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Life Health > Health Insurance

Avalere: Exchange plan out-of-pocket costs vary widely

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The average deductible for an individual silver-level public exchange plan has increased 7 percent this year, to $2,658.

The Patient Protection and Affordable Care Act (PPACA) exchange plan system uses the unsubsidized price of the second-lowest-priced silver plan as a benchmark for PPACA subsidy programs.

Individual deductible levels have increased 4 percent for individual bronze plans, to $5,248; 6 percent for gold plans, to $1,080; and 23 percent for platinum plans, to $189.

Analysts at Avalere Health have reported those figures in a report based on an analysis of a database that includes information about the qualified health plans (QHPs) sold through the state-based exchanges in California and in New York, and through the exchanges with enrollment programs managed by the U.S. Department of Health and Human Services (HHS).

Open enrollment for all individual and family coverage, including coverage sold through the public exchange system and coverage sold outside the exchange system, started Oct. 15 and is set to end Feb. 15, 2015.

The deductible levels at the QHPs consumers actually purchase could be lower than the average for all plans offered.

A Web broker, eHealth Inc. (Nasdaq:EHTH), today reported that the average deductible at the PPACA-compliant plans its individual and family coverage buyers are buying is lower this year than it was during the 2014 open enrollment period.


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