Gold Metal plans cover an estimated 80% of your medical and prescription drug costs. They also limit your annual out-of-pocket expenses.
|Individual Out of Pocket Maximum:||$5,500|
|Office Visit Copay:||$25|
|Out of Network Coinsurance:||50%*|
|Preferred Brand Name:||$40|
|Non-Preferred Brand Name:||$70|
|Individual Rx Deductible:||Integrated|
All health plans in the exchanges are required to provide a minimum set of benefits which are termed essential benefits. These benefits include: