Obamacare News Blog

Georgia ObamaCare Silver Plan Overview

Georgia’s Silver plan has yet to release its premiums for the up coming initial enrollment period of October 1, 2013. However, all Silver plans must include the ObamaCare 10 essential health benefits, providers must cover 70% of your medical costs before you hit your out-of-pocket max, and providers must abide by the 80/20 ObamaCare Rule, where all insurance companies must spend 80% of the aggregate plan premiums on health care or refund their policyholders.

GA Silver Plan Overview

Silver plans are considered the standard of the plans, because it offers many benefits before the deductible is satisfied, as well as having he second lowest monthly premium. Since Georgia’s plans have not been released because of an emergency request by Georgia’s insurance commissioner to delay ObamaCare premiums, below are California’s preliminary breakdown of out-of-pocket costs for the Silver plan.

Benefits Silver Health Plan*
Deductible $2,000 Med
Preventive $0
Doctor’s Office Visits $45
Specialist $65
Generic Rx $25 or less
Brand RX $50 *after $500 Rx deduct
Lab Testing $45
X-ray $65
ER Visit $250 *after deduct
Urgent Care $90
Out-of-Pocket Max $6,350/$12,700 (ind/fam)

Georgia Silver Plan Premiums

Again, since Georgia’s new metal plans are still being approved we do not have preliminary figures. However in California the average Silver premium for a 40 year old, non-smoker is $294, and Colorado’s Silver premiums range from $245-$475 per month for an individual. These premiums are sans the ObamaCare federal premium subsidies, which can make the monthly premium drop to $58 in California. Remember premiums are based off age and area. For your specific premium call 800-930-7956.

Silver Plans in Comparison to Other Plans

Silver is the only plan that offers ObamaCare cost-sharing subsidies to individuals and families making less than 250% of the poverty line: $28,725 for an individual and $58,875 for a family of four. Since Silver, has the second lowest monthly premium and it covers many services before the deductible is satisfied, it may save you more money each year over the Bronze plan -even though the Bronze plan has a lower premium. Click here to compare the ObamaCare Bronze plan, Silver plan, Gold plan, and Platinum plan side-by-side.

For further questions call the number above or contact Medicoverage.



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