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