This health insurance plan is a specific offering from a major insurer operating within California. It represents a Silver-tier plan, indicating a particular level of coverage and cost-sharing. The “70” signifies that, on average, the plan pays for 70% of covered healthcare expenses, with the member responsible for the remaining 30% through deductibles, copayments, and coinsurance. The “PPO” designation indicates a Preferred Provider Organization, allowing members to seek care from in-network providers at a lower cost, while also offering the flexibility to see out-of-network providers, typically at a higher cost.
Plans like this provide individuals and families with access to healthcare services, offering financial protection against unexpected medical costs. The tiered structure allows consumers to choose a plan that best aligns with their healthcare needs and budget. The inclusion of a PPO network is often viewed as a benefit, providing a balance between cost savings and freedom of choice regarding healthcare providers. These types of plans have evolved alongside the Affordable Care Act, designed to increase access to health insurance and offer standardized benefit packages.
