Metallic Levels for Health Insurance Plans

Affordable Care Act

Metallic Levels for Health Insurance Plans

Updated on November 15, 2019

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Under the Affordable Care Act (ACA or “Obamacare”), each health insurance plan is assigned a metallic level. The bronze, silver, gold, and platinum benefit levels actually refer to a plan’s actuarial value (AV) level.

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Understanding metallic health plan levels

In 2018, all major medical health insurance plans for individuals and small employers are still assigned bronze, silver, gold, and platinum benefit levels. As mentioned above, the bronze, silver, gold, and platinum levels refer to a plan’s actuarial value (AV).
Actuarial value is the percentage of total average costs for the benefits a plan covers within a given year. For example, a plan with a 70% actuarial value (a silver level plan) covers 70% of covered medical expenses up to their plan’s out-of-pocket maximum.

VIDEO: What do Metallic Benefit Levels Mean?

Metallic health plan levels chosen by eHealth customers 

The graphic below shows the percentage of metallic plan levels chosen by eHealth customers.

Cost of health plans according to metallic levels 

eHealth’s 2017 Index Report
Plan’sMetallic LevelAverage Premium for Individual PlanAverage Deductible for Individual PlanAverage Premium for Family PlanAverage Deductible for Family Plan 
Catastrophic$173$7,148$367$14,292
Bronze$374$5,953$903$12,044
Silver$418$2,758$1,061$5,424
Gold$502$778$1,252$1,835
Platinum$575$37$1,472$140

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