- Understanding Cost Sharing in Federal Marketplace Plans 2024
- Explore key insights into cost-sharing trends in Federal Marketplace plans for 2024, including the distribution of medical deductibles and variations between combined and separate deductibles. The analysis sheds light on the average deductibles in bronze, silver, gold, and platinum plans, providing valuable information for individuals seeking healthcare coverage.
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
You are allowed to download the files provided on this website for personal or commercial use, subject to the condition that they are used lawfully. All files are the property of their respective owners.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author.
E N D
Presentation Transcript
Cost-Sharing for Plans Offered in the Federal Marketplace for 2024 June 9, 2025 The independent source for health policy research, polling, and news.
Figure 1 Percent of Plans Where Medical Deductible is Combined or Separate from the Prescription Drug Deductible (2024) Combined Separate 100% 13% 15% 16% 90% 38% 80% 70% 60% 50% 87% 85% 84% 40% 62% 30% 20% 10% 0% Bronze Silver Gold Platinum SOURCE: KFF analysis of Marketplace plans in states with Federally Facilitated or Partnership exchanges in 2024. Data are from Healthcare.gov.
Figure 2 Average Medical Deductible in Plans with Combined Medical and Prescription Drug Deductibles (2024) $8,000 $7,258 $7,000 $6,000 $5,241 $5,000 $4,000 $3,000 $2,000 $1,430 $1,000 $97 $- Bronze Silver Gold Platinum SOURCE: KFF analysis of Marketplace plans in states with Federally Facilitated or Partnership exchanges in 2024. Data are from Healthcare.gov.
Figure 3 Average Medical Deductible in Plans with Separate Medical and Prescription Drug Deductibles (2024) $3,500 $2,968 $3,000 $2,500 $2,000 $1,500 $1,118 $988 $1,000 $500 $300 $- Bronze Silver Gold Platinum SOURCE: KFF analysis of Marketplace plans in states with Federally Facilitated or Partnership exchanges in 2024. Data are from Healthcare.gov.
Figure 4 Distribution of Medical Deductibles Among Bronze Plans, 2023 and 2024 2023 2024 60% 48% 50% 41% 38% 40% 30% 26% 20% 13% 10% 9% 8% 10% 2% 2% 1% 1% 1% 0% 0% $0 $1-$1,500 $1,501-$3,000 $3,001-$4,500 $4,501-$6,000 $6,001-$7,500 $7,501 or more SOURCE: KFF analysis of Marketplace plans in states with Federally Facilitated or Partnership exchanges in 2023 and 2024. Data are from Healthcare.gov.
Figure 5 Distribution of Medical Deductibles Among Silver Plans, 2023 and 2024 2023 2024 60% 48% 50% 45% 40% 30% 22% 20% 16% 13% 12% 9% 8% 8% 10% 7% 7% 2% 1% 1% 0% $0 $1-$1,500 $1,501-$3,000 $3,001-$4,500 $4,501-$6,000 $6,001-$7,500 $7,501 or more SOURCE: KFF analysis of Marketplace plans in states with Federally Facilitated or Partnership exchanges in 2023 and 2024. Data are from Healthcare.gov. NOTE: Total may not sum to 100% due to rounding
Figure 6 Distribution of Medical Deductibles Among All Marketplace Plans, 2023 and 2024 2023 2024 25% 21% 21% 21% 21% 20% 19% 17% 16% 15% 11% 11% 9% 9% 10% 9% 8% 8% 5% 0% $0 $1-$1,500 $1,501-$3,000 $3,001-$4,500 $4,501-$6,000 $6,001-$7,500 $7,501 or more SOURCE: KFF analysis of Marketplace plans in states with Federally Facilitated or Partnership exchanges in 2023 and 2024. Data are from Healthcare.gov. NOTE: Total may not sum to 100% due to rounding.
Figure 7 Average Medical Deductible in Plans with Combined Medical and Prescription Drug Deductibles (2024) $6,000 $5,241 $5,000 $4,527 $4,000 $3,000 $2,000 $737 $1,000 $90 $- Silver with no CSR: Incomes over 250% of FPL (over $36,450 for a single individual) Silver, CSR 73% AV: Incomes above 200% up to 250% of FPL (above $29,160 up to $36,450 for a single individual) Silver, CSR 87% AV: Incomes above 150% up to 200% of FPL (above $21,870 up to $29,160 for a single individual) Silver, CSR 94% AV: Incomes 100%-150% of FPL ($14,580-$21,870 for a single individual) SOURCE: KFF analysis of Marketplace plans in states with Federally Facilitated or Partnership exchanges in 2024. Data are from Healthcare.gov. NOTE: FPL refers to Federal Poverty Level. CSR refers to Cost-Sharing Reduction. AV refers to Actuarial Value. Income cut-offs are poverty thresholds for a household of one.
Figure 8 Average Medical Deductible in Plans with Separate Medical and Prescription Drug Deductibles (2024) $3,500 $2,968 $3,000 $2,600 $2,500 $2,000 $1,500 $1,000 $556 $500 $144 $- Silver with no CSR: Incomes over 250% of FPL (over $36,450 for a single individual) Silver, CSR 73% AV: Incomes above 200% up to 250% of FPL (above $29,160 up to $36,450 for a single individual) Silver, CSR 87% AV: Incomes above 150% up to 200% of FPL (above $21,870 up to $29,160 for a single individual) Silver, CSR 94% AV: Incomes 100%-150% of FPL ($14,580-$21,870 for a single individual) SOURCE: KFF analysis of Marketplace plans in states with Federally Facilitated or Partnership exchanges in 2024. Data are from Healthcare.gov. NOTE: FPL refers to Federal Poverty Level. CSR refers to Cost-Sharing Reduction. AV refers to Actuarial Value. Income cut-offs are poverty thresholds for a household of one.
Figure 9 Average Out-of-Pocket Limit in Plans with Combined Limit for Medical and Prescription Drug Cost Sharing (2024) $10,000 $8,754 $9,000 $8,000 $7,107 $7,000 $6,000 $5,000 $4,000 $2,809 $3,000 $2,000 $1,388 $1,000 $- Silver with no CSR: Incomes over 250% of FPL (over $36,450 for a single individual) Silver, CSR 73% AV: Incomes above 200% up to 250% of FPL (above $29,160 up to $36,450 for a single individual) Silver, CSR 87% AV: Incomes above 150% up to 200% of FPL (above $21,870 up to $29,160 for a single individual) Silver, CSR 94% AV: Incomes 100%-150% of FPL ($14,580-$21,870 for a single individual) SOURCE: KFF analysis of Marketplace plans in states with Federally Facilitated or Partnership exchanges in 2024. Data are from Healthcare.gov. NOTE: FPL refers to Federal Poverty Level. CSR refers to Cost-Sharing Reduction. AV refers to Actuarial Value. Income cut-offs are poverty thresholds for a household of one.
