between organizations. Pre-existing conditions may have a waiting period for inclusion in coverage.  However, faith-based plans are technically not health insurance. So, it is important to do your research. 


Members contribute a set monthly share amount, often significantly less than ACA premiums, with additional out-of-pocket expenses that could apply depending on the policyholder’s needs. 

Limited Indemnity Medical Plans 

Limited indemnity medical insurance plans, also sometimes known as mini-med plans, work differently than your traditional type of insurance. Typically, you will select your provider or hospital, and the insurance plan will reimburse you a fixed sum for each covered benefit, irrespective of your actual medical expenses’. You then can Utilize the funds to settle your doctor’s bills, mortgage, or any necessary expenses if you are hospitalized and unable to work. 


Eligibility varies by state regulations and individual insurance providers. Some plans may have restrictions based on age, pre-existing conditions, or other factors. 


Limited indemnity medical plans provide lump sum payments for specific services that are covered, with benefit limits on the amount paid out for each service. These plans also may not cover pre-existing conditions. 


Monthly premiums for limited indemnity medical plans are typically lower than ACA premiums; however, they may not provide comprehensive coverage and may have higher out-of-pocket costs. 

There are pros and cons of limited indemnity medical plans, so make sure to carefully review the terms and benefit limits before enrolling. 

Private Health Insurance Plans 

While ACA plans may be the most well-known option, private health insurance plans are still available and often offer more flexibility in coverage options. Private plans can range from full-coverage PPOs to catastrophic high-deductible plans, providing individuals with options based on their specific needs and budget. Private health plans still must follow ACA rules to include the 10 essential mandated benefits. 


Eligibility for private health insurance varies depending on the provider and state regulations. 


Private health plans offer a range of coverage options, including preventive care, prescription drugs, and hospitalization. The specifics of the coverage will depend on the plan selected. 


The cost of private health insurance can vary depending on factors such as age, location, and the specific plan chosen. It is important to compare plans and consider potential out-of-pocket costs before enrolling. 

Making an Informed Decision 

With various alternative insurance options available, it is important to assess your needs and budget before deciding. Consider factors such as coverage limitations, eligibility requirements, out of pocket costs and premium costs when comparing plans. 

Additionally, be sure to thoroughly research the reputation and financial stability of the insurance provider before enrolling in any plan. With the right information and careful consideration, you can find an insurance solution that meets your needs and provides you with peace of mind. While also staying within your budget and means. 

So, it is important to explore all the options available and make a well-informed decision for your health coverage in 2024. Whether you choose short-term medical insurance, private faith-based plans, limited indemnity medical plans, or private health insurance, taking the time to research and compare plans can help you find the best fit for your individual needs. 

You can also consult with us here at SGIC Medical Insurance for guidance and advice on finding the right insurance plan for you. Contact us via the contact form below.

This article is intended to provide general information about insurance. It does not describe any one Southern Guaranty Insurance Company product or feature.