ObamaCare Bronze Plan Details
ObamaCare’s Healthcare Exchange begins January 1, 2014. All new “metal” plans must cover the same ObamaCare essential benefits, however this allows each state and/or provider to interpret the essential benefits in order to offer additional or extended coverage. The Bronze Plan has an actuarial (means this value may change dependent if you fall below 400% of the Federal Poverty Line (FPL)) value of 60%, which means that after your deductible has been met you pay 40% of medical expenses. Bronze is set up to have the lowest monthly premium*, with the highest out-of-pocket costs (combination of copayment, deductible, and coinsurance). Click here to compare Bronze Plan, Silver Plan, Gold Plan, and the Platinum Plan side-by-side.
*There is also Healthcare Exchange Catastrophic coverage, only available to those under thirty, who do not qualify for subsidies, and in good health.
Below is the most up-to-date information available, as the federal and state governments work to fine tune the details of these plans we will update this article.
These Bronze plans are specific to individual and family members. Click here to learn about how the Bronze plan works for ObamaCare: Small Business Employers and Employees.
|Benefits||Bronze Health Plan*|
|Doctor’s Office Visits||$60 per first 3|
|Specialist||$70 *after deduct|
|Generic Rx||$19 *after deduct|
|Brand RX||$50 *after deductible|
|Lab Testing||30% *after deduct|
|X-ray||30% *after deduct|
|Maternity||30% *after deduct|
|Out-patient Surgery||30% *after deduct|
|Hospital Stay||30% *after deduct|
|ER Visit||$300 *after deduct|
|Urgent Care||$120 *after deduct|
|Out-of-Pocket Max||$6,350/$12,700 (ind/fam)|
*California was the first to release its Healthcare Exchange details and much of information we know so far is based on their figures. CHART UPDATED 9/26/13. For information about specific details of the Bronze health plan in your state call 800-930-7956.
UPDATE 11/27/13: For an easy way to fill out your Affordable Care Act application go to Healthapplication.com. Remember to fill it out and send it in as soon as possible to ensure the earliest enrollment date.
How Much is the Bronze Premium?
Premiums depend on age, state, provider, region, and whether you qualify for a federal premium exchange subsidy. With California’s numbers being the first available their average Bronze plan for a 21 year old is $177 without subsidies, but can be as low as $5 a month, and their average Bronze plan for a 40 year old is $226, and may go as low as $1 a month.
Comparing Bronze Plans to Other Metal Plans
The Bronze Plan will offer the lowest monthly premium, however you will pay the most in shared costs if you get injured or have a major medical issue.
Open enrollment period is from October 1, 2013 to March 31, 2014. For questions about the Bronze Plan in your state please contact Medicoverage.