Arizona Life and Health Practice Exam

What is the actuarial value of a bronze level health plan under the Affordable Care Act?

1. 70%

2. 80%

3. 60%

4. 50%

The correct answer is: 60%

The actuarial value of a bronze-level health plan under the Affordable Care Act is 60%. This means that, on average, a bronze plan is designed to cover 60% of the total costs of healthcare services for a typical population, with the remaining 40% of costs being the responsibility of the insured individuals through out-of-pocket expenses, such as deductibles, copayments, and coinsurance. The tiered system established by the Affordable Care Act includes four levels of coverage: bronze, silver, gold, and platinum, each differentiated by its actuarial value. Bronze has the lowest level of coverage among these tiers, which impacts both the premiums and cost-sharing for enrollees. The structure incentivizes consumers to choose plans that align with their healthcare usage and financial needs. Understanding the actuarial value is crucial for consumers, as it informs them about what to expect in terms of out-of-pocket costs versus premiums, aiding in making informed decisions when selecting a health plan.