Metal - Gold

Our major medical PPO plans offer individuals and groups access to flexible and affordable plans. The plans offer you access to telemedicine and visits with Board Certified physicians/specialists, hospitals, pharmacy discounts, and more. These plans are for US Residents only.

Starting Price - $381 / month

Metal – Gold

  • Low Co-Pay and Affordable Deductibles
  • Office and Specialist Visits
  • Hospital, Critical Care, ER, Imaging, X-ray, Urgent Care, Laboratory
  • Pre-Existing Conditions Accepted
  • Telemedicine is accessible 24/7, 365 days
  • Preventive and Wellness Benefits
  • Specialty and Preferred Drugs Tier
  • Reliashield Essential Individual Plan Included
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Download Our Gold Plan Flyer

For your convenience we’ve created a flyer for you to see the Gold plan in one easy takeaway. Click the button below to download the flyer.

Plan Pricing

Our plans are priced with you and your family in mind. Choose one of the plans below and you will be taken to our partner site, GoAskJay, to purchase your plan.

Age 0-18
Non-Smoker

$381per month

Age 0-18
Smoker

$610per month

Age 19-25
Non-Smoker

$398per month

Age 19-25
Smoker

$627per month

Age 26-44
Non-Smoker

$607per month

Age 26-44
Smoker

$836per month

Age 45-54
Non-Smoker

$908per month

Age 45-54
Smoker

$1,136per month

Age 55-64
Non-Smoker

$1,328per month

Age 55-64
Smoker

$1,556per month

Included Benefits

Each of the Metal plans offer slightly different benefits. Be sure to compare the plans or download the flyer to view them side by side.

Plan Benefit Details
Network
Non-Network
ACA Preventative Benefits (63 Items)
100%
100%
Telemedicine by Remedy.Me
100%
100%
ReliaShield Essential Individual Plan
100%
100%
ACA Mandated Generic Tier 1 – $10 Co-Pay Applies to All Plans
100%
Not Available
ACA Optional Generic Tier 2 – $35 Co-Pay Applies to All Plans
100%
Not Available
ACA Optional Generic Tier 3 – $60 Co-Pay Applies to All Plans
100%
Not Available
ACA – Formulary Drug Tier 4
25% after deductible up to $250 / prescription
Not Covered
ACA – Formulary Drug Tier 5
Not Covered
Not Covered
Deductible – Individual/Family
$2,500 / $5,000
$5,000 / $10,000
Out-of-Pocket Maximum – Individual/Family
$4,000 / $12,700
$8,000 / $25,400
Responsibility Share
20% after deductible
30% after deductible
Hospitalization In-Patient
20% after deductible
30% after deductible
Hospitalization Out-Patient
20% after deductible
30% after deductible
Emergency Room Services
20% after deductible
30% after deductible
Urgent Care
20% after deductible
30% after deductible
Primary Care/Office Visits Co-Pay
$25
30% after deductible
Specialist Visits Co-Pay
$40
30% after deductible
Imaging
20% after deductible
30% after deductible
Laboratory Outpatient and Professional Services
20% after deductible
30% after deductible
X-rays and Diagnostic Imaging
20% after deductible
30% after deductible
Ambulance
20% after deductible
30% after deductible
Hospice Care
20% after deductible
30% after deductible
Durable Medical Equipment
Not Covered
Not Covered