Silver Metal plans cover an estimated 70% of your medical and prescription drug costs. They limit your annual out-of-pocket expenses.
Individual Deductible: | $8,225 |
Individual Out of Pocket Maximum: | $8,225 |
Office Visit Copay: | $25 |
Out of Network Coinsurance: | 30%* |
Preferred Generics: | $0 |
Preferred Brand Name: | $0* |
Non-Preferred Brand Name: | $0* |
Individual Rx Deductible: | Integrated |
Preferred Specialty: | $0* |
Non-Preferred Specialty: | $0* |
OON Individual Deductible: | $17,400 |
OON Family Deductible: | $35,800 |
OON OOP Individual Deductible: | Unlimited |
OON OOP Family Deductible: | Unlimited |
OON Office Visit Copay: | 30%* |
Specialist Copay: | $50 |
OON Specialist Copay: | 30%* |
Coinsurance: | 0%* |
All health plans in the exchanges are required to provide a minimum set of benefits which are termed essential benefits. These benefits include: