Medical and Prescription Drug Deductibles for Plans Offered in Federally Facilitated or

Partnership Marketplaces for 2015

Percent of Plans Where Medical Deductible is Combined with, or Separate from, the Prescription Drug Deductible

91%

55%

37% 38%

9%

45%

63% 62%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Bronze Silver Gold Platinum

Separate

Combined

Among Federally Facilitated and Partnership Marketplaces in 2015

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 Medical Deductible, in Plans with Combined Medical and Prescription Drug Deductibles

$5,331

$2,563

$865

$69 $0

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Bronze Silver Gold Platinum

Among Federally Facilitated and Partnership Marketplaces in 2015

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 Medical Deductibles, for all Plans with Combined Medical and Prescription Drug Deductible

2%

11%

39%

48%

5% 9%

41% 38%

6% 1%

41% 46%

11%

2%

96%

4%

0%

20%

40%

60%

80%

100%

120%

$500 or less >$500 - $1500 >1500-$2500 >2500-$4000 >4000-$5500 Over $5500

Bronze Silver Gold Platinum

Among Federally Facilitated and Partnership Marketplaces in 2015

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 Medical Deductibles, for Bronze Plans with Combined Medical and Prescription Drug Deductible

0%

2%

11%

30%

33%

23%

0%

5%

10%

15%

20%

25%

30%

35%

$2000 or less >$2000 -$2500 >$2500 - $4000 >$4000 - $5000 >$5000 - $6000 Over $6000

Among Federally Facilitated and Partnership Marketplaces in 2015

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 Medical Deductibles, for Silver Plans with Combined Medical and Prescription Drug Deductibles

4%

9%

41%

38%

7%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

$0 >0 - $1500 >$1500 -$2500 >$2500 - $4000 Over $4000

Among Federally Facilitated and Partnership Marketplaces in 2015

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 Medical Deductibles, for Gold Plans with Combined Medical and Prescription Drug Deductibles

27%

14%

24%

21%

9%

5%

0%

5%

10%

15%

20%

25%

30%

$0 >0 - $500 >$500-$1000 >$1000 - $1500 >$1500 - $2000 Over $2000

Among Federally Facilitated and Partnership Marketplaces in 2015

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 Medical Deductible, in Plans with Separate Medical and Prescription Drug Deductibles

$5,372

$3,456

$1,431

$421

$0

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Bronze Silver Gold Platinum

Among Federally Facilitated and Partnership Marketplaces in 2015

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 Medical Deductibles, for all Plans with Separate Medical and Prescription Drug Deductible

2% 6%

48%

43%

2% 4%

25%

42%

20%

8%

18%

58%

14% 10%

71%

29%

0%

10%

20%

30%

40%

50%

60%

70%

80%

$500 or less >$500 - $1500 >1500-$2500 >2500-$4000 >4000-$5500 Over $5500

Bronze Silver Gold Platinum

Among Federally Facilitated and Partnership Marketplaces in 2015

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 Medical Deductibles, for Bronze Plans with Separate Medical and Prescription Drug Deductibles

2%

6%

40%

31%

19%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

$2500 or less >$2500 -$4000 >4000 - $5000 >$5000 - $6000 Over $6000

Among Federally Facilitated and Partnership Marketplaces in 2015

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 Medical Deductibles, for Silver Plans with Separate Medical and Prescription Drug Deductibles

2%

15%

31%

24%

19%

9%

0%

5%

10%

15%

20%

25%

30%

35%

$0 >$0 - $2000 $>2000 -$3000 >$3000 - $4000 >$4000 - $5000 Over $5000

Among Federally Facilitated and Partnership Marketplaces in 2015

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 Medical Deductibles, for Gold Plans with Separate Medical and Prescription Drug Deductibles

3%

15%

26%

31%

7%

18%

0%

5%

10%

15%

20%

25%

30%

35%

$0 >$0 - $500 >$500-$1000 >$1000 - $1500 >$1500 - $2000 Over $2000

Among Federally Facilitated and Partnership Marketplaces in 2015

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 Medical Deductibles, for Platinum Plans with Separate Medical and Prescription Drug Deductibles

30%

41%

29%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

$0 >$0 - $500 Over $500

Among Federally Facilitated and Partnership Marketplaces in 2015

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/

Drug Deductibles

Average Prescription Drug Deductible, for Plans with Separate Medical and Prescription Drug Deductible

$465

$335

$139 $134

$0

$50

$100

$150

$200

$250

$300

$350

$400

$450

$500

Bronze Silver Gold Platinum

Among Federally Facilitated and Partnership Marketplaces in 2015

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 Prescription Drug Deductibles, for Bronze Plans with Separate Medical and Prescription Drug Deductibles

52%

2%

10%

15%

19%

0%

10%

20%

30%

40%

50%

60%

$0 >$0 - $250 >$250 - $500 >$500 - $1000 Over $1000

Among Federally Facilitated and Partnership Marketplaces in 2015

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 Prescription Drug Deductibles, for Silver Plans with Separate Medical and Prescription Drug Deductibles

54%

8%

17% 15%

6%

0%

10%

20%

30%

40%

50%

60%

$0 >$0 - $250 >$250 - $500 >$500 - $1000 Over $1000

Among Federally Facilitated and Partnership Marketplaces in 2015

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 Prescription Drug Deductibles, for Gold Plans with Separate Medical and Prescription Drug Deductibles

61%

20% 19%

0% 0%

10%

20%

30%

40%

50%

60%

70%

$0 >$0 - $250 >$250 - $500 Over $500

Among Federally Facilitated and Partnership Marketplaces in 2015

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 Prescription Drug Deductibles, for Platinum Plans with Separate Medical and Prescription Drug Deductibles

69%

8%

22%

1%

0%

10%

20%

30%

40%

50%

60%

70%

80%

$0 >$0 - $250 >$250 - $500 Over $500

Among Federally Facilitated and Partnership Marketplaces in 2015

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/