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: | $3,500 |
Individual Out of Pocket Maximum: | $7,500 |
Office Visit Copay: | $25 |
Preferred Generics: | $15 |
Preferred Brand Name: | $45 |
Non-Preferred Brand Name: | $95 |
Individual Rx Deductible: | None |
Preferred Specialty: | $300 |
Non-Preferred Specialty: | $350 |
Specialist Copay: | $40 |
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: