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Emergency Room Cost Sharing
SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016
(including Hawaii, 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/
38%
12% 9%
2%
9%
33% 43% 56%
37%
32% 22%
25%
16%
22%
26%
17%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Bronze Silver Gold Platinum
Copay & Coinsurance
Coinsurance
Copayment
No Charge after Deductible
Share of Plans by Type of Emergency Room Cost Sharing
SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016
(including Hawaii, 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/
$430
$363
$284
$171
$0
$50
$100
$150
$200
$250
$300
$350
$400
$450
$500
Bronze Silver Gold Platinum
Average Emergency Room Copayments (includes plans with
'copayment' or 'both copayment & coinsurance')
SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016
(including Hawaii, 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/
34%
26%
21%
19%
0%
5%
10%
15%
20%
25%
30%
35%
40%
Bronze Silver Gold Platinum
Average Emergency Room Coinsurance Rate (includes plans with
'coinsurance' or 'both copayment & coinsurance')

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  • 2. SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016 (including Hawaii, 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/ 38% 12% 9% 2% 9% 33% 43% 56% 37% 32% 22% 25% 16% 22% 26% 17% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Bronze Silver Gold Platinum Copay & Coinsurance Coinsurance Copayment No Charge after Deductible Share of Plans by Type of Emergency Room Cost Sharing
  • 3. SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016 (including Hawaii, 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/ $430 $363 $284 $171 $0 $50 $100 $150 $200 $250 $300 $350 $400 $450 $500 Bronze Silver Gold Platinum Average Emergency Room Copayments (includes plans with 'copayment' or 'both copayment & coinsurance')
  • 4. SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016 (including Hawaii, 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/ 34% 26% 21% 19% 0% 5% 10% 15% 20% 25% 30% 35% 40% Bronze Silver Gold Platinum Average Emergency Room Coinsurance Rate (includes plans with 'coinsurance' or 'both copayment & coinsurance')