What is Kaiser silver 94 plan?
Of all the Covered California metal plans, the Silver 94 offers the lowest out-of-pocket costs for medical services. For example, office visits are a flat fee of $5 or $8 for a specialist. Generic drugs are $3. Most x-rays are $8, lab tests are $8.
What is the difference between silver 94 and silver 87?
The standard Silver Plan covers 70% of your out-of-pocket costs. However, if you qualify for a Silver 87 or a Silver 94, you will receive 87% or 94% coverage, which is 17% or 24% more of your out-of-pocket costs than the standard Silver Plan.
What is the out-of-pocket maximum for a silver 94 plan?
If you take multiple medications, expensive medications or you experience a year in which you need a lot of prescriptions the most you will pay for anything in a year (prescription drug costs included) is the out-of-pocket maximum which is $2,350 for an individual or $4,700 for a family on the plan.
Is a silver health plan worth it?
A Silver health plan is a good choice for many people, because it balances premium and out of pocket medical costs. However, if you are young, do not anticipate using insurance often and have significant amounts of cash in savings, you may find that you save money with a Bronze or catastrophic plan.
Does Covered California cover ambulance?
The Silver 70 Plan has a mid-sized deductible of $2,500 per individual or $5,000 for a family. This applies to benefits such as hospitalization, and ambulance services.
Who would be a good candidate for a silver plan in the health insurance marketplace?
The Silver Plan is best-suited for: An individual or family who mainly goes in for doctor visits, lab work or x-rays, or who takes generic drugs. Someone who is relatively health. An individual or family who wants reasonable copayments for common services.
How does Covered CA work?
Covered California is a free service that connects Californians with brand-name health insurance under the Patient Protection and Affordable Care Act. That means when you apply, you may qualify for a discount on a health plan through Covered California, or get health insurance through the state’s Medi-Cal program.
Who should get a Silver plan?
This is one of the most important reasons to pick a silver plan. If your income doesn’t exceed 250% of the poverty level (and particularly if it doesn’t exceed 200% of the poverty level, as CSR benefits are strongest below that level), a silver plan with CSR benefits will likely be the best value for you.
How much does a silver plan cost?
The average family plan deductible for 2020 (across all family sizes) was $8,439, up 5% from the year before….What is the average cost of health insurance for a family of 4?
| “Metallic” Plans | 2019 | 2020 |
|---|---|---|
| Gold | $1,426 | $1,437 |
| Silver | $1,179 | $1,212 |
| Bronze | $1,080 | $1,041 |