Under the Affordable Care Act, which plan is intended to provide coverage that is actuarially equivalent to 80% of the full value?

Prepare for the Insurance Exam with comprehensive study materials, flashcards, and multiple-choice questions. Get hints and detailed explanations to ace your test!

The plan that is designed to provide coverage actuarially equivalent to 80% of the full value under the Affordable Care Act is the Silver plan. This means that, on average, a Silver plan will cover 80% of the healthcare costs for a population, with the remaining 20% being the responsibility of the insured through out-of-pocket expenses like deductibles, copayments, and coinsurance.

In the context of the plan tiers established by the Affordable Care Act, each tier represents a different level of cost-sharing, with Platinum plans covering the highest percentage of costs (about 90%), Gold plans covering approximately 80%, Silver plans around 70%, and Bronze plans covering about 60%. Therefore, the Silver plan is specifically identified with the 80% coverage characteristic, making it a crucial option for individuals seeking a balance between monthly premiums and coverage levels.

The misconception about the Gold plan arises because it is often perceived to provide extensive coverage, but it actually covers approximately 80% of costs, which can lead to confusion. Platinum plans provide higher coverage at 90%, and Bronze plans lower coverage at 60%, solidifying the Silver plan's unique position at 70%. Thus, it is essential to align these percentages accurately to understand the

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