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 premium
Payment to your insurance company for health and prescription drug coverage. If you receive health insurance through your employer, your premium may be deducted directly from your paycheck. If you have separate health and dental insurance, you would have two premiums. If you don’t pay your premium, your health care coverage will be cancelled. but fewer out-of-pocket expenses. A lower metal tier indicates a lower monthly premium premium
Payment to your insurance company for health and prescription drug coverage. If you receive health insurance through your employer, your premium may be deducted directly from your paycheck. If you have separate health and dental insurance, you would have two premiums. If you don’t pay your premium, your health care coverage will be cancelled. but more out-of-pocket expenses for co-insurance co-insurance
The amount you pay for the cost of services after you pay any deductibles. Co-insurance is based on the negotiated rate between the insurance company and health care provider; it is not the provider’s charge. Co-insurance is typically a percentage and is limited by the out-of-pocket maximum or annual limit. , 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 deductible
    The amount your health insurance plan requires you to pay for health care services and supplies before they begin to pay. For example, if your deductible is $1,500, you are responsible for paying for all of the services and supplies you receive (except for any covered preventive services) until the amount you paid reaches $1,500. Once the deductible has been reached, your insurance company may pay for all of your health care expenses, or you may have to pay co-insurance, a percentage of the charges. If you have a high deductible health plan, you may be eligible for a Health Savings Account.     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.