Frequently Asked Questions

  • There are four basic plans categorized by metallic levels: Bronze, Silver, Gold and Platinum. These four new metal plans are differentiated from another by their actuarial value. Actuarial value refers to the average amount of expenses that would be paid for by the member.

    The higher the actuarial value of a plan, the lower the out-of-pocket costs for the plan member. A Bronze plan covers 60%, Silver 70%, Gold 80% and Platinum 90% of insurance costs. It follows the average premium will be lower for the lower metal plans, and higher for the higher metal plans.