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The law established four tiers of coverage: bronze, silver, gold and platinum. All categories offer essential health benefits. The categories vary in their division of premiums and out-of-pocket costs: bronze plans have the lowest monthly premiums and highest out-of-pocket costs, while platinum plans are the reverse.
Bronze plans were the second most popular in 2015, making up 22% of marketplace plan selections. Silver plans were the most popular, accounting for 67% of marketplace selections. Gold plans were 7%. Platinum plans accounted for 3%. On average across the four metal tiers, premiums were up 20% for HMOs and 18% for EPOs.
The 1095 serves as proof that the individual has obtained healthcare insurance. For the tax year 2014 only Form 1095-A provided by a healthcare exchange is required by the IRS. Individuals who were not insured during the tax year are required to make a payment when filing their tax return, unless they qualify for a tax exemption. An exemption ...
Obamacare maintained the concept of health insurance exchanges as a key component of health care. President Obama stated that it should be "a market where Americans can one-stop shop for a health care plan, compare benefits and prices, and choose the plan that's best for them, in the same way that Members of Congress and their families can.
Bronze plans usually have the lowest premiums but come with a high deductible—the amount consumers pay out of pocket before insurance kicks in. Bronze plans cover around 60% of medical bills ...
An estimated 80% of persons obtaining coverage under the ACA can get it for less than $75 per month after subsidies, [37] if they choose the lowest-cost "bronze" plan. The average cost for the "second-lowest cost silver plan" (the benchmark plan and one of the most popular) was $208/month after subsidy for a 40-year-old male non-smoker in 2017.
The tax (as amended by the reconciliation bill) [147] is on insurance premiums in excess of $27,500 (family plans) and $10,200 (individual plans), and it is increased to $30,950 (family) and $11,850 (individual) for retirees and employees in high risk professions. The dollar thresholds are indexed with inflation; employers with higher costs on ...
S: State-based exchanges Individual mandate [16] Yes Yes Penalty tax or fine if coverage not carried (See Insurance subsidies below) Employer mandate [16] Yes Yes Small businesses exempted Abortion coverage [16] No Yes H: No in public option or subsidized plans; may be covered by separate riders S: Yes, but must be paid for separately without ...