What to type
Find ACA plans for a 42-year-old non-smoker in ZIP 75201, household of 2, income $40,000, no dependents.
Show me net premium after subsidy, deductible, and out-of-pocket max for the top 3 silver plans.
What happens
- Ambrose routes to Jordan (CRO) with help from Sam (Research).
- Sam calls
marketplace_county_by_zipfor 75201 → Dallas County, TX, FIPS 48113. - Sam calls
marketplace_plan_searchwith the household profile and county FIPS. - The spoke runs the APTC math internally:
net_premium = max(0, premium − aptc/12). - Top 3 silver plans are returned with premium, deductible, OOP max, network type, and a link to the carrier's plan brochure.
Sample output
For 42yo, household of 2, income $40,000 in Dallas County, TX:
Estimated APTC: $612/month
You qualify for cost-sharing reductions.
Top 3 Silver plans (sorted by net premium):
1. Ambetter Balanced Care 21 (HMO)
Premium $642 − APTC $612 = $30/mo net
Deductible $1,500 · OOP max $9,200 · in-network
2. Blue Advantage Silver HMO 005
Premium $678 − APTC $612 = $66/mo net
Deductible $4,000 · OOP max $9,450 · in-network
3. Oscar Silver Saver Network
Premium $651 − APTC $612 = $39/mo net
Deductible $4,800 · OOP max $9,450 · narrow network
Useful follow-ups
- "Filter to plans that cover Atorvastatin and Metformin." →
marketplace_drugs_covered. - "Filter to plans that include UT Southwestern in-network." →
marketplace_providers_covered. - "Show me the gold tier instead." → re-runs with metal filter.
- "Pull the renewal crosswalk for last year's HSA plan." →
marketplace_crosswalk.
HIPAA
Marketplace-finder is free posture — only de-identified demographics leave the box (age, ZIP, income tier). No client name, no DOB, no contact info.