What is the silver enhanced 87 plan?

Asked by: Buck Eichmann  |  Last update: June 9, 2025
Score: 4.3/5 (11 votes)

The Silver 87 Plan is a health plan that gives qualified members more coverage at lower prices. Someone on a Silver 87 Plan will pay less for medical services than someone who is enrolled on a top-of-the-line Platinum Plan.

What is a silver 87 plan?

This health insurance plan is for individuals and families with an annual gross income between 151% to 200% of the federal poverty level (FPL), who also meet other applicable guidelines. This would be a good plan for a 40-year-old with an income between 150% ($18,090) and 200% ($24,120).

What are enhanced silver benefits?

Covered California offers "Enhanced" Silver 73, 87 and 94 plans that offer better out-of-pocket savings through lower copays, coinsurance and deductibles. Which one you qualify for depends on your household income.

Is a silver health plan worth it?

Choosing a Silver health plan can be an excellent option if you're looking for a balance between your monthly premium and out-of-pocket costs for care, especially if you qualify for cost-sharing reductions.

What does a silver plan offer?

Benefits of silver plans

Cost-Sharing Reductions (CSR): Eligible individuals and families with lower incomes may qualify for cost-sharing reductions, which can significantly reduce out-of-pocket expenses like deductibles, copayments, and coinsurance.

Bronze vs Silver, Which Health Plan Is Best For You

25 related questions found

What is the best health insurance for seniors over 70?

Medicare is the best health insurance for retirees and seniors. You can choose between Original Medicare (Parts A and B) or private, bundled coverage, called Medicare Advantage.

What is Kaiser Silver 87 HMO?

The Silver 87 Plan is a health plan that gives qualified members more coverage at lower prices. Someone on a Silver 87 Plan will pay less for medical services than someone who is enrolled on a top-of-the-line Platinum Plan.

Which health plan is better, Silver or gold?

Gold plans have a higher monthly premium compared to Silver plans, but lower out-of-pocket costs for care. Gold plans are ideal for individuals and families needing frequent medical services and want their insurer to share more in the cost for care.

What is the deductible on a Silver plan?

But if you qualify for cost-sharing reductions, your deductible for a Silver plan could be $300 or $500, depending on your income. You'll have lower copayments or coinsurance. These are the payments you make each time you get care — like $30 for a doctor visit.

What are the benefits of silver?

Antibacterial and Antimicrobial Properties

It is well-documented within the scientific community that silver has antibacterial and antimicrobial properties. These properties can be a weapon against common microbes such as fungi, bacteria, and some types of viruses. They have also been known to help with wound healing.

How much does good health insurance cost in the USA?

The average premium for single coverage in 2024 is $8,951 per year. The average premium for family coverage is $25,572 per year [Figure 1.1]. The average annual premiums for single coverage are similar for covered workers at small firms ($9,131) and at large firms ($8,884) [Figure 1.3].

Who would be a good candidate for a gold plan in the health insurance marketplace?

A Gold health plan can be a suitable option for individuals and families who have specific or frequent healthcare needs and are willing to pay a higher monthly premium in exchange for lower out-of-pocket costs.

What is second lowest cost Silver plan?

The SLCSP is the second lowest cost Silver plan premium available to a consumer and any family members at the time they enrolled in Marketplace coverage. The SLCSP isn't necessarily the plan a consumer is enrolled in; rather, it's the plan premium used to determine the amount of PTC the consumer is eligible for.

What is the difference between a PPO and a HMO?

HMOs (health maintenance organizations) are typically cheaper than PPOs, but they tend to have smaller networks. You need to see your primary care physician before getting a referral to a specialist. PPOs (preferred provider organizations) are usually more expensive.

Is Silver 70 hmo good?

The Silver 70 Plan is by far one of the most popular plans that Covered California offers. This is because it has competitively priced monthly premiums and upfront copays with no deductibles required for many, many services.

Is the Silver plan worth it?

The categories have nothing to do with the quality of care you get in a plan. Generally, the difference between categories is based on the plan's share and your share of costs for covered services. If you qualify for extra savings (based on your income) and enroll in a Silver plan, the plan pays more and you pay less.

What is the most expensive health plan?

Platinum health insurance is the most expensive type of health care coverage you can purchase. You pay low out-of-pocket expenses for appointments and services, but high monthly premiums. Plans typically feature a small deductible or no deductible and cheap copays or coinsurance.

What is the best Medicare plan that covers everything for seniors?

Original Medicare with Medigap likely offers the most comprehensive coverage, but it may also be the most costly. A person can consider their income and how much they are able to spend before choosing a Medicare plan. Original Medicare with Medigap also offers a lot of flexibility when choosing a doctor or specialist.

Why are people leaving Medicare Advantage plans?

Key takeaways: People leave Medicare Advantage plans because out-of-pocket costs vary between plans, network restrictions can cause frustration, prior authorization requests can delay care, and it can be difficult to use the additional benefits they provide.

What are the 6 things Medicare doesn't cover?

Some of the items and services Medicare doesn't cover include:
  • Eye exams (for prescription eyeglasses)
  • Long-term care.
  • Cosmetic surgery.
  • Massage therapy.
  • Routine physical exams.
  • Hearing aids and exams for fitting them.

Is Kaiser gold better than silver?

Lower Out-of-Pocket Maximum

While both plans cover essential health services, the Silver 73 plan offers a lower annual out-of-pocket maximum. This means that if you have significant medical expenses during the year, your total costs will be capped at a lower amount under Silver 73 than with the Gold 80 plan.

What is the deductible for Silver 87 HMO?

Many services aren't subject to a deductible. For Silver 87, that amount for individuals is $1,400 for medical services, and $100 for prescription drugs. A family's deductible is $2,800 for medical services, and $200 for prescriptions. There is no deductible for dental care.

What is the difference between silver 73 and silver 87?

The Silver 73 covers 73% of your out-of-pocket costs, 3% more than the standard Silver Plan. However, if you qualify for a Silver 87 or a Silver 94, you will receive 87% or 94% coverage, which is 17% or 24% more of your out-of-pocket costs than the standard Silver Plan.