Cost-sharing for Plans Offered in the Federal Marketplace for 2020

1. Cost-Sharing for Plans Offered in
the Federal Marketplace for 2020

2. 92%
77%
65%
43%
8%
23%
35%
57%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Bronze Silver Gold Platinum
Combined Separate
SOURCE: Kaiser Family Foundation analysis of Marketplace plans in states with Federally Facilitated or Partnership exchanges in 2020 (including
Arkansas, New Mexico, Oregon, and Kentucky). Data are from Healthcare.gov. Health plan information for individuals and families available here:
https://www.healthcare.gov/health-plan-information-2020/
Percent of Plans Where Medical Deductible is Combined with or Separate from
the Prescription Drug Deductible (2020)
Figure 1

3. $6,506
$4,544
$1,519
$28
$0
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
$7,000
Bronze Silver Gold Platinum
SOURCE: Kaiser Family Foundation analysis of Marketplace plans in states with Federally Facilitated or Partnership exchanges in 2020 (including
Arkansas, New Mexico, Oregon, and Kentucky). Data are from Healthcare.gov. Health plan information for individuals and families available here:
https://www.healthcare.gov/health-plan-information-2020/
Average Medical Deductible, in Plans with Combined Medical and Prescription
Drug Deductibles (2020)
Figure 2

4. $4,683
$4,546
$1,406
$365
$0
$500
$1,000
$1,500
$2,000
$2,500
$3,000
$3,500
$4,000
$4,500
$5,000
Bronze Silver Gold Platinum
SOURCE: Kaiser Family Foundation analysis of Marketplace plans in states with Federally Facilitated or Partnership exchanges in 2020 (including
Arkansas, New Mexico, Oregon, and Kentucky). Data are from Healthcare.gov. Health plan information for individuals and families available here:
https://www.healthcare.gov/health-plan-information-2020/
Average Medical Deductible In Plans with Separate Medical and Prescription
Drug Deductibles (2020)
Figure 3

5. $4,544
$3,268
$762
$209
$0
$500
$1,000
$1,500
$2,000
$2,500
$3,000
$3,500
$4,000
$4,500
$5,000
Silver with no CSR:
Incomes over 250% of FPL
(over $31,225 for a single individual)
Silver, CSR 73% AV:
Incomes 200%-250% of FPL
($24,980-$31,225 for a single individual)
Silver, CSR 87% AV:
Incomes 150%-200% of FPL
($18,735-$24,980 for a single individual)
Silver, CSR 94% AV:
Incomes 100%-150% of FPL
($12,490-$18,735 for a single individual)
SOURCE: Kaiser Family Foundation analysis of Marketplace plans in states with Federally Facilitated or Partnership exchanges in 2020 (including Arkansas, New
Mexico, Oregon, and Kentucky). Data are from Healthcare.gov. Health plan information for individuals and families available here:
https://www.healthcare.gov/health-plan-information-2020/. 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.
Average Medical Deductible In Plans with Combined Medical and Prescription
Drug Deductible (2020)
Figure 4

6. $4,546
$3,605
$785
$182
$0
$500
$1,000
$1,500
$2,000
$2,500
$3,000
$3,500
$4,000
$4,500
$5,000
Silver with no CSR:
Incomes over 250% of FPL
(over $31,225 for a single individual)
Silver, CSR 73% AV:
Incomes 200%-250% of FPL
($24,980-$31,225 for a single individual)
Silver, CSR 87% AV:
Incomes 150%-200% of FPL
($18,735-$24,980 for a single individual)
Silver, CSR 94% AV:
Incomes 100%-150% of FPL
($12,490-$18,735 for a single individual)
SOURCE: Kaiser Family Foundation analysis of Marketplace plans in states with Federally Facilitated or Partnership exchanges in 2020 (including Arkansas, New
Mexico, Oregon, and Kentucky). Data are from Healthcare.gov. Health plan information for individuals and families available here:
https://www.healthcare.gov/health-plan-information-2020/. 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.
Average Medical Deductible In Plans with Separate Medical and Prescription
Drug Deductibles (2020)
Figure 5

7. $7,735
$6,243
$2,362
$1,187
$0
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
$7,000
$8,000
$9,000
Silver with no CSR:
Incomes over 250% of FPL
(over $31,225 for a single individual)
Silver, CSR 73% AV:
Incomes 200%-250% of FPL
($24,980-$31,225 for a single individual)
Silver, CSR 87% AV:
Incomes 150%-200% of FPL
($18,735-$24,980 for a single individual)
Silver, CSR 94% AV:
Incomes 100%-150% of FPL
($12,490-$18,735 for a single individual)
SOURCE: Kaiser Family Foundation analysis of Marketplace plans in states with Federally Facilitated or Partnership exchanges in 2020 (including Arkansas, New
Mexico, Oregon, and Kentucky). Data are from Healthcare.gov. Health plan information for individuals and families available here:
https://www.healthcare.gov/health-plan-information-2020/. 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.
Average Out-Of-Pocket Limit In Plans with Combined Limit for Medical and
Prescription Drug Cost Sharing (2020)
Figure 6