Plans in the Marketplace are primarily separated into 4 health plan categories — Bronze, Silver, Gold, or Platinum — based on the percentage the plan pays of the average overall cost of providing essential health benefits to members. The plan category you choose affects the total amount you’ll likely spend for essential health benefits during the year. The percentages the plans will spend, on average, are 60% (Bronze), 70% (Silver), 80% (Gold), and 90% (Platinum). This isn’t the same as coinsurance, in which you pay a specific percentage of the cost of a specific service.
Keep in mind that if you qualify for subsidies, this spreadsheet will only provide the pre-subsidy cost to you. Also keep in mind that the data the government has made available only has very broad categories; consider these your ballpark estimates for what your plan would actually cost.
In my case, the most comparable plan in the marketplace to the one I have now is nearly twice the price. That would also be the price I’d pay, because I don’t qualify for subsidies.
Note: Pricing is for monthly premiums. As you peruse those premiums, the columns proceed in this order: Premium Adult Individual Age 27, Premium Adult Individual Age 50, Premium Family, Premium Single Parent Family, Premium Couple, Premium Child.