Inpatient Facility Cost Sharing
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/
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
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 perday
Bronze perstay
Silver per day Silver per stay Gold per day Gold per stay Platinum perday
Platinum perstay
Over $1000
>$750 - $1000
>$500 - $750
>$250 - $500
$250 or less
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
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