ObamaCare Silver Plan Overview
The Patient Protection and Affordable Care Act, AKA ObamaCare, begins its Healthcare Exchange January 2014. All new “metal” plans* must cover the same set of ObamaCare essential benefits, states and providers may still offer additional or extended coverage. The Silver Plan is considered the standard among the plans, and the only metal plan that offers Federal Cost-Sharing Subsidies. Click here to compare Bronze Plan, Silver Plan, Gold Plan, and the Platinum Plan side-by-side.
*There is also a plan for those who are under thirty and do not qualify for subsidies: Healthcare Exchange Catastrophic coverage.
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 Silver plans are specific to individual and family members. Click here to learn about how the Silver plan works for Small Business Employers and Employees with ObamaCare.
|Benefits||Silver Health Plan*|
|Doctor’s Office Visits||$45|
|Brand RX||$50 *after $500 Rx deduct|
|Maternity||20% *after deduct|
|Out-patient Surgery||20% *after deduct|
|Hospital Stay||20% *after deduct|
|ER Visit||$250 *after deduct|
|Out-of-Pocket Max||$6,350/$12,700 (ind/fam)|
*California was the first to release its Healthcare Exchange overview, 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 the ObamaCare Exchange 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 Silver Premium?
Premiums depend on provider, age, state, region, and whether you qualify for a federal premium exchange subsidy. With California’s numbers being the first available their average Silver plan for a 21 year old is $191 without subsidies, but can be as low as $41 a month, and CA’s average Silver plan for a 40 year old is $226, and may go as low as $37 a month depending if you qualify for a subsidy.
Comparing Silver Plans to Other ObamaCare Plans
The Silver Plan will offer the second lowest monthly premium, however it is the only plan that allows for cost-sharing subsidies if you qualify.
The initial enrollment period for the Healthcare Exchange is from October 1, 2013 to March 31, 2014. For questions about the Silver Plan in your state please contact Medicoverage.