Metal Levels

The Marketplace offers health plans in a tiered format, based on the percentage of costs paid by the health insurance company. A higher metal tier indicates a higher monthly premium but fewer out-of-pocket expenses. A lower metal tier indicates a lower monthly premium but more out-of-pocket expenses for co-insurance, co-payments and deductibles.

  • Platinum Plans – The insurance company pays for 90% of health care services, and you are responsible for 10% of the costs.
  • Gold Plans – The insurance company pays for 80% of health care services, and you are responsible for 20% of the costs.
  • Silver Plans – The insurance company pays for 70% of health care services, and you are responsible for 30% of the costs.
  • Bronze Plans – The insurance company pays for 60% of health care services, and you are responsible for 40% of the costs.
  • Catastrophic Plans – A high deductible health plan where you are responsible for the majority of health care costs. Catastrophic plans cover people from worst-case scenarios, like accidents and serious illnesses, and are only available to adults under 30 and those with hardship exemptions.

 

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