I'm on Silver for both medical and dental, and bronze for vision. Something I noticed this last year is that dental silver vs gold are identical except for provisions for braces, so unless you're going to get braces, don't bother going for gold. Also re: vision, I went for the cheapest plan because I realized it would cost more to pay for the plan than to just pay out of pocket for glasses. Medical wise, I go to therapy every week, and mental health visits don't apply to my deductible-- aka every visit has a 30$ copay instead of having to shell out the full amount until i use up my deductible.