Beginning in 2014, all non-grandfathered Individual and Small Group health plans will be organized in four levels of coverage:
Bronze, Silver, Gold, and Platinum.
The levels are based on actuarial value calculations, and define the split between what the consumer pays and what the health plan pays. As the metal category increases in value, so does the percent of medical expenses that health plans cover.
Guaranteed availability and renewability
Health insurers must accept any individual or business group that applies for coverage.
Percentage of Expenses:
Paid by health plan Paid by individual
Platinum 90% 10%
Gold 80% 20%
Silver 70% 30%
Bronze 60% 40%
