| Cost | Typically has higher monthly premiums compared to bronze plans but lower than gold and platinum plans. | Generally has lower monthly premiums compared to silver, gold, and platinum plans. |
| Deductible | Generally has a moderate deductible, which is the amount you must pay out of pocket for covered services before the plan starts paying. | Typically has a higher deductible compared to silver plans, requiring you to pay more for covered services before the plan pays. |
| Coverage Level | Offers moderate coverage, with the insurance plan covering a higher percentage of medical expenses after you meet the deductible. | Provides basic coverage, with the insurance plan covering a lower percentage of medical expenses after you meet the deductible. |
| Cost-Sharing | Involves cost-sharing in the form of copayments, coinsurance, and deductibles, with the insurance covering a higher portion of costs than bronze plans. | Requires more cost-sharing, with higher copayments, coinsurance, and deductibles, resulting in lower monthly premiums. |
| Services Covered | Generally covers a wider range of medical services, including preventive care, doctor visits, hospitalization, prescription drugs, and specialty care. | Covers essential health benefits, but you may have to pay a larger share of costs for services like hospital stays or specialist visits. |
| Ideal For | Suitable for individuals or families who anticipate moderate healthcare needs and are willing to pay slightly higher premiums for better coverage. | A cost-effective option for individuals or families who are generally healthy and don't expect to use healthcare services frequently. |
| Out-of-Pocket Maximum | Has an annual out-of-pocket maximum, which limits the total amount you have to pay for covered services in a plan year. | Also has an out-of-pocket maximum but typically at a higher level compared to silver plans. |
| Subsidies Eligibility | Eligible for premium subsidies and cost-sharing reductions based on income and household size under the Affordable Care Act (ACA). | Also eligible for premium subsidies and cost-sharing reductions under the ACA, making it an affordable choice for some individuals and families. |
| Risk Tolerance | Suitable for individuals or families with a moderate risk tolerance who want a balance between lower monthly premiums and better coverage. | Ideal for individuals or families with a higher risk tolerance who prioritize lower monthly premiums and are prepared for higher out-of-pocket costs. |
| Comparison to Other Plans | Positioned between gold and bronze plans in terms of premiums, coverage, and cost-sharing, offering a balanced option. | Offers the lowest monthly premiums among the metal tiers but provides the least coverage for medical expenses |
