Benefits & Coverage
Costs for Medical Care
Prescription drug coverage
Access to doctors and hospitals
Medical Management Programs
Child Dental Coverage
Adult Dental Coverage
Exclusions and Limitations
Imaging (CT/PET Scans, MRIs)
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)
Outpatient Surgery Physician/Surgical Services
Urgent Care Centers or Facilities
Inpatient Physician and Surgical Services
Outpatient Rehabilitation Services
Durable Medical Equipment
Inpatient Rehabilitation Services
Diabetes Care Management
Inherited Metabolic Disorder - PKU
Laboratory Outpatient and Professional Services
Rehabilitative Occupational and Rehabilitative Physical Therapy
Rehabilitative Speech Therapy
Treatment for Temporomandibular Joint Disorders
Well Baby Visits and Care
Autism Spectrum Disorders
Breast Reconstructive Surgery
Experimental or Investigational Services
Prostate Cancer Screening
Assistive Communication Devices
Autologous Blood Banking
Diabetic Equipment & Supplies
Gym Membership Reimbursement
Family Planning Services
Sterilization Procedures for Men
Home Health Care Services
Dental Check-Up for Children
Contact Lenses for Children
Long-Term/Custodial Nursing Home Care
Weight Loss Programs
Routine Foot Care
Non-Emergency Care When Traveling Outside the U.S.
Abortion for Which Public Funding is Prohibited
What To Know
- This is an ACA (Obamacare) compliant health plan.
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Enter your ZIP Code to see Similar Plans to Fidelis Care Gold for Children Child Only ST INN Pediatric Dental plan in your area.
Types of Health Insurance
Health Insurance in 2017
Gold plan frequently asked questions (FAQ)
What is the Gold Plan?
ObamaCare’s Gold Plan is a type of Metal Plan on the Health Insurance Marketplace. Gold Plans qualify for Tax Credits, have high premiums, and good cost sharing. Gold plans mean higher premiums, less Tax Credits, but much better cost sharing on average than Silver or Bronze.
How are Gold Plans different than other Obamacare health plans?
The fundamental difference among the new Obamacare health plans is the percentage of covered medical costs paid by the health plan. The Gold Plan typically pays 80% of covered medical costs.
How much does a Gold Plan cost?
The monthly premium for a Gold Plan depends on the insurer from whom you purchase the plan, the number of people to be insured by the plan, your age, whether you smoke, and your geographic region. You can use HealthPocket’s comparison tool to compare Gold Plan premiums in your area.
When Can I Enroll in a Gold Plan?
The Open Enrollment period for Affordable Care Act health plans runs from November 1, 2015 to January 31, 2016. See our Open Enrollment article for more information.