There are 10 essential health benefits that all insurance plans must offer:
There are four types of plans offered in the Marketplace: Bronze, Silver, Gold, and Platinum. The plans are defined by their actuarial value, which is the average percentage of health care expenses that are covered by the plan. As the actuarial value increases, the plan will pay more towards your health care expenses and lower your out-of-pocket costs for things like deductibles, coinsurance, and copayments.
The drawback of plans that cover more health care and out-of-pocket expenses is a higher monthly premium.
Exact percentages will vary by state, but on average a Bronze plan will cover 60% of covered
medical expenses and your share will be the remaining 40%. The actuarial value of each plan
is shown below:
Monthly premiums will be primarily based off the items below, no matter which coverage level you choose: