Virginia Platinum Health Insurance Marketplace Plan Details
At this time details of Virginia’s Platinum plan are unavailable. However, due to the Affordable Care Act’s guidelines all Platinum plans are the top tier of all the new plans, with the lowest out-of-pocket maximum, highest monthly premium, and members pay 10% of medical costs the your out-of-pocket max is met. Every new “metal” plan is defined by their metal level. What this means is, each plan must offer a percentage of coverage from 60-90%. All plans much include the ObamaCare 10 essential health benefits and providers must abide by the 80/20 Affordable Care Act Rule, and all new ObamaCare plans have guaranteed issuance.
VA Platinum Details
Since we are waiting on final Virginia plans, we will compare the plans details to two established states: California and Colorado. In Colorado, the Platinum plan deductibles range from $0 to $1,000. Covered California’s has released a breakdown of their Platinum plan, demonstrated in the chart below:
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) |
Virginia Platinum Plan Premiums
We’ll say it again, we don’t have their figures at this time, but will update as necessary. Instead, we will offer California’s and Colorado’s premium range to get an idea of rates for what Virginia’s plans may look like. A Platinum Plan for a 40 year old, non-smoker in Colorado has a range of $314 to $499, and in California a range of $285 to $687. These premiums do not include the ObamaCare federal premium subsidies, which can drop the premium significantly. The wide range of rates are based on area and provider. For your specific premium call 800-930-7956.
How Platinum Compares to Different Metal Levels
The Platinum plans have a $0 to low deductible, the lowest out-of-pocket maximums, and members pay only 10% of their medical care. For the reasons stated, it is expected to attract the sickest enrollees. We’ll have to see who enrolls in these plans, but if only the sick enroll the premiums could rise drastically in years to come. Platinum plans offer the strongest coverage, however it is worth looking into a Silver or Gold plan to see if these are a better fit for you with their fairly low deductibles, and lower premiums. 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 Renato Breath on May 09, 2015
Enjoyed every bit of your blog article.Much thanks again. Will read on…
Comment from Sandra on September 25, 2013
I need to compare plans for the VA Marketplace. Are they available now?
MEDICOVERAGE AGENT RESPONSE
Preliminary quotes are now available in Virginia for the Affordable Care Act (ObamaCare Plans). Please give us a call and we and help you estimate your costs at 800-930-7956.
-Michelle at Medicoverage.com