Which actuarial value is associated with the Silver metal level?

Which actuarial value is associated with the Silver metal level?

• A. 60%
• B. 70%
• C. 80%
• D. 90%

Answer: (B)

Actuarial value is the portion of a plan’s costs that the insurer is expected to cover for a standard population. In ACA metal levels, Bronze plans cover about 60% of costs, Silver about 70%, Gold about 80%, and Platinum about 90%. So the Silver level corresponds to an actuarial value of 70%, meaning the plan is designed to cover about 70% of typical medical costs, with the enrollee responsible for the remaining 30% through deductibles, copays, and coinsurance. Some Silver plans with cost-sharing reductions can effectively raise that value for eligible enrollees, but the standard Silver AV is 70%.

Actuarial value is the portion of a plan’s costs that the insurer is expected to cover for a standard population. In ACA metal levels, Bronze plans cover about 60% of costs, Silver about 70%, Gold about 80%, and Platinum about 90%. So the Silver level corresponds to an actuarial value of 70%, meaning the plan is designed to cover about 70% of typical medical costs, with the enrollee responsible for the remaining 30% through deductibles, copays, and coinsurance. Some Silver plans with cost-sharing reductions can effectively raise that value for eligible enrollees, but the standard Silver AV is 70%.