Covered California Certified Enroller Practice Exam

Which tier of health insurance plans has the highest coverage percentage?

1. Gold

2. Silver

3. Platinum

4. Bronze

The correct answer is: Platinum

The tier of health insurance plans that has the highest coverage percentage is the Platinum tier. Plans in this tier typically cover around 90% of healthcare costs, which means that enrollees are responsible for paying only about 10% of their healthcare expenses in the form of out-of-pocket costs such as deductibles and copayments. This substantial coverage makes Platinum plans particularly attractive to individuals who anticipate high medical expenses, as they provide the most robust financial protection against healthcare costs. It is important to consider that while they offer the highest level of coverage, Platinum plans usually come with higher monthly premiums compared to other tiers, which can be a consideration for many consumers when selecting a health insurance plan. In contrast, the other tiers offer progressively lower coverage percentages. Gold plans cover around 80% of costs, Silver plans cover about 70%, and Bronze plans cover approximately 60%. Each tier reflects a different balance of premium costs versus out-of-pocket expenses for medical services, which helps consumers choose a plan that aligns with their healthcare needs and financial situations.