Understanding Your 2021 OptimaFit® Individual & Family Health Plan Options
Individual health plans offer a variety of price options and are categorized by metallic tiers: Gold, Silver, and Bronze.
Categorizing plans by metallic tier makes it easier for you to compare plans based on their cost and coverage options. If you do not qualify for a subsidy, you may want to consider plans not offered on HealthCare.gov, also known as "Off-Exchange" plans.
This chart provides an overview of health plan tiers to help you determine which metallic plan would be best for you.
|Percent of Healthcare Cost Covered||80%||70%||60%|
|Good If...||You want to save on premium costs, while still reducing your out-of-pocket costs.||You need to balance monthly premium costs with out-of-pocket costs.*||You don't plan to use a lot of healthcare services.|
Could You Qualify for a Premium Tax Credit in 2021?
If your income is between 139% and 400% of the Federal Poverty Level, you may get tax credits, also known as subsidies, to help pay for health insurance coverage.
Savings Depends on Income and Household Size
|1||$17,736 - $51,040|
|2||$23,963 - $68,960|
|3||$30,190 - $86,880|
|4||$36,418 - $104,000|
|5||$42,645 - $122,720|
|6||$48,872 - $140,640|
|7||$55,099 - $158,560|
|8||$61,326 - $176,480|
Things to Consider
If you don't anticipate you will need a lot of healthcare services, you may want to consider a bronze or silver plan for a lower monthly premium.
However, if you or a family member have a serious injury or illness, a bronze or silver plan will require higher out–of–pocket costs for treatment. With a silver or bronze plan, you pay less on a monthly basis but may pay more for treatment. With a gold plan, you pay more on a monthly basis but much less for treatment.
Need Help? Talk to an OptimaFit Plan Advisor 1-800-741-4825.
1Source: https://www.federalregister.gov/documents/2020/01/17/2020-00858/annual-update-of-the-hhs-poverty-guidelines. To verify eligibility and level of subsidy you may qualify for, visit HealthCare.gov.