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Out-of-Pocket Maximums
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 Out-Of-Pocket Limit In Plans with Combined Limit for
Medical and Prescription Drug Cost Sharing
$6,646
$6,160
$4,762
$2,437
$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/
7%
72%
9%
42%
15%
53%
56%
36%
8%
47%
35%
16%
5%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Bronze Silver Gold Platinum
$6,850
>$4,500 to < $6,850
>$2,500 to $4,500
>$500 to $2,500
Distribution of Out-Of-Pocket Limits In Plans with Combined Limit for
Medical and Prescription Drug Cost Sharing

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Out-of-Pocket Maximums by Plan Level

  • 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/ Average Out-Of-Pocket Limit In Plans with Combined Limit for Medical and Prescription Drug Cost Sharing $6,646 $6,160 $4,762 $2,437 $0 $1,000 $2,000 $3,000 $4,000 $5,000 $6,000 $7,000 Bronze Silver Gold Platinum
  • 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/ 7% 72% 9% 42% 15% 53% 56% 36% 8% 47% 35% 16% 5% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Bronze Silver Gold Platinum $6,850 >$4,500 to < $6,850 >$2,500 to $4,500 >$500 to $2,500 Distribution of Out-Of-Pocket Limits In Plans with Combined Limit for Medical and Prescription Drug Cost Sharing