Under Obamacare, health insurance plans have a metallic level that indicates the level of coverage.
Under the Affordable Care Act (ACA or “Obamacare”), each health insurance plan is assigned a metallic level. The new bronze, silver, gold, and platinum benefit levels actually refer to a plan’s actuarial value (AV) level.
In 2014, all major medical health insurance plans for individuals and small employers were assigned new bronze, silver, gold, and platinum benefit levels. As mentioned above, the bronze, silver, gold, and platinum levels refer to a plan’s actuarial value (AV).
Actuarial value is the percentage of total average costs for the benefits a plan covers within a given year. For example, a plan with a 70% actuarial value (a silver level plan) covers 70% of covered medical expenses up to their plan’s out-of-pocket maximum.
VIDEO: What do Metallic Benefit Levels Mean?
Metallic health plan levels chosen by eHealth customers
The graphic below shows the percentage of metallic plan levels chosen by eHealth customers.
Cost of health plans according to metallic levels
|eHealth’s 25-City Analysis|
|Plan’sMetallic Level||Average Premium||Average Deductible||% of plans covering doctor’s visits with a copay||% of plans covering non-emergency out-of-network visits||Total Plans|