 [ Symptoms ] what does doctors do to check and see if your tonsils are swollen  my tonsils are really swollen and i am not doing another throat swab [ Disease ] states may create a payment plan – we do not know yet whether states will do this – but in general the expectation is that individuals will pay the insurer directly each month for their share of the premium for the health plan they have chosen in the marketplace it is likely that the insurer will send a monthly bill just like you receive a bill for electricity that you use in your home