Health Insurance Basics

At Bethany Johansing Insurance we specialize in health insurance. If you have a question, we have an answer.

Individual & Family      Medicare Solutions      Employee Benefits

We walk you through the process and will educate on the differences between the plans so that you can rest assured that you enrolled in the best plan for your needs.

 

Coverage Levels

There are four levels of coverage offered to consumers since the Affordable Care Act took effect. They are Bronze, Silver, Gold, and Platinum. Each metal level offers different coverage. The higher the metal, the better the coverage that is offered

Bronze- 60% Coverage Level

Silver- 70% Coverage Level

Gold- 80% Coverage Level

Platinum- 90% Coverage Level

 

Essential Health Benefits

The Affordable Care Act mandated that every new health insurance plan cover the ten essential health benefits. This means that you can rest assured that your health insurance plan will be there to take care of you when you need it most.  The ten benefits are:

1. Ambulatory patient services

2. Emergency Services

3. Hospitalization

4. Maternity and Newborn Care

5. Mental health and substance use disorder services, including behavioral health treatment (to comply with federal mental health parity)

6. Prescription Drugs

7. Rehabilitative and Habilitative services and devices

8. Laboratory Services

9. Preventative Care

10. Pediatric Services, including dental and vision care