Patrick & Justine LeonardHealth Coverage Advisors

How it works

Both roads, side by side, in plain English.

Patrick's job is to show you every option you have, explain what each one really means, and help you pick. Here is how that works.

  1. Call or fill out the form

    Take the Coverage Check or call (267) 226-0949. It takes a couple of minutes.

  2. Talk it through with Patrick

    By phone, video, or at the Allentown office. He asks about your household, your doctors, your budget and your health.

  3. Apply

    Pick the plan that fits. Patrick works through the application with you.

The two roads

Where coverage comes from

Patrick checks both roads for every client, so you see the whole picture before you pick.

Road one

The Marketplace

Pennie, Pennsylvania's official health insurance marketplace.

  • You cannot be turned down because of a pre-existing condition.
  • Tax credits can lower your monthly premium. They are based on household income and size.
  • You enroll during Open Enrollment, Nov 1 to Jan 15, or after a qualifying life event like losing job-based coverage.

Often the right road when someone in the house has an ongoing health condition, or when your income qualifies you for real help with the premium.

Road two

Private health plans

Separate from the Marketplace.

  • Medically underwritten. You answer health questions, and not everyone qualifies.
  • You can apply any time of year, including outside Open Enrollment.
  • They do not qualify for Marketplace tax credits, and coverage differs from plan to plan. Patrick walks you through what is and is not included before you apply.

Worth a look when your household is generally healthy and you do not qualify for much help on the Marketplace.

Deductible vs. out-of-pocket max

See what a bad year really costs.

The deductible is what you pay before the plan starts sharing costs. The out-of-pocket max is the most you pay in a year for covered care. Set your own numbers.

What you would pay

out of your pocket

Deductible
Coinsurance
Plan pays

Illustration only, using the numbers you set. Real plans also have copays, networks, and rules about what counts toward the deductible. Patrick shows you the real numbers for real plans.

Plan types, decoded

HMO, PPO, EPO

HMO. A narrower network. You usually pick a primary doctor and need a referral to see a specialist.

PPO. A broader network, specialists without a referral, and some coverage outside the network, usually at a higher cost to you.

EPO. In the middle. Usually no referrals, but only in-network care is covered except emergencies.

If keeping the doctors you already see matters to you, tell Patrick up front. The network is one of the first things he checks.

Find out where you stand in two minutes.

The Coverage Check asks six quick questions and shows you which road fits your situation. It is free, with no obligation.

Take the Coverage Check
Call PatrickCoverage Check