Colorado Platinum Plan Overview
Colorado has released preliminary Platinum plan premiums. Platinum is the top tier of all the new “metal” plans, which has the lowest out-of-pocket maximums, and your provider covers 90% of your medical costs before you hit that that max. Metal plans are defined by their percentage coverage, all much include the ObamaCare 10 essential health benefits and providers must abide by the 80/20 Affordable Care Act Rule, where providers must spend 80% of the plan total policyholders’ premiums on health care or refund their policyholders.
CO Details
Colorado Platinum plan offers a deductible range of $0 -$1,000. To see how a $0 deductible Platinum plan, we have included Covered California’s Platinum plan chart for illustrative purposes only:
Benefits | Platinum Health Plan* |
Deductible | $0 |
Preventive | $0 |
Doctor’s Office Visits | $20 |
Specialist | $40 |
Generic Rx | $5 or less |
Brand RX | $15 |
Lab Testing | $25 |
X-ray | $40 |
ER Visit | $150 |
Urgent Care | $40 |
Out-of-Pocket Max | $4,000/$8,000 (ind/fam) |
Colorado Platinum Plan Premiums
For a 40 year old, non-smoker, a Platinum plan in Colorado has a range of $314 to $499. These premium rates do not include ObamaCare federal premium subsidies, which can drop the premium significantly. Remember premiums are based off age, area, and provider. For your specific premium call 800-930-7956.
Platinum Plans in Comparison to Other Metal Plans
Platinum plans are expected to enroll the sickest in society due to its low or $0 deductible, and lowest out-of-pocket maximums. If this is the case, Platinum premiums could increase drastically in the coming years. A Platinum member will pay 10% of their medical costs in comparison to a Silver Plan where the member would pay 30%. Click here to compare the ObamaCare Bronze plan, Silver plan, Gold plan, and Platinum plan side-by-side.
For further questions call the number above or contact Medicoverage.
Comments and Questions
Click to leave a CommentComment from Elodia Collova on July 28, 2015
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