Choice Stories

October 17, 2018

New Triple Tier Option Gives You More Health Care Choices

At CaliforniaChoice, we are all about offering you and your employees health care choices. That’s why we have expanded our Affordable Care Act (ACA) metal tier options for coverage effective in 2019.

You can now choose from three metal tier options for your CaliforniaChoice coverage:

  1. SINGLE TIER: Access to a single ACA metal tier (Bronze or Silver or Gold or Platinum).
  2. TIERED CHOICE: Access to plans and benefits in two adjoining metal tiers (Bronze/Silver, Silver/Gold, or Gold/Platinum).
  3. TRIPLE TIER: Access to plans and benefits in three metals tiers: Silver, Gold, and Platinum.
 

 

Best of all, the Triple Tier option does not cost you more. That’s because you decide what you want to spend on employees’ health care with Defined Contribution. Your contribution is the same for each employee regardless of how many ACA metal tiers are offered or what tier each employee chooses.

 

How ACA Metal Tiers Work

Each metal tier offers a different level of cost sharing between the health plan/insurer and the insured employee (or dependent).

 
ACA Metal Tier Health Plan/Insurance Pays Insured Pays
Bronze 60% 40%
Silver 70% 30%
Gold 80% 20%
Platinum 90% 10%
 

For employees who want to minimize their monthly premium, and may not need a lot of medical care, a Bronze metal tier HMO plan makes sense. For an employee who may want access to a broader network of doctors and specialists, a Gold tier PPO may be the way to go. For employees who can afford higher premiums, and want the lowest out-of-pocket costs when seeking care, a Platinum plan is appealing.

 

Learn More by Talking to an Agent

Call or email your employee benefits agent to learn more about the expanded metal tier options available from CaliforniaChoice. He or she can also share information on the many other ways CaliforniaChoice can help you offer affordable health insurance to your employees. If you do not have an agent, we can help you find one.