The typical public exchange plan user may have a household income low enough to qualify for substantial premium subsidies – and even cost-sharing reduction subsidies.
Paul Houchens, an actuary at Milliman, looks at exchange qualified health plan (QHP) users in a presentation he prepared for the Indiana chapter of the Healthcare Financial Management Association.
Consumers who buy eligible individual QHP coverage through a Patient Protection and Affordable Care Act (PPACA) exchange may qualify for PPACA premium subsidies. They also may qualify for cost-sharing reduction subsidies, or subsidies that help reduce a consumer’s out-of-pocket costs.
In Indiana, the federal poverty level income is $19,790 for a three-person family.