In the health insurance marketplace, what percentage of coverage does the Gold tier provide?

Prepare for the North Dakota Health Insurance Exam with questions designed to enhance learning and confidence. Understand key concepts and get ready for your licensing test!

The Gold tier in the health insurance marketplace provides 80% coverage for essential health benefits. This means that, on average, a Gold plan will cover 80% of your medical expenses, while the insured individual is responsible for the remaining 20% in costs such as deductibles, copayments, and coinsurance.

This tier is designed for individuals who expect to need more medical care and prefer to pay a higher premium for lower out-of-pocket costs when they do seek care. The Gold tier offers a balance between monthly premium costs and potential out-of-pocket expenses, making it an attractive option for those who want substantial coverage without incurring the highest premiums associated with the Platinum tier, which offers 90% coverage.

In the context of health insurance tiers, 60% coverage corresponds to the Bronze tier and 70% corresponds to the Silver tier, both of which involve higher costs to the insured for healthcare services compared to the Gold tier.

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