Bronze Plans: What You Should Know About It?

Updated: November 21, 2022
Bronze plans
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Bronze Affordable Care Act (ACA) plans provide coverage for various healthcare services. If you are eligible for tax benefits, your monthly premiums can be drastically reduced; in some cases, your premium rate can drop to $0.1. However, are bronze plans the best kind of insurance for you? Find out more below.

What is a Bronze Plan?

A type of health insurance offered on the marketplace under the Affordable Care Act (ACA) is a bronze plan. The least-priced individual health insurance plans in this category have the greatest copay and coinsurance percentages. Bronze health plans frequently feature higher deductibles as well.

Bronze plan monthly premium rates are often cheaper, but out-of-pocket expenses (copays, deductibles, etc.) are greater. Therefore these plans are best for healthy individuals who don’t need to see a doctor frequently.

The lowest metal level is bronze in terms of health insurance. Although a bronze plan may have lower monthly payments, it will cost you the most out of pocket if you require medical attention. According to a survey, the average premium for a single 40-year-old for a Bronze plan in 2020 was $393, while the average premium for a Silver plan was $512. 2020 Bronze plans had an average of $6,419, while Silver plans had an average deductible of $4,292. When choosing the appropriate metal level for yourself and your family, you must consider how frequently you plan to use your health insurance.

 

What is covered under the Bronze Plan?

A Bronze plan covers various preventative services that don’t need copays or coinsurance, much like all health plans that comply with the ACA. Free preventive care examples include:

  • Annual physical exams.
  • Certain diagnostic tests like blood pressure checks and mammograms.
  • Diet advise for those at risk for chronic diseases.
  • Fall prevention for people 65 and older.
  • Immunizations.
  • Some preventative medications like aspirin or statins.

The coverage for the following 10 essential benefits, which are present in all Affordable Care Act-compliant plans, must be provided in all bronze plan coverage.

  1. Prescription medication.
  2. Pediatric services: Coverage for children’s dental, vision, and medical needs is provided through plans.
  3. Services for managing chronic diseases, wellness, and prevention.
  4. Services for emergencies
  5. Hospitalization.
  6. Services for addiction and mental health.
  7. Newborn, maternity, and pregnancy care.
  8. Ambulatory care is also referred to as outpatient treatment.
  9. Services in laboratories.
  10. Equipment and services for rehabilitation and habilitation.

Health insurance providers can offer further coverage in addition to the abovementioned 10 fundamental benefits. Reviewing the Summary of Benefits, which lists coverage specifics and pricing, will allow you to determine the scope of a given bronze plan’s coverage.

Plans and Subsidies in Bronze

Bronze plan subscribers can apply for premium tax credits (called premium subsidies) to reduce costs. Most households are eligible for premium tax credits for Affordable Care Act (ACA) plans for 2021 and 2022, with no one paying more than 8.5% of their household income toward the plan’s cost.

Most of those who enroll in ACA plans in 2021 will be eligible for a premium tax credit, which is good news. 4 million uninsured persons will be eligible for a bronze plan with a $0 premium in 2021, and 4.9 million will be.

However, cost-sharing reduction (CSR) subsidies are not available for bronze plans. This is monetary support to aid with out-of-pocket expenses. You must first fall inside a particular income range (up to 250% of the FPL) to use CSRs. After that, you must enroll in a silver (metal level) plan to have coverage.

What Does a Bronze Plan Typically Cost?

The lowest-cost bronze plan on average for 2021 is $328 a month before the subsidies.

The typical lowest-cost bronze plans for a 40-year-old nonsmoker making $30,000 per year in 2021 are listed below by state and in a few select localities.

Compared to Other Plan Categories: Bronze Plans (Metal Levels)

The four types of ACA marketplace plans are as follows. Silver, gold, and platinum plans are available in addition to the bronze plan. These plan categories are referred to as metal levels due to the naming convention. The additional metal levels are described in the following manner:

  • The premiums for silver plans are greater than those for bronze plans but lower than those for the other two metal categories. The out-of-pocket expenses are marginally lower than those of bronze plans in exchange for a higher premium. These plans are ideal for anyone seeking slightly more coverage than what bronze health insurance provides. Silver plans are also the most advantageous for those eligible for subsidies.
  • Gold plans offer fewer out-of-pocket expenses in exchange for a larger monthly premium. Typically, the deductibles are modest. These plans are ideal for those who frequently visit a doctor or other healthcare professional.
  • Platinum plans feature the lowest out-of-pocket expenses and the highest monthly premiums. Typically, the deductibles are relatively modest. These plans are ideal for those who frequently visit the doctor and want to ensure that most of their medical expenses are covered.

Bronze High-Discount Health Insurance With HSA choices

A high-deductible health plan (HDHP) is insurance provided under the Affordable Care Act (ACA) that permits you to fund a health savings account (HSA). Deductibles, copayments, coinsurance, and other acceptable medical costs can all be covered with HSA money. It is accessible throughout the majority of the nation.

In 2021, an individual’s plan was deemed an HDHP if it had a minimum deductible of $1,400 and a top out-of-pocket (OOP) cost cap of $7,000. Families have a minimum deductible of $2,800 and a maximum out-of-pocket expense of $14,000. 6

Are You Prepared to Join a Bronze Plan?

We can aid in your plan comparison for bronze. Viewing tax subsidy amounts and requesting a plan are both made simple by us. It is quick, handy, and free for you to use. Compare plans right now!

 

Marketplace Health Plan Comparison

The 10 Essential Health Benefits outlined by the ACA statute are included in all Marketplace health plans.

Depending on the plan level, your health insurance company and you will divide the expense of medical care differently. However, you receive the same fundamental health benefits from all Marketplace plans. For instance, no matter which plans you select, 100% of the cost of yearly physicals, routine mammograms, and diabetes screenings are covered when you go in-network*. Every plan gives you access to additional essential medical care. You will be covered whether you need to spend the night in the hospital, visit an urgent care center or clinic, get care for your children, or receive counseling and other treatments to get better.

  • More expensive plans cover a larger percentage of your admissible medical expenses.

The plan with the largest proportion of your medical expenses covered by the insurer will have the highest monthly premium. Let’s imagine your plan’s monthly fee is higher. In exchange, your plan contributes more to your qualified medical expenses.

  • Copays are a given.

Copays are a common feature of insurance plans. The plan and the service will determine the exact copay amount.

Plans with the same metal level but different deductibles and coinsurance levels are possible.

Plans with the same metal level can have different deductibles and coinsurance rates. For instance, two Gold plans with different deductible and coinsurance amounts will have the same yearly out-of-pocket maximums. Therefore, it’s best to examine your plan paperwork carefully. Examine your plan paperwork carefully this way.

  • You could be eligible for financial assistance with your plan.

You might be eligible for federal financial assistance from the federal government for your qualifying Marketplace health plan, depending on the size and income of your household. Learn about financial aid provided by the government.

What does value mean?

Value, also known as an actuarial value, indicates the proportion of medical costs a plan must pay for when applied to a standard population. This does not imply that your bronze plan will cover exactly 60% of your healthcare expenses. Depending on how you use your health insurance, more or less than 60% of your expenses might be covered.

A member’s out-of-pocket maximum under the plan will set a cap on how much they can spend. Thus someone with really high healthcare costs will undoubtedly pay much less than 40% of the overall costs. However, a person with very low overall spending can anticipate paying more than 40% of the total costs because they may not even reach their deductible for the year, meaning they may be responsible for covering almost all of their medical bills.

When calculating a health plan’s value, non-covered medical costs are not included. Costs for therapy that do not fall within one of the ACA’s essential health benefit categories are likewise excluded, as are out-of-network expenses.

 

What You’ll Be Required to Pay

The health insurance will require monthly premium payments from you. When you use your health insurance, you’ll also be required to make cost-sharing payments like deductibles, coinsurance, and copays. Because bronze plans anticipate paying less money toward your medical expenses than higher-value policies, their monthly premiums are often less expensive.

Suppose you qualify for premium subsidies and purchase insurance through your state’s health insurance exchange. You might discover that a bronze plan is free once your subsidy is considered.

This is because, in most states, insurers have increased the rates for silver plans by including the cost of cost-sharing reductions. Because premium subsidies are calculated using the price of the second-cheapest silver plan, higher premiums for silver plans translate into larger premium subsidies. These subsidies are occasionally significant enough to pay the premium, leaving the enrollee with no monthly cost since they can also be used with bronze or gold plans. This is particularly true in 2021 and 2022 due to the American Rescue Plan, which has increased the size and accessibility of subsidies.

Each plan will have a different payment schedule for your part of healthcare costs. One bronze plan, for instance, can have a high $8,000 deductible and a low 10% coinsurance. No plans can have individual out-of-pocket maximums—including deductible, copay, and coinsurance—over $8,550 in 2021 or $8,700 in 2022); these top limitations apply to all ACA-compliant individual and small group plans regardless of the metal level. A bronze plan that competes with it might have a lower $6,000 deductible but a higher 35% coinsurance and a $45 copay for doctor’s appointments.

 

 

Advice for selecting a plan

How do you choose the strategy that is best for you? Consider your current and prior medical expenses first. Let’s take the scenario where you are generally healthy and don’t anticipate needing expensive medical services during the year. Consider a Bronze plan, which has a lower monthly premium and covers less of your Eligible Medical Expenses.

Let’s imagine, however, that you have a medical issue and are aware that you will require care. Alternatively, your family is sporting and energetic. You might do better with a Gold or Platinum plan that covers more of your medical expenses.

You have a variety of alternatives when selecting a healthcare plan on the Affordable Care Act (ACA) Marketplace that weigh monthly rates against potential out-of-pocket expenses. Platinum, Gold, Silver, and Bronze are the metallic tiers that these plans fall under. An ACA Bronze plan is the least expensive coverage level which often has the lowest monthly premiums. There are a few things to consider when deciding whether a bronze plan is the best option for you, despite the desire to choose the plan with the lowest monthly cost.

Who ought to think about a Bronze health plan?

Some people are a good fit for a Bronze health plan, while others are not. Younger people who do not foresee using their health insurance frequently can benefit from the low monthly premium cost of a Bronze health plan. People with Bronze health insurance can still plan to be healthy thanks to the included preventative treatment, which can help identify any potential health issues early. A Bronze health plan’s reduced premium translates into more monthly cash in your pocket.

A Bronze health plan may cost more if you are older or at risk for chronic conditions. Before your medical bills are covered under a Bronze health plan, you will often have to pay extremely high out-of-pocket amounts. If you anticipate using your health insurance frequently, you might prefer something with a larger monthly premium but smaller deductible, copayment, and maximum out-of-pocket amounts.

Compare available plans in your area before purchasing a Bronze health plan or any other one. Every state has licensed brokers, and we provide ACA insurance from Bronze level to platinum. Together, we will look for the health plan best suits your requirements and financial situation.

 

FAQs

Which plan is preferable, silver or bronze?

Plans in the bronze category include lower monthly payments but greater out-of-pocket expenses. Plans with silver monthly payments cost more than bronze plans but less than gold plans. Unless you qualify for a cost-sharing reduction, your out-of-pocket expenses will be higher than those of a gold plan but lower than those of a bronze plan.

 

What does the metal signify in terms of medical coverage?

Plans in the Health Insurance Marketplace are available in four tiers:

  • Bronze
  • Silver
  • Gold
  • Platinum

The cost-sharing arrangement between your insurance plan and you determine categories (sometimes known as “metal levels”). The caliber of care has nothing to do with categories. Plans described as “catastrophic” are available to some people.

 

Is a bronze, silver, or gold plan best for me?

Gold health plans feature greater premium prices but lower out-of-pocket expenses than Bronze or Silver plans. Deductibles are significantly reduced. A Gold plan is more likely to save money than a Silver or Bronze plan if you frequently utilize medical services.

 

A Bronze strategy is it disastrous?

The coverage for chronic illnesses or any other condition requiring more than three annual medical visits is the main distinction between Catastrophic and Bronze policies. The catastrophic plans are less expensive if you are in good health, don’t have any chronic diseases, and aren’t taking drugs.

 

Which is preferable, platinum or bronze?

The metal is used to indicate the scope of the plan’s coverage. The plan will pay more for the coverage as the metal’s value increases. Bronze is the smallest level of protection (except for catastrophic plans, see below). The greatest degree of coverage is platinum.

 

How much is the bronze plan’s deductible?

2020 Bronze plans had an average of $6,419, while Silver plans had an average deductible of $4,292. When choosing the appropriate metal level for yourself and your family, you must consider how frequently you plan to use your health insurance.

 

Are Bronze plans HSA-eligible?

This is the only type of plan that can be used in conjunction with an HSA to pay for specific services tax-free. For non-preventive services, you’ll be responsible for the full price until your deductible is reached.

 

Visit our website NewHealthInsurance.com to learn more.

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