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Insurance & Risk Management
13. Chapter 15: Healthcare Reform—Individual Health Insurance Coverages/Basic provisions of the Affordable Care Act
13. Chapter 15: Healthcare Reform—Individual Health Insurance Coverages Illustration
Syllabus Slides

Basic provisions of the Affordable Care Act

01.Core Concepts

Applicants have a choice of four benefit categories: The bronze plan covers 60% of the benefit costs The silver plan covers 70% of the benefit costs The gold plan covers 80% of the benefit costs The platinum plan covers 90% of the benefit costs Each plan has annual out-of-pocket limits that limit the amount insureds must pay in the form of deductibles, coinsurance, co-payments, etc. Catastrophic plans cover, on average, less than 60% of the total average cost of care and are available only to certain people ‹#›