Covered California Certified Enroller Practice Exam

What percentage of health care costs do platinum-level plans typically cover?

1. 60%

2. 70%

3. 80%

4. 90%

The correct answer is: 90%

Platinum-level plans are designed to provide the highest level of coverage among the insurance tiers available through the Affordable Care Act (ACA), including Covered California. These plans typically cover about 90% of healthcare costs. This means that, on average, enrollees are responsible for only 10% of their healthcare expenses through deductibles, copayments, and coinsurance. This high coverage level makes platinum plans particularly appealing to individuals who anticipate frequent healthcare needs or require extensive medical care, as it minimizes their out-of-pocket expenses. By understanding that platinum plans offer such comprehensive benefits, it becomes clear why they are structurally positioned to cover a significant majority of healthcare costs, making them an advantageous choice for many consumers.