Marketplace health plans come in four categories: Bronze, Silver, Gold, and Platinum. These "metal levels" indicate how the plan's costs are shared between you and the insurer. If your income qualifies you for additional savings known as a Cost Sharing Reduction (CSR) and you choose a Silver plan, the plan will cover a larger portion of the costs, reducing your out-of-pocket expenses.
Understanding Health Plan Categories: A Breakdown of Cost and Coverage
Health insurance plans are categorized to help you understand your potential out-of-pocket costs and the extent of coverage. Here's a look at the different categories, detailing how much the plan generally pays, your estimated share, and the typical deductible level.
Plan Category | Plan pays: | You pay: | Deductible/Co-pays |
Bronze | 60% | 40% | High |
Silver | 70% | 30% | Moderate |
Silver w/ extra savings | 73-96% | 6-27% (Depends how much savings you qualify for) | Low |
Gold | 80% | 20% | Low |
Platinum | 90% | 10% | Low |
Need Help?
If you need assistance understanding or updating your information, our Consumer Advocate team can help. Call 855-772-2663, Monday–Friday, 6 a.m.–4 p.m. PT, or visit www.healthsherpa.com to log into your account and make updates.