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: | $8,500 |
| Office Visit Copay: | $35 |
| Preferred Generics: | $15 |
| Preferred Brand Name: | $45 |
| Non-Preferred Brand Name: | $95* |
| Individual Rx Deductible: | Integrated |
| 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: