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Medical and prescription drug deductibles

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Medical and prescription drug deductibles

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Medical and Prescription Drug Deductibles
SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016 (including Hawaii, New Mexico, Oregon, and Nevada). Data are from Healthcare.gov Health plan information for individuals and families available here: https://www.healthcare.gov/health-plan-information/ Percent of Plans Where Medical Deductible is Combined with or Separate from the Prescription Drug Deductible 89% 56% 43% 27% 11% 44% 57% 73% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Bronze Silver Gold Platinum Separate Combined
SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016 (including Hawaii, New Mexico, Oregon, and Nevada). Data are from Healthcare.gov Health plan information for individuals and families available here: https://www.healthcare.gov/health-plan-information/ Average Medical Deductible, in Plans with Combined Medical and Prescription Drug Deductibles $5,765 $3,064 $1,247 $21 $0 $1,000 $2,000 $3,000 $4,000 $5,000 $6,000 $7,000 Bronze Silver Gold Platinum
SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016 (including Hawaii, New Mexico, Oregon, and Nevada). Data are from Healthcare.gov Health plan information for individuals and families available here: https://www.healthcare.gov/health-plan-information/ Distribution of Medical Deductibles, for all Plans with Combined Medical and Prescription Drug Deductible <1% <1% 6% 32% 62% 2% 6% 31% 43% 12% 5% 19% 56% 18% 7% 100% 0% 20% 40% 60% 80% 100% 120% $500 or less >$500 - $1500 >1500-$2500 >2500-$4000 >4000-$5500 Over $5500 Bronze Silver Gold Platinum
SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016 (including Hawaii, New Mexico, Oregon, and Nevada). Data are from Healthcare.gov Health plan information for individuals and families available here: https://www.healthcare.gov/health-plan-information/ Distribution of Medical Deductibles, for Bronze Plans with Combined Medical and Prescription Drug Deductible <1% 6% 22% 24% 24% 23% 0% 5% 10% 15% 20% 25% 30% $2500 or less >$2500 - $4000 >$4000 - $5000 >$5000 - $6000 >$6000 - $6500 Over $6500
SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016 (including Hawaii, New Mexico, Oregon, and Nevada). Data are from Healthcare.gov Health plan information for individuals and families available here: https://www.healthcare.gov/health-plan-information/ Distribution of Medical Deductibles, for Silver Plans with Combined Medical and Prescription Drug Deductibles 2% 7% 31% 43% 17% 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% $0 >0 - $1500 >$1500 -$2500 >$2500 - $4000 Over $4000
SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016 (including Hawaii, New Mexico, Oregon, and Nevada). Data are from Healthcare.gov Health plan information for individuals and families available here: https://www.healthcare.gov/health-plan-information/ Distribution of Medical Deductibles, for Gold Plans with Combined Medical and Prescription Drug Deductibles 7% 12% 31% 25% 11% 14% 0% 5% 10% 15% 20% 25% 30% 35% $0 >0 - $500 >$500-$1000 >$1000 - $1500 >$1500 - $2000 Over $2000
SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016 (including Hawaii, New Mexico, Oregon, and Nevada). Data are from Healthcare.gov Health plan information for individuals and families available here: https://www.healthcare.gov/health-plan-information/ Distribution of Medical Deductibles for Platinum Plans with Combined Medical and Prescription Drug Deductibles 88% 12% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% $0 >0 - $500
SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016 (including Hawaii, New Mexico, Oregon, and Nevada). Data are from Healthcare.gov Health plan information for individuals and families available here: https://www.healthcare.gov/health-plan-information/ Average Medical Deductible In Plans with Separate Medical and Prescription Drug Deductibles $5,500 $3,198 $1,136 $409 $0 $1,000 $2,000 $3,000 $4,000 $5,000 $6,000 Bronze Silver Gold Platinum
SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016 (including Hawaii, New Mexico, Oregon, and Nevada). Data are from Healthcare.gov Health plan information for individuals and families available here: https://www.healthcare.gov/health-plan-information/ Distribution of Medical Deductibles, for all Plans with Separate Medical and Prescription Drug Deductible 1% 12% 37% 50% 2% 4% 34% 40% 19% 1% 23% 61% 14% 2% 80% 20% 0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 $500 or less >$500 - $1500 >1500-$2500 >2500-$4000 >4000-$5500 Over $5500 Bronze Silver Gold Platinum
SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016 (including Hawaii, New Mexico, Oregon, and Nevada). Data are from Healthcare.gov Health plan information for individuals and families available here: https://www.healthcare.gov/health-plan-information/ Distribution of Medical Deductibles, for Bronze Plans with Separate Medical and Prescription Drug Deductibles 1% 12% 25% 24% 38% 0% 5% 10% 15% 20% 25% 30% 35% 40% $2500 or less >$2500 -$4000 >4000 - $5000 >$5000 - $6000 Over $6000
SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016 (including Hawaii, New Mexico, Oregon, and Nevada). Data are from Healthcare.gov Health plan information for individuals and families available here: https://www.healthcare.gov/health-plan-information/ Distribution of Medical Deductibles, for Silver Plans with Separate Medical and Prescription Drug Deductibles 1% 19% 29% 30% 16% 5% 0% 5% 10% 15% 20% 25% 30% 35% $0 >$0 - $2000 $>2000 -$3000 >$3000 - $4000 >$4000 - $5000 Over $5000
SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016 (including Hawaii, New Mexico, Oregon, and Nevada). Data are from Healthcare.gov Health plan information for individuals and families available here: https://www.healthcare.gov/health-plan-information/ Distribution of Medical Deductibles, for Gold Plans with Separate Medical and Prescription Drug Deductibles 8% 15% 34% 27% 8% 8% 0% 5% 10% 15% 20% 25% 30% 35% 40% $0 >$0 - $500 >$500-$1000 >$1000 - $1500 >$1500 - $2000 Over $2000
SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016 (including Hawaii, New Mexico, Oregon, and Nevada). Data are from Healthcare.gov Health plan information for individuals and families available here: https://www.healthcare.gov/health-plan-information/ Distribution of Medical Deductibles, for Platinum Plans with Separate Medical and Prescription Drug Deductibles 27% 53% 20% 0% 10% 20% 30% 40% 50% 60% $0 >$0 - $500 Over $500

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Medical and prescription drug deductibles

  • 1. Medical and Prescription Drug Deductibles
  • 2. SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016 (including Hawaii, New Mexico, Oregon, and Nevada). Data are from Healthcare.gov Health plan information for individuals and families available here: https://www.healthcare.gov/health-plan-information/ Percent of Plans Where Medical Deductible is Combined with or Separate from the Prescription Drug Deductible 89% 56% 43% 27% 11% 44% 57% 73% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Bronze Silver Gold Platinum Separate Combined
  • 3. SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016 (including Hawaii, New Mexico, Oregon, and Nevada). Data are from Healthcare.gov Health plan information for individuals and families available here: https://www.healthcare.gov/health-plan-information/ Average Medical Deductible, in Plans with Combined Medical and Prescription Drug Deductibles $5,765 $3,064 $1,247 $21 $0 $1,000 $2,000 $3,000 $4,000 $5,000 $6,000 $7,000 Bronze Silver Gold Platinum
  • 4. SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016 (including Hawaii, New Mexico, Oregon, and Nevada). Data are from Healthcare.gov Health plan information for individuals and families available here: https://www.healthcare.gov/health-plan-information/ Distribution of Medical Deductibles, for all Plans with Combined Medical and Prescription Drug Deductible <1% <1% 6% 32% 62% 2% 6% 31% 43% 12% 5% 19% 56% 18% 7% 100% 0% 20% 40% 60% 80% 100% 120% $500 or less >$500 - $1500 >1500-$2500 >2500-$4000 >4000-$5500 Over $5500 Bronze Silver Gold Platinum
  • 5. SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016 (including Hawaii, New Mexico, Oregon, and Nevada). Data are from Healthcare.gov Health plan information for individuals and families available here: https://www.healthcare.gov/health-plan-information/ Distribution of Medical Deductibles, for Bronze Plans with Combined Medical and Prescription Drug Deductible <1% 6% 22% 24% 24% 23% 0% 5% 10% 15% 20% 25% 30% $2500 or less >$2500 - $4000 >$4000 - $5000 >$5000 - $6000 >$6000 - $6500 Over $6500
  • 6. SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016 (including Hawaii, New Mexico, Oregon, and Nevada). Data are from Healthcare.gov Health plan information for individuals and families available here: https://www.healthcare.gov/health-plan-information/ Distribution of Medical Deductibles, for Silver Plans with Combined Medical and Prescription Drug Deductibles 2% 7% 31% 43% 17% 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% $0 >0 - $1500 >$1500 -$2500 >$2500 - $4000 Over $4000
  • 7. SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016 (including Hawaii, New Mexico, Oregon, and Nevada). Data are from Healthcare.gov Health plan information for individuals and families available here: https://www.healthcare.gov/health-plan-information/ Distribution of Medical Deductibles, for Gold Plans with Combined Medical and Prescription Drug Deductibles 7% 12% 31% 25% 11% 14% 0% 5% 10% 15% 20% 25% 30% 35% $0 >0 - $500 >$500-$1000 >$1000 - $1500 >$1500 - $2000 Over $2000
  • 8. SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016 (including Hawaii, New Mexico, Oregon, and Nevada). Data are from Healthcare.gov Health plan information for individuals and families available here: https://www.healthcare.gov/health-plan-information/ Distribution of Medical Deductibles for Platinum Plans with Combined Medical and Prescription Drug Deductibles 88% 12% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% $0 >0 - $500
  • 9. SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016 (including Hawaii, New Mexico, Oregon, and Nevada). Data are from Healthcare.gov Health plan information for individuals and families available here: https://www.healthcare.gov/health-plan-information/ Average Medical Deductible In Plans with Separate Medical and Prescription Drug Deductibles $5,500 $3,198 $1,136 $409 $0 $1,000 $2,000 $3,000 $4,000 $5,000 $6,000 Bronze Silver Gold Platinum
  • 10. SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016 (including Hawaii, New Mexico, Oregon, and Nevada). Data are from Healthcare.gov Health plan information for individuals and families available here: https://www.healthcare.gov/health-plan-information/ Distribution of Medical Deductibles, for all Plans with Separate Medical and Prescription Drug Deductible 1% 12% 37% 50% 2% 4% 34% 40% 19% 1% 23% 61% 14% 2% 80% 20% 0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 $500 or less >$500 - $1500 >1500-$2500 >2500-$4000 >4000-$5500 Over $5500 Bronze Silver Gold Platinum
  • 11. SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016 (including Hawaii, New Mexico, Oregon, and Nevada). Data are from Healthcare.gov Health plan information for individuals and families available here: https://www.healthcare.gov/health-plan-information/ Distribution of Medical Deductibles, for Bronze Plans with Separate Medical and Prescription Drug Deductibles 1% 12% 25% 24% 38% 0% 5% 10% 15% 20% 25% 30% 35% 40% $2500 or less >$2500 -$4000 >4000 - $5000 >$5000 - $6000 Over $6000
  • 12. SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016 (including Hawaii, New Mexico, Oregon, and Nevada). Data are from Healthcare.gov Health plan information for individuals and families available here: https://www.healthcare.gov/health-plan-information/ Distribution of Medical Deductibles, for Silver Plans with Separate Medical and Prescription Drug Deductibles 1% 19% 29% 30% 16% 5% 0% 5% 10% 15% 20% 25% 30% 35% $0 >$0 - $2000 $>2000 -$3000 >$3000 - $4000 >$4000 - $5000 Over $5000
  • 13. SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016 (including Hawaii, New Mexico, Oregon, and Nevada). Data are from Healthcare.gov Health plan information for individuals and families available here: https://www.healthcare.gov/health-plan-information/ Distribution of Medical Deductibles, for Gold Plans with Separate Medical and Prescription Drug Deductibles 8% 15% 34% 27% 8% 8% 0% 5% 10% 15% 20% 25% 30% 35% 40% $0 >$0 - $500 >$500-$1000 >$1000 - $1500 >$1500 - $2000 Over $2000
  • 14. SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016 (including Hawaii, New Mexico, Oregon, and Nevada). Data are from Healthcare.gov Health plan information for individuals and families available here: https://www.healthcare.gov/health-plan-information/ Distribution of Medical Deductibles, for Platinum Plans with Separate Medical and Prescription Drug Deductibles 27% 53% 20% 0% 10% 20% 30% 40% 50% 60% $0 >$0 - $500 Over $500