Cost-sharing for plans offered in the Federal Marketplace for 2014

1. Cost-Sharing for Plans Offered in
the Federal Marketplace for 2014

2. SOURCE: Kaiser Family Foundation analysis of Marketplace plans in states with Federally Facilitated or Partnership
exchanges in 2014. Data are from Healthcare.gov. Health plan information for individuals and families available here:
https://www.healthcare.gov/health-plan-information-2014/
88%
49%
37%
15%
12%
51%
63%
85%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Bronze Silver Gold Platinum
Separate
Combined
Percent of Plans Where Medical Deductible is Combined with
or Separate from the Prescription Drug Deductible (2014)
Figure 1

3. SOURCE: Kaiser Family Foundation analysis of Marketplace plans in states with Federally Facilitated or Partnership
exchanges in 2014. Data are from Healthcare.gov. Health plan information for individuals and families available here:
https://www.healthcare.gov/health-plan-information-2014/
$5,113
$2,425
$1,101
$321
$0
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
Bronze Silver Gold Platinum
Average Medical Deductible, in Plans with Combined Medical
and Prescription Drug Deductibles (2014)
Figure 2

4. SOURCE: Kaiser Family Foundation analysis of Marketplace plans in states with Federally Facilitated or Partnership
exchanges in 2014. Data are from Healthcare.gov. Health plan information for individuals and families available here:
https://www.healthcare.gov/health-plan-information-2014/
$4,565
$3,201
$1,305
$412
$0
$500
$1,000
$1,500
$2,000
$2,500
$3,000
$3,500
$4,000
$4,500
$5,000
Bronze Silver Gold Platinum
Average Medical Deductible In Plans with Separate Medical
and Prescription Drug Deductibles (2014)
Figure 3

5. SOURCE: Kaiser Family Foundation analysis of Marketplace plans in states with Federally Facilitated or Partnership
exchanges in 2014. Data are from Healthcare.gov. Health plan information for individuals and families available here:
https://www.healthcare.gov/health-plan-information-2014/. FPL refers to Federal Poverty Level. CSR refers to Cost-Sharing
Reduction. AV refers to Actuarial Value. Income cut-offs are poverty thresholds for a household of one.
$2,425
$1,949
$582
$183
$0
$500
$1,000
$1,500
$2,000
$2,500
$3,000
Silver with no CSR:
Incomes over 250% of FPL
(over $28,725 for a single
individual)
Silver, CSR 73% AV:
Incomes 200%-250% of FPL
($22,980-$28,725 for a single
individual)
Silver, CSR 87% AV:
Incomes 150%-200% of FPL
($17,235-$22,980 for a single
individual)
Silver, CSR 94% AV:
Incomes 100%-150% of FPL
($11,490-$17,235 for a single
individual)
Average Medical Deductible In Plans with Combined Medical
and Prescription Drug Deductible (2014)
Figure 4

6. SOURCE: Kaiser Family Foundation analysis of Marketplace plans in states with Federally Facilitated or Partnership
exchanges in 2014. Data are from Healthcare.gov. Health plan information for individuals and families available here:
https://www.healthcare.gov/health-plan-information-2014/. FPL refers to Federal Poverty Level. CSR refers to Cost-Sharing
Reduction. AV refers to Actuarial Value. Income cut-offs are poverty thresholds for a household of one.
$3,201
$2,654
$650
$162
$0
$500
$1,000
$1,500
$2,000
$2,500
$3,000
$3,500
Silver with no CSR:
Incomes over 250% of FPL
(over $28,725 for a single
individual)
Silver, CSR 73% AV:
Incomes 200%-250% of FPL
($22,980-$28,725 for a single
individual)
Silver, CSR 87% AV:
Incomes 150%-200% of FPL
($17,235-$22,980 for a single
individual)
Silver, CSR 94% AV:
Incomes 100%-150% of FPL
($11,490-$17,235 for a single
individual)
Average Medical Deductible In Plans with Separate Medical
and Prescription Drug Deductibles (2014)
Figure 5

7. SOURCE: Kaiser Family Foundation analysis of Marketplace plans in states with Federally Facilitated or Partnership
exchanges in 2014. Data are from Healthcare.gov. Health plan information for individuals and families available here:
https://www.healthcare.gov/health-plan-information-2014/. FPL refers to Federal Poverty Level. CSR refers to Cost-Sharing
Reduction. AV refers to Actuarial Value. Income cut-offs are poverty thresholds for a household of one.
$5,779
$4,613
$1,776
$1,039
$0
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
$7,000
Silver with no CSR:
Incomes over 250% of FPL
(over $28,725 for a single
individual)
Silver, CSR 73% AV:
Incomes 200%-250% of FPL
($22,980-$28,725 for a single
individual)
Silver, CSR 87% AV:
Incomes 150%-200% of FPL
($17,235-$22,980 for a single
individual)
Silver, CSR 94% AV:
Incomes 100%-150% of FPL
($11,490-$17,235 for a single
individual)
Average Out-Of-Pocket Limit In Plans with Combined Limit for
Medical and Prescription Drug Cost Sharing (2014)
Figure 6