Virginia Silver Plan Overview
Virginia has yet to release its Silver plan preliminary premiums or plan breakdowns for the up coming initial enrollment period of October 1, 2013. However, all nationwide ObamaCare 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 Affordable Care Act Rule, where all insurance companies must spend 80% of the plan premiums on health care or refund their policyholders.
VA Silver Plan Overview
Silver plans offer many benefits before the deductible is satisfied, as well as having he second lowest monthly premium. Since Virginia plans have not been released, below are California’s preliminary breakdown of out-of-pocket costs for the Silver plan for illustrative purposes only.
| 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) |
Virginia Silver Plan Premiums
Due to the lack of concrete Virginia premiums, we will use California and Colorado’s figures as an example. In California the average Silver premium for a 40 year old, non-smoker is $294, and Colorado’s Silver premiums for a 40 year old, non-smoker range from $245-$475 per month for an individual. These premiums do not include the ObamaCare federal premium subsidies, which can significantly drop the monthly premium . Premiums are based on age and area. For your specific premium call 800-930-7956.
Silver Plans Compared to Other Metal Plans
Silver plans may have the second lowest monthly premium, however it may cost less than the Bronze plan throughout the year. The reason for this is 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. As well as, if Virginia’s plan breakdowns are similar to California’s, it will cover many services before the deductible is satisfiedClick 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.
Comments and Questions
Click to leave a CommentComment from Insurancewhisper on July 06, 2015
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