Inexpensive catastrophic healthcare only plan
This coverage plan is a low-cost option designed to protect you in the event of serious medical emergencies or unexpected illnesses. It's designed for younger people or those with limited incomes who don't need frequent medical care but want to be covered for the worst.
Why should you have health coverage?
Protection from the unexpected
This plan covers you in serious medical situations, such as accidents, surgeries, or major illnesses. It's your safety net for when you really need it.
Lower monthly premiums
Save every month by paying less for your insurance, without giving up the peace of mind of being protected in case of an emergency.
Peace of mind without compromising your pocket
Ideal if you are healthy and don't visit the doctor often. You can focus on taking care of your health without overspending or worrying about huge medical bills if something serious happens.
Life is unpredictable. An accident, a serious illness, or a medical emergency can happen when you least expect it—and the costs can be overwhelming.
- A catastrophic plan is ideal if you're healthy, don't visit the doctor often, and only want to protect yourself from what matters most: the unexpected.
- Pay lower monthly premiums, giving you more control over your budget.
- Stay covered for medical emergencies and major hospitalizations.
- Access basic preventative services at no additional cost.
You can avoid going into debt if something serious happens.
If you're young, healthy, and/or low-income and looking for affordable medical coverage, this plan can give you peace of mind without breaking the bank.
The solution for medical emergencies
A medical emergency can strike without warning. A simple appendicitis can cost $15,000 or more.
With our insurance plan, you can cover a large portion of the costs, contributing the smallest portion out of pocket.
With a plan like this, you can focus on your recovery, not on the hospital bills.
In the following graphs, you can better understand how our plan's coverage works.
$0
Medical cost of appendicitis with hospitalization
$15,000
Deductible
$3,000
Remaining medical costs
$15,000 – $3,000 = $12,000
You are responsible for paying the full deductible before your insurance begins to cover your medical bills. The deductible is paid by the patient.
In this case, the total cost is $15,000; the deductible is $3,000. The remaining medical costs would be $12,000.
$0
Medical cost of appendicitis with hospitalization
$15,000
Deductible
$3,000
Coinsurance
Patient pays: 30% of $12,000 = $3,600
Coinsurance
The insurer pays: 70% of $12,000 = $8,400
Coinsurance is the shared payment between the patient and the insurer after the deductible is paid.
- Bronze Plan: 60% Insurance / 40% Patient
- Silver Plan: 70% Insurance / 30% Patient
- Gold Plan: 80% Insurance / 20% Patient
Up to the maximum out-of-pocket amount, expenses are shared with the insurer. In this case, paying 70% (for having a silver plan) of the total expenses, i.e., about $8400.
Annual Out-of-Pocket Maximum (OOPM)
$9,000
Deductible
$3,000
Coinsurance
Patient pays: 30% of $12,000 = $3,600
To complete the OOPM
$2,400
The annual out-of-pocket maximum, known as Out-of-Pocket Maximum (OOPM), is the maximum amount a patient will pay in bills or medical expenses in a given year. Up to the OOPM, expenses are shared with the insurer through coinsurance.
In this specific example, the patient will not pay more than $2,400. If for any reason, the patient's medical expenses exceed this amount, the insurer will cover the cost.
The insurer pays all medical costs for the rest of the year.
FAQs
Can I get financial help with a Bronze plan?
Yes, you can apply premium tax credits to lower Bronze plan premiums if your household income is between 100% and 400% of the Federal Poverty Level (FPL). In 2021, 4 million uninsured people qualified for a $0 premium Bronze plan. However, Bronze plans are not eligible for cost-sharing reduction (CSR) subsidies, which are available only with Silver plans.
However, Bronze plans are not eligible for cost-sharing reduction (CSR) subsidies, which are only available to Silver plans.
What are the deductibles and out-of-pocket maximums for Bronze plans?
Bronze plans typically have high deductibles, often $5,000 to $7,000 for individuals and $10,000 to $14,000 for families.
The maximum out-of-pocket limit for 2024 is $9,450 for individuals and $18,900 for families. Once this limit is reached, the plan covers 100% of in-network costs.
Can I use a Health Savings Account (HSA) with a Bronze plan?
Muchos planes Bronce califican como planes de salud con deducible alto (“high-deductible health plans” o HDHPs), lo que le permite contribuir a una HSA. Las HSA le permiten ahorrar dinero antes de impuestos para gastos médicos calificados, lo que puede ayudar a compensar deducibles y copagos altos.
Please check with us for your plan details to confirm your HSA eligibility.
¿Cómo me inscribo en un plan Bronce y cuándo puedo hacerlo?
You can enroll during the ACA's open enrollment period (November 1 to January 15 in most states) or during a special enrollment period if you experience a qualifying life event (e.g., job loss, marriage).
Enrollment is done through the ACA Health Insurance Marketplace (HealthCare.gov or state exchanges) and will require personal information such as your Social Security number and income details.
Do you have any further questions?
Consult with us
We know choosing a coverage plan can be confusing, and that's why we're here to help. Our goal is to make sure you fully understand your options and make the best decision for you and your family.
Leave us your information and we'll contact you to answer your questions and guide you through anything you need. No pressure, no commitment, just real, personalized advice.