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
Dental Check-Up for Children
Routine Foot Care
Diabetes Care Management
Inherited Metabolic Disorder - PKU
Abortion for Which Public Funding is Prohibited
Laboratory Outpatient and Professional Services
Rehabilitative Occupational and Rehabilitative Physical Therapy
Rehabilitative Speech Therapy
Treatment for Temporomandibular Joint Disorders
Well Baby Visits and Care
Coverage for Effects of Diethylstilbestrol
Off Label Prescription Drugs
Prescription Drugs Other
Delivery and all Inpatient Services Professional Fee
Emergency Room Physician Fee
Mental/Behavioral Health Inpatient Professional Fee
Outpatient Services Office Visit
Substance Use Disorder Inpatient Professional Fee
Deliveray and all Inpatient Services Professional Fee
Emergency Room Professional Fees
Home Health Care Services
Long-Term/Custodial Nursing Home Care
Weight Loss Programs
Non-Emergency Care When Traveling Outside the U.S.
What To Know
- This is an ACA (Obamacare) compliant health plan.
- This plan is not eligible for a tax credit subsidy
Enter your ZIP Code to see physicians that accepts Platinum 90 HMO plan in your area.
Enter your ZIP Code to see Similar Plans to Platinum 90 HMO plan in your area.
Types of Health Insurance
Health Insurance in 2018
Platinum plan frequently asked questions (FAQ)
What is the Platinum Plan?
ObamaCare’s Platinum Plan is a type of Metal Plan on the Health Insurance Marketplace. Platinum Plans qualify for Tax Credits and have the highest premiums. A Platinum Plan is designed to incur the lowest out-of-pocket expenses for enrollees. A typical platinum plan enrollee pays approximately 10% of the costs of covered healthcare services with the plan paying the remainder. In comparison, a typical Bronze Plan enrollee pays 40% of covered medical expenses.
How are Platinum 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 Platinum Plan pays 90% of covered medical costs for a typical enrollee while the other Obamacare health plans pay a lower percentage of these costs.
How much does a Platinum Plan cost?
The monthly premium for a Platinum 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 the region in which you live. You can use HealthPocket’s comparison tool to compare Platinum Plan premiums in your area.
When Can I Enroll in a Platinum Plan?
The Open Enrollment period for the 2018 Affordable Care Act health plans begins November 1, 2017 and ends December 15, 2017. See our Open Enrollment article for more information.