What types of plans will be available?
There are four categories of Marketplace insurance plans:
- Bronze
- Silver
- Gold
- Platinum
Catastrophic plans available to people under 30 and those with very low incomes
What do the plans cover?
All plans will cover a comprehensive package of items and services known as essential health benefits:
- Ambulatory patient services
- Emergency services
- Hospitalization
- Maternity and newborn care
- Mental health and substance use disorder services, including behavioral health treatment
- Prescription drugs;
- Rehabilitative and habilitative services and devices
- Laboratory services
- Preventive and wellness services and chronic disease management
- Pediatric services, including oral and vision care
How will I know which plan is right for me?
- Premiums are usually higher for plans that pay more of your out-of-pocket medical costs when you get care.
- If you have a Platinum plan, you’ll likely pay a higher premium and have lower costs when you go to the doctor.
- When choosing your health plan, keep these general rules in mind:
- The lower the premium, the higher the out-of-pocket costs when you need care.
- The higher the premium, the lower the out-of-pocket costs when you need care.
- Do you need regular prescriptions or expect a lot of doctor visits?
- If so, then you may want a Platinum or Gold plan.
- If you don’t, you may prefer a Silver or Bronze plan.
Material posted on this website is for informational purposes only and does not constitute a legal opinion or medical advice. Contact your legal representative or medical professional for information specific to your legal or medical needs.