What types of health insurance plans are available through the Affordable Care Act [1945005?]
what kind of insurance plans you find on the market for health insurance
the simple answer to both questions is: all kinds
all available plans are required. to offer 10 basic coverage areas , which include hospitalization, outpatient drugs and laboratory tests.
However, the amount of co-payments and deductibles vary depending on the plane type.
All available plans were grouped into four basic categories: .. Bronze, Silver, Gold and Platinum
The following are terms of health insurance that are useful for understanding
1. Awards: the monthly amount of money you pay for your health insurance scheme
2. costs Out-of-pocket :. The amount of money you pay when you have performed medical services that are not covered by your health plan.
3. coinsurance: The percentage of the cost of a health care service covered that you are responsible. An example: if the coinsurance is 20%, and your health plan allows $ 100 for an office visit and you have paid your deductible, your payment coinsurance will be $ 20 (ie 20% of $ 100 ). The insurance plan pays the rest.
4. Copayment: A fixed amount you pay for a covered specific health service. This is usually paid at the time of service. For example, when you go to visit a doctor, AOS, you pay $ 15 at the time of the visit. The amount varies.
5. Franchise: This is the amount of money you agreed to pay for health care before your insurance company starts paying. For example, if the plan you have a $ 1,000 deductible, the insurance plan pays nothing until you have paid $ 1,000 for services. Once you have paid for health services (in a year), the insurance plan begins to pay for additional services $ 1,000.
4 health insurance plans included in the Affordable Care Act
Bronze planes
Bronze plans will provide coverage for 10 basic coverage areas, but on average only cover 60% of expenditure; the remaining amount will be paid by you.
Silver Plan
The next level of health insurance plans, Silver, also provide 10 basic coverage areas, but only covers 70% of expenses.
Gold plans
gold shots, of course, always provide the 10 basic coverage areas, but 80% of expenses are covered.
Platinum Plans
the higher planes, Platinum, will cover 0% of medical expenses.
The general rule is that the higher premiums, more costs out-pocket when you actually need care, and vice versa, Äîthe more bonuses, more costs out of pocket when you need care .
Gold and Platinum levels have lower deductibles, co-payments and co-insurance, but will probably have more monthly premiums. Bronze plans and money are likely to have lower premiums, but out-of-pocket costs may be higher.
Shots Catastrophic
Another health plan is called Catastrophic Plan , which is available to people aged under 30 and some low-income people and / or limited.
These plans typically have lower premiums than comprehensive plans, but you just in case you need great care coverage; in other words, if you had a disaster such as an accident or a serious illness.
Under the conditions of a catastrophic level, the patient is required to pay all medical expenses up to a specified amount, usually several thousand dollars. The 10 critical areas are covered, but the health problems, major Äîfor example, if you have been seriously injured in an automobile accident or required surgery or were diagnosed with a major illness, AIARE not.
Essentially, you are gambling that you won, AOT injury or serious illness. This is something people should think seriously.
example , treatment for a broken leg can cost $ 7,500 or more. As part of a catastrophic plan, your monthly premium is low, but the deductibles and other costs out-of-pocket will be quite high.
Not everyone is eligible for catastrophic plans, but if you are under the age of 30 or have a very low income, it, AOS an option.
Shop Around
obviously the health insurance plans available under the Affordable Care Act will provide a variety of options.
Although your own finances will play an important role in your decision, it, AOS also important to research the types of health care networks and coverage that apply best for your health and your situation.
When evaluating a plan, no matter what class, hard look at doctors, hospitals and other services available in the network that is covered by the health plan.
Make sure the doctors you use or doctors you might want to use are available on the network covered by the health plan
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