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Im Bob greyboys Senior research fellow at the marcada center at George Mason University and today Im going to explain to you one of the oddest Provisions in the Thousand pages of the Affordable Care Act health insurance helps us pay our medical bills the percentage of our bills that a particular plan pays is called that plans Actuarial value or AV a plan with an AV of 74 on average pays 74% of your bills if you had a plan with an AV of 100 it would pay every penny of your bills now up until 2013 any AV at all was fine for a health insurance plan but because of the ACA starting in 2014 all plans have to fit within four narrow metallic bands bronze plan has to have an AV between 58 and 62 silver between 68 and 72 gold 78 to 82 and a platinum plan has to have an AV between 88 and 92 every plan has to fit within one of these four narrow bands lets think about this so if your plan pays 57% of your bills well thats subpar then pay up 59% is okay 61% is okay but if its 63% once again it