Platinum Metal plans cover an estimated 90% of your medical and prescription drug costs. They also limit your annual out-of-pocket expenses. Platinum Plans are the most expensive of all the "metal plans."
Individual Deductible: | $650 |
Individual Out of Pocket Maximum: | $3,000 |
Office Visit Copay: | $15 |
Preferred Generics: | $10 |
Preferred Brand Name: | $40 |
Non-Preferred Brand Name: | $70 |
Individual Rx Deductible: | None |
Preferred Specialty: | $160 |
Non-Preferred Specialty: | $210 |
Specialist Copay: | $40 |
Coinsurance: | 20%* |
All health plans in the exchanges are required to provide a minimum set of benefits which are termed essential benefits. These benefits include: