Health plans will be arranged into four levels of coverage: platinum, gold, silver and bronze. These levels show, on average, how much of the cost of medical services is covered by the carrier and how much is paid for by the customer. These expenses happen at the time of health care services, for example when you visit the doctor or the emergency room. Platinum plans will generally have the highest monthly premiums, while the consumer will pay the least when receiving medical care. Bronze plans will generally have the lowest monthly premiums, while the consumer will pay the most when actually receiving medical care.
You can choose the level of coverage that best meets your health needs and budget.
|Coverage Level||Percentage of average expenses paid by health plan||Percentage of average expenses paid by consumer|
Premium Summary of Coverage Levels
Two key factors account for the variability of the premiums within the coverage levels:
- Geography – The range shown for each level includes rates submitted for plans across all regions of the state. Some regions have higher health care costs, leading to higher health insurance costs in those regions.
- Plan Design – Within each level of coverage, there is variability among deductibles, co-payments and out-of-pocket maximums. These differences provide more choices for consumers.