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Government Health Plans: Affordable and Accessible Health Care for All

Government Plans were established by the Affordable Care Act to provide every American with quality health coverage that is truly affordable and attainable.

There are four types of Government Plans. Known as the “metal plans,” they are categorized as

  1. Bronze,
  2. Silver,
  3. Gold, and
  4. Platinum.

There is also a fifth plan that is known as the Catastrophic Plan. It provides limited coverage at a low cost for emergencies and serious medical events.

What Do Government Plans Cover?

Each of the four metal plans -- Bronze, Silver, Gold and Platinum -- provides you with the Essential Health Benefits that are required by the Affordable Care Act. These include:

  1. Ambulatory patient services.
  2. Emergency care.
  3. Hospitalization.
  4. Maternity & newborn services.
  5. Mental health and addiction services.
  6. Prescription drug coverage.
  7. Rehabilitative and habilitative care.
  8. Laboratory services.
  9. Preventive and wellness services, along with chronic disease management.
  10. Pediatric care, including dental and vision services.

You are entitled to health coverage with a Government Plan whether or not you have a preexisting medical condition. You also cannot be dropped by your carrier for becoming too costly to insure.

Government Plans are available only during Open Enrollment. The only exception is if you missed Open Enrollment, you could be eligible for a Government Plan if you have a Qualifying Life Event-- or certain life changes.

What are the Difference Between Government Health Plans?

The difference among plans is the cost. Each plan provides you with access to the same level of coverage. Please review the below table to compare the differences:

Plan Type Monthly / Annual Rate Subsides Accepted? Insurance Pays You Pay Best for those who:
Bronze: Low Yes 60% 40% Do not expect to regularly see the doctor or take prescriptions.
Silver: Medium Yes 70% 30% Do not expect to regularly see the doctor or take prescription drugs. However, my preference is to pay less out-of-pocket when I do need care or medication.
Gold: High Yes 80% 20% Expect to regularly see a doctor and regularly take prescription medications.
Platinum: Premium Yes 90% 10% Have an on-going medical condition or illness requiring very frequent medical services and medications.
available only for those under 30 or with a hardship exemption
Lowest No 90% 10% Meet the eligibility requirements of an income hardship and/or being under the age of 30. Coverage includes free preventive care and 3 primary care visits per year with no deductible. Entire deductible must be paid before the plan pays for catastrophic medical events.

Qualifying for a Subsidy

Subsidies are like “discounts” that are applied directly towards your health care costs. They can substantially lower the amount you pay for health coverage. You must meet certain income guidelines in order to qualify.

If you do qualify, the total amount of your subsidy will depend on your age, your household income, how many people are in your household, and whether you are a smoker.

Currently, many uninsured Americans qualify for subsidies. To learn about qualifying for subsidies, please click here.

Determining Your Eligibility

Your eligibility for Government Plans and Subsidies can be determined during the enrollment process. Please enter your zip code and fill in the 1-page application to begin.

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Los Angeles, CA 90017 is operated by Quotelab, LLC, which is an independent broker and is not a federal or state Marketplace website. This website is owned and operated by QuoteLab, LLC, a licensed insurance agency, NPN #19911386. Invitations for application for health insurance on QuoteLab, LLC, only where licensed and appointed. License numbers are available upon request and are provided where required by law. QuoteLab's license information can be found at

Federal Contracting Statement: Plans are insured or covered by a Medicare Advantage organization with a Medicare contract and/or a Medicare-approved Part D sponsor. Enrollment in the plan depends on the plan’s contract renewal with Medicare.

TPMO Disclaimer: We do not offer every plan available in your area. Currently we represent [73] organizations which offer [5110] products in your area. Please contact or 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
Please note that these numbers provided are not specific to your area but rather represent the number of organizations and the number of products available on a national basis. We will connect you with licensed insurance agents who can provide information about the number of organizations they represent and the number of products they offer in your service area.

Submitting this form does NOT affect your current enrollment, nor will it enroll you in a Medicare Advantage plan, Medicare Prescription Drug plan, Medicare Supplement Plan, or any other Medicare plan. QuoteLab, LLC is independent of the Medicare program and is neither associated with nor endorsed by The Centers for Medicare & Medicaid Services (CMS) or any other governmental agency.

The plans represented on are Medicare Advantage HMO, PPO and PFFS organizations and stand-alone prescription drug plans with a Medicare contract. Enrollment in any plan depends on contract renewal. If you are paying Medicare Part B premium, you must continue to pay it to maintain coverage.

Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.

Every year, Medicare evaluates plans based on a 5-star rating system.

Part B Premium give-back is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.

Based on median Medicare Advantage benefit amounts for dental available across multiple plans and metro areas. Not all benefits available in specific plans or regions.

This information is not a complete description of benefits. Contact the plan for more information.

Limitations, copayments, and restrictions may apply.

[Benefits, premiums and/or copayments/coinsurance] may change on January 1 of each year.

Enrollment in a plan may be limited to certain times of the year unless you qualify for a special [election/enrollment] period or you are in your Medicare Initial Election Period.

Advertised Pricing:

There are several factors that impact your monthly premium; including your age, geographical location, annual income, dependents, and the type of plan you choose. Monthly premiums do not include out-of-pocket costs. is operated by QuoteLab, LLC, which is an independent broker and is not a federal or state insurance Marketplace or other website. It does not provide access to any federal or state marketplace or exchange. This website is owned and operated by QuoteLab, LLC, a licensed insurance agency, NPN #19911386. Invitations for application for health insurance are made through QuoteLab, LLC, only where licensed and appointed. License numbers are available upon request and are provided where required by law. QuoteLab's license information can be found at

This website does not provide information about specific health plans, or enable visitors to obtain insurance quotes, on this website. However, if you provide your information and consent, we will transfer your information to insurance carriers and brokers that may contact you to offer Affordable Care Act (ACA) plans, short-term plans, medical indemnity plans and/or healthcare sharing ministry plans, and we will receive compensation for such transfer. The advertisements appearing on this website are placed by clients from which QuoteLab, LLC receives compensation, and such compensation may impact whether such advertisements appear on this website and the order in which they appear. is required to comply with all applicable federal law, including the standards established under 45 CFR 155.220(c) and (d) and standards established under 45 CFR 155.260 to protect the privacy and security of personally identifiable information. This website does not provide a complete listing of, or display all data on all Qualified Health Plans being offered in your state or service area through the Marketplace website or the federal Medicare program. To see all available data on Qualified Health Plan options in your state, visit your state Marketplace website, go to the Health Insurance Marketplace website at

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