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: | $1,000 |
Individual Out of Pocket Maximum: | $3,000 |
Office Visit Copay: | $25 |
Preferred Generics: | $10 |
Preferred Brand Name: | $45 |
Non-Preferred Brand Name: | $95 |
Individual Rx Deductible: | None |
Preferred Specialty: | $300 |
Non-Preferred Specialty: | $350 |
Specialist Copay: | $50 |
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: