Health insurance plans are organized into three different levels to help you see, at a glance, a plan’s general approach to sharing costs with you. This can help you decide which plan level may be a good fit for you, based on how often you expect to need care.
Coverage Levels (aka Health Insurance Metal Tiers)
If you or your family have medical conditions, then you may save money by selecting a gold plan that has a higher monthly premium but pays more of your medical costs
If you qualify for healthcare discounts, called Cost-Sharing Reductions, Silver plans are a good fit for you. You must purchase a silver plan to receive this form of financial help.
If you are healthy and rarely go to the doctor, a bronze plan with a lower monthly premium and higher costs when you receive care might be a good fit for you.
Cost sharing percentages when you use care—at a glance
- These levels show the estimated amount of medical costs paid by you and paid by the health insurance company over the course of an entire year.
- The levels show cost sharing for the plan as a whole, the deductible, coinsurance and copayments. They do not account for monthly premiums.
- Your health insurance company covers all in network healthcare costs after you reach your out-of-pocket maximum.
Catastrophic plans for young adults
- Catastrophic plans are available to individuals under age 30.
- They have a low monthly premium and a very high annual deductible.
- They are designed to protect customers from high-cost, worst-case situations like a serious injury or illness.
- They are still required to cover the same essential health benefits as other plans sold through Connect for Health Colorado. One of these benefits include preventive services at no cost when delivered by an in-network provider.
Did you know?
- Catastrophic plans cover at least three primary care visits during the plan year, but customers pay all other medical costs until the annual deductible is met.
- After you reach your deductible, Catastrophic plans pays 100% for covered services for the rest of the plan year.
- Financial help – Premium Tax Credits and Cost-Sharing Reductions – may NOT be used with Catastrophic plans.