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Inpatient Facility Cost Sharing

Inpatient Facility Cost Sharing

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Inpatient Facility Cost Sharing

  1. 1. Inpatient Facility Cost Sharing
  2. 2. SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 37 states with Federally Facilitated or Partnership exchanges in 2015 (including 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/ Share of Plans by Type of Inpatient Facility Cost Sharing 4% 35% 15% 8% 4% 9% 13% 14% 12% 52% 61% 68% 79% 4% 12% 9% 1% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Bronze Silver Gold Platinum Copay & Coinsurance Coinsurance Copayment No Charge after Deductible No Charge SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 37 states with Federally Facilitated or Partnership exchanges in 2015 (including 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/
  3. 3. SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 37 states with Federally Facilitated or Partnership exchanges in 2015 (including 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/ Inpatient Facility Average Copayments (includes plans with both copayments and coinsurance) $780 $936 $502 $269 $456 $511 $323 $321 $0 $100 $200 $300 $400 $500 $600 $700 $800 $900 $1,000 Bronze Silver Gold Platinum Per Day Per Stay
  4. 4. SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 37 states with Federally Facilitated or Partnership exchanges in 2015 (including 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 Inpatient Facility Copayments 7% 49% 6% 46% 19% 77% 48% 71% 27% 44% 34% 46% 47% 17% 52% 29% 20% 2% 15% 1% 19% 3% 0% 0% 33% 2% 29% 2% 16% 0% 0% 13% 2% 17% 5% 2% 0% 0% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Bronze per day Bronze per stay Silver per daySilver per stay Gold per day Gold per stay Platinum per day Platinum per stay Over $1000 >$750 - $1000 >$500 - $750 >$250 - $500 $250 or less
  5. 5. SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 37 states with Federally Facilitated or Partnership exchanges in 2015 (including 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 Inpatient Facility Coinsurance Rate 32% 28% 20% 20% 0% 5% 10% 15% 20% 25% 30% 35% Bronze Silver Gold Platinum
  6. 6. SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 37 states with Federally Facilitated or Partnership exchanges in 2015 (including 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 Inpatient Facility Coinsurance Rates 5% 7% 15% 23% 52% 73% 84% 74% 25% 8% 1% 18% 12% 1% 3%1% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Bronze Silver Gold Platinum Over 50% >40%-50% >30% - 40% >20% - 30% 20% or less

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