Choosing the right health insurance plan can be overwhelming, but understanding the options can help. Marketplace health plans are categorized into four metal levels: Bronze, Silver, Gold, and Platinum, with a fifth option, Catastrophic plans, available for certain individuals.
The metal tiers indicate the percentage of costs covered by the plan versus the amount you pay. Bronze plans cover 60% of healthcare costs, Silver plans cover 70%, the gold plan covers 80%, and Platinum plans cover 90%.
Higher metal tiers generally result in lower out-of-pocket expenses but higher monthly premiums.
All health plans in the marketplace, regardless of metal tier, must include 10 essential health benefits, ensuring a standard level of coverage. These benefits include emergency care, hospitalization, prescription drugs, and preventive services.
Understanding these differences can help you choose the health plan that best meets your needs and budget.
During open enrollment, you can adjust not only your health insurance plan but also other types of coverage. Standalone dental and vision insurance plans are available independently of your health insurance, allowing you to tailor your overall coverage to better meet your needs.
You can modify or enroll in new dental plans during open enrollment. Changes to dental coverage can be made by contacting the relevant dental benefits administrator based on your employment status. Whether writing or calling, you have the flexibility to adjust your dental plan.
Exploring additional coverage options during open enrollment ensures you have comprehensive health coverage, including dental and vision services. This holistic approach provides peace of mind, knowing all aspects of your health care coverage are covered.