Bronze ObamaCare Plan: Virginia
Virginia defaulted to a federal exchange to comply with ObamaCare. Most states that defaulted to federal have not provided concrete plans or premiums. The Bronze plan, which is lowest tiered model of the ObamaCare plans, still must include all theObamaCare essential health benefits, and at minimum cover 60% of overall medical costs. Bronze plans should have the lowest monthly premium*.
*Some job-based plans may actually offer lower Silver plan premiums than Bronze.
Virginia Bronze Plans
The information in this article is dedicated to individual and family plans. Click here to learn about how the Bronze plan works for group and small businesses under ObamaCare.
These plans must offer a 60/40 split with your insurance company covering 60% of your medical care. All new metal plans must follow the 80/20 ObamaCare Rule, which states that 80% or plan premiums must be spent on medical care.
Virginia Bronze Rates
As of now, we were unable to find concrete Virginia figures. Therefore we have provided an example of California’s rates and premiums, since they were the first to release their figures. An example: California’s average Bronze plan for a 40-year-old, non-smoker is $226 per month, without ObamaCare premium subsidies. If this same person were to qualify for subsidies s/he could pay as low as $0 per month in premiums. Below is a chart of California’s figures to give an idea of how a Bronze plan may work in Virginia:
| Benefits | Bronze Health Plan |
| Deductible | $5,000 Med/Rx |
| Preventive | $0 |
| Doctor’s Office Visits | $60 per first 3 |
| Specialist | $70 after deduct |
| Generic Rx | $25 or less after deduct |
| Brand RX | $50 after deductible |
| Lab Testing | 30% after deduct |
| X-ray | 30% after deduct |
| ER Visit | $300 after deduct |
| Urgent Care | $120 after deduct |
| Out-of-Pocket Max | $6,350/$12,700 (ind/fam) |
For the most up-to-date Virginia premiums and plan rates call 800-930-7956.
Virginias Bronze Plan May Not Be Best Deal
Many people will see the lower price tag and think Bronze is the right plan for them, however Bronze plans usually have the highest deductible, and the deductible must be satisfied before the insurance company pays toward your coverage. The Bronze plan could actually cost you more for basic care. Make sure to weigh your options before choosing a plan. Also, Silver is the only plan that offers ObamaCare cost-sharing subsidies to help with the costs of deductibles, coinsurance, and copays. Click here to compare Bronze Plan, Silver Plan, Gold Plan, and the Platinum Plan side-by-side.
For any questions or assistance in applying (initial enrollment runs from October 1, 2013 to March 31, 2014), please contact Medicoverage.
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