Gold Metal plans cover an estimated 80% of your medical and prescription drug costs. They also limit your annual out-of-pocket expenses.
Individual Deductible: | $1,500 |
Individual Out of Pocket Maximum: | $8,700 |
Office Visit Copay: | $30 |
Preferred Generics: | $15 |
Preferred Brand Name: | $30 |
Non-Preferred Brand Name: | $60 |
Individual Rx Deductible: | None |
Preferred Specialty: | $250 |
Specialist Copay: | $60 |
Coinsurance: | 25%* |
All health plans in the exchanges are required to provide a minimum set of benefits which are termed essential benefits. These benefits include: