According to the PPACA metal levels classification, if a health plan is expected to cover 90% of the cost for an average population, what type of plan is that?

According to the PPACA metal levels classification, if a health plan is expected to cover 90% of the cost for an average population, what type of plan is that?

• A. Gold
• B. Platinum
• C. Bronze
• D. Silver

Answer: (B)

The classification of health plans under the Patient Protection and Affordable Care Act (PPACA) organizes them into metal levels based on the percentage of health care costs covered. A plan that covers 90% of the healthcare costs for an average population is categorized as a Platinum plan. Platinum plans are designed to offer the most comprehensive coverage, which means they typically have higher premiums but lower out-of-pocket costs like deductibles and copayments. This is ideal for individuals who anticipate using a lot of healthcare services or those who prefer a higher level of financial protection against healthcare expenses. In comparison, Gold plans cover 80% of healthcare costs, Silver plans cover 70%, and Bronze plans cover 60%. Each lower tier involves a balance of premium costs and out-of-pocket expenses, making Platinum plans the most beneficial in terms of cost coverage relative to the health care services utilized. This framework helps consumers understand their cost-sharing responsibilities and coverage levels when selecting a health plan.

The classification of health plans under the Patient Protection and Affordable Care Act (PPACA) organizes them into metal levels based on the percentage of health care costs covered. A plan that covers 90% of the healthcare costs for an average population is categorized as a Platinum plan.

Platinum plans are designed to offer the most comprehensive coverage, which means they typically have higher premiums but lower out-of-pocket costs like deductibles and copayments. This is ideal for individuals who anticipate using a lot of healthcare services or those who prefer a higher level of financial protection against healthcare expenses.

In comparison, Gold plans cover 80% of healthcare costs, Silver plans cover 70%, and Bronze plans cover 60%. Each lower tier involves a balance of premium costs and out-of-pocket expenses, making Platinum plans the most beneficial in terms of cost coverage relative to the health care services utilized. This framework helps consumers understand their cost-sharing responsibilities and coverage levels when selecting a health plan.