Silver Metal plans cover an estimated 70% of your medical and prescription drug costs. They limit your annual out-of-pocket expenses.
Individual Deductible: | $7,700 |
Individual Out of Pocket Maximum: | $8,700 |
Office Visit Copay: | $35 |
Preferred Generics: | $15 |
Preferred Brand Name: | $45* |
Non-Preferred Brand Name: | $95* |
Individual Rx Deductible: | $500 |
Preferred Specialty: | $300* |
Non-Preferred Specialty: | $350* |
Specialist Copay: | $65 |
Coinsurance: | 40%* |
All health plans in the exchanges are required to provide a minimum set of benefits which are termed essential benefits. These benefits include: