Questions and answers
We know health insurance can be complicated. Here are answers to the most common questions we hear.
Once you meet your deductible, GHP pays a percentage and you pay a percentage of the remaining costs. The percentage you pay is called coinsurance.
If you have a plan with 20 percent coinsurance, GHP will pay 80 percent of covered services after your deductible has been met and you pay the remaining 20 percent. Once you reach your maximum out-of-pocket you will no longer have to pay coinsurance.
Under the Affordable Care Act (also known as the ACA, or healthcare reform), the below metallic tiered categories are based on how you and your plan splits your healthcare costs. There are four metallic levels (bronze, silver, gold and platinum).
- Bronze: Your health plan pays 60% on average. You pay about 40%.
- Silver: Your health plan pays 70% on average. You pay about 30%.
- Gold: Your health plan pays 80% on average. You pay about 20%.
- Platinum: Your health plan pays 90% on average. You pay about 10%.
As you go from bronze to platinum, the monthly premiums tend to go up. So, a bronze plan would generally have a lower premium than a platinum plan.
If your question isn’t answered here, call us at 800-223-1282.