What options will be available to me?

  • The Health Insurance Marketplace (also known as the Healthcare Exchange) is a new Federal Government web site set up to provide an organized and competitive market for buying health insurance. It will offer a choice of different Preferred Medical Plan options.
  • Beginning October 1, 2013, you can sign up for a Health Insurance Marketplace plan on the Preferred Medical Plan web site.
  • There will be plans available of varying cost and coverage indicated by four levels: bronze, silver, gold and catastrophic.
  • These plan options will offer coverage that meets essential health benefits, with different out-of-pocket costs for things like doctor or hospital visits and different premiums.
  • Essential Health Benefits include at least these 10 categories:
    • Ambulatory patient services
    • Prescription drugs
    • Emergency services
    • Rehabilitative and habiliitative services and devices
    • Hospitalization
    • Laboratory services
    • Maternity and newborn care
    • Preventive and wellness services and chronic disease management
    • Mental health and substance use disorder services, including behavioral health treatment
    • Pediatric services, including oral and vision care (pediatric oral services may be provided by stand-alone plan)
  • One other option, called a Catastrophic Plan, is only for single people under age 30, or people who qualify through financial hardship. The Catastrophic Plan has a lower premium, includes affordable preventive benefits and a higher cost share in the form of deductibles for other medical expenses.