Affordable Care Act

ACA HAS VARIOUS PLANS

There are four different level plans available through the marketplace. The differences are based on how much out-of-pocket cost you have to pay, not on the coverage itself.

WHICH COVERAGE LEVEL SUITS YOU BEST?

The Affordable Care Act mandates all insurance companies that offer coverage through the Marketplace to provide four tier plans to choose from. The four plan levels, in brief, are:

Bronze Plan

You pay 40%

Insurer Pays 60%

Silver Plan

You pay 30%

Insurer Pays 70%

Gold Plan

You pay 20%

Insurer Pays 80%

Platinum Plan

You pay 10%

Insurer Pays 90%

CATASTROPHIC PLANS

These plans have high deductibles and essentially provide protection from worst-case scenarios, like a serious accident or extended illness. They are available to people under age 30 and to people with hardship exemptions.

If you’re under 30 or are exempt from purchasing the minimum coverage required due to financial hardship, you may be eligible for a catastrophic plan. This coverage offers essential health benefits but with high deductibles. Anyone can purchase a catastrophic plan but it will not be a substitute for the minimum required coverage.

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