Enhanced Benefits
Some individuals and families may qualify for an Enhanced Silver plan. This means, based on their income, when an individual chooses a Silver plan, they will have out-of-pocket savings through lower co-pays, co-insurance and deductibles.
Individuals in these categories will get the out-of-pocket savings benefit of a Gold or Platinum plan for a Silver plan price. With an Enhanced Silver plan, on average, the plan pays 93%, 87% or 73% of expenses in total for covered benefits, with enrollees responsible for the rest.