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These plans offer a minimum standard of benefits known as the plan’s "Essential Health Benefits"

Monthly payments per plan are Calculated by the following: Number in Household, Household Income, Zip Code, Age, Number of Dependents under 18. You may calculate your information at the link below, to see if you qualify for financial assistance and your estimated monthly payment per plan:

www.coveredca.com/shopandcompare/#calculator

When selecting a Plan, please keep in mind, Plans are not just based on your monthly Payments, but Co payments and Deductibles are just as important. Out-of-pocket expenses are Fees like Deductibles, Co payments, or Coinsurance.

* The following Dollar Amounts are only estimates based on multiple sources.


*
Example: A single person is 35 years old and makes $45,000.00 a year:

Bronze Health Plans
Average Cost: $247.00-$263.00 per month without Financial Assistance

Silver Health Plans
Average Cost: $326.00-$391.00 per month without Financial Assistance

Gold Health Plans
Average Cost: $384.00-$467.00 per month without Financial Assistance

Platinum Health Plans
Average Cost: $441.00-$560 per month without Financial Assistance

Catastrophic Health Plans
Must qualify for a Hardship Exemption.

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* Example: A single person is 35 years old and makes $25,000.00 a year:

Bronze Health Plans
Average Cost: $61.00-$76.00 per month with Financial Assistance

Silver Health Plans
Average Cost: $140.00-$204.00 per month with Financial Assistance

Gold Health Plans
Average Cost: $198.00-$280.00 per month with Financial Assistance

Platinum Health Plans
Average Cost: $254.00-$373 per month with Financial Assistance

Catastrophic Health Plans
Must qualify for a Hardship Exemption.

 

* All cost associated with each plan varies depending on the institution

* Bronze Health Plans

Insurance companies pay 60% / Consumers pay 40% out-of-pocket fees over and above the monthly premium..

Monthly Payment without Financial Assist

$247.00-$263.00

Deductible for an individual enrollee

$5,081

Deductible for a family

$10,386

Doctor Visit

30% of doctor visit (If Doctor Visit is $200.00 you pay $60.00)

Specialist visit

30% of specialist visit (If Specialist Visit is $500.00 you pay $150.00)

Annual cap on out-of-pocket costs for an individual

$6,267

Annual cap on out-of-pocket costs for a family

$12,569

 

 

* Silver Health Plans

Insurance companies pay 70% / Consumers pay 30% out-of-pocket fees over and above the monthly premium..

Monthly Payment without Financial Assist

$326.00-$391.00

Deductible for an individual enrollee

$2,907

Deductible for a family

$6,078

Doctor Visit

$32

Specialist visit

$56

Annual cap on out-of-pocket costs for an individual

$5,730

Annual cap on out-of-pocket costs for a family

$11,495

 

 

* Gold Health Plans

Insurance companies pay 80% / Consumers pay 20% out-of-pocket fees over and above the monthly premium.

Monthly Payment without Financial Assist

$384.00-$467.00

Deductible for an individual enrollee

$1,277

Deductible for a family

$2,846

Doctor Visit

$24

Specialist visit

$46

Annual cap on out-of-pocket costs for an individual

$4,081

Annual cap on out-of-pocket costs for a family

$8,649

 

 

* Platinum Health Plans

Insurance companies pay 90% / Consumers pay 10% out-of-pocket fees over and above the monthly premium.

Monthly Payment without Financial Assist

$441.00-$560

Deductible for an individual enrollee

$347.00

Deductible for a family

$698.00

Doctor Visit

$16.00

Specialist visit

$30.00

Annual cap on out-of-pocket costs for an individual

$1,855.00

Annual cap on out-of-pocket costs for a family

$3,710.00

 

 

* Catastrophic Health Plans

It is only available to individuals under age 30 who cannot afford other health insurance coverage. This plan is limited to individuals and is not available for families. In order to enroll in a catastrophic plan, an individual must obtain certification from an Exchange that he or she does not have an affordable coverage option and qualifies for a “hardship exemption.”

* Requires a high deductible to be met before the plan pays for essential health benefits.