Most medical plans available through MNsure are categorized as four metals: bronze, silver, gold and platinum. (Catastrophic plans are also available to some people.)
Metal levels are based on how you and your plan split the costs of your health care.
General Differences in the Metal Levels
- Gold or platinum plans: these plans generally have higher monthly premiums but pay more of your costs when you need care.
- Silver or bronze plans: these plans cost you less per month, but pay less of your costs when you need care.
Use Metal Levels to Pick the Right Plan
When you shop and compare plans on the MNsure marketplace, start by selecting the metal levels you think will fit your needs. Here are some things to consider:
- You expect a lot of doctor visits or you need to fill prescriptions regularly.
- You do not expect many doctor visits or the need for regular prescriptions.
- You qualify for financial assistance on out-of-pocket costs. (Keep in mind that there is an annual limit on out-of-pocket costs.)
- You are under 30 years old or have a hardship exemption and want a very low monthly premium.
If you purchase a silver plan you will pay less in out-of-pocket expenses. For example, between the premium cost and your out-of-pocket expenses you can end up with a higher benefit level than if you selected a gold or platinum metal plan. You must meet certain criteria to be eligible for cost-sharing reductions and not all individuals will be eligible.
Catastrophic plans have high deductibles. The benefit level on a catastrophic plan is even less than the bronze metal level plan. You must be under 30 years old or meet other criteria to purchase a catastrophic plan and not all individuals will be eligible.