Patient Advocate Foundation (PAF) programs and services are fully operational. As the Coronavirus spreads across the country, PAF wants to make sure you have answers and resources to support you during this uncertain and stressful time. For resource, FAQ’s and educational webinars addressing the Coronavirus pandemic, please visit our COVID Care Resource Center✕
A national 501 (c)(3) non-profit charity that provides direct services to patients with chronic, life threatening and debilitating diseases to help access care and treatment recommended by their doctor.
Evaluate your current medical needs along with your family’s medical history taking a close look at frequency of doctor visits, specialty care and prescriptions
How much would you spend on medications you are currently taking?
What is your current household income, any anticipated changes?
How much can you afford to pay for out-of-pocket medical expenses (includes premiums and cost shares) considering other budgeted obligations
What are the deductible levels that would need to be paid before insurance kicks in
Consider making a sample budget or using a comparison chart to evaluate your plan options.
Keep in mind that paying a slightly higher premium for a plan that provides lower out-of-pocket costs and a higher percentage of coverage throughout the year may prove to be more cost effective in the long run.
Marketplace Plan Coverage options:
Marketplace plans are categorized by metal levels to help easily distinguish coverage levels. Each plan is designed to pay a percentage of the total medical bills up to its defined out-of-pocket maximum.
Bronze plans are designed to cover a minimum of 60 percent of the medical bills
Silver plans will cover a minimum of 70 percent of medical bills
Gold plans will cover a minimum of 80 percent of the medical bills
Platinum plans will cover a minimum 90 percent of the medical bills
After you reach your plan’s established out-of-pocket maximum, every plan will pay 100% of the plan’s negotiated amount for covered medical care.
FAST FACT:There are no family policies sold through the marketplace. Each consumer receives insurance coverage as an individual and has their own policy, even if plans are purchased at the same time. The only exception is for newborn care, which will be covered temporarily under the mother’s policy.