Medical and prescription drug deductibles

1. Medical and Prescription Drug Deductibles

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/
Percent of Plans Where Medical Deductible is Combined with or
Separate from the Prescription Drug Deductible
89%
56%
43%
27%
11%
44%
57%
73%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Bronze Silver Gold Platinum
Separate
Combined

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/
Average Medical Deductible, in Plans with Combined Medical and
Prescription Drug Deductibles
$5,765
$3,064
$1,247
$21
$0
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
$7,000
Bronze Silver Gold Platinum

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/
Distribution of Medical Deductibles, for all Plans with Combined
Medical and Prescription Drug Deductible
<1% <1%
6%
32%
62%
2%
6%
31%
43%
12%
5%
19%
56%
18%
7%
100%
0%
20%
40%
60%
80%
100%
120%
$500 or less >$500 - $1500 >1500-$2500 >2500-$4000 >4000-$5500 Over $5500
Bronze Silver Gold Platinum

5. 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/
Distribution of Medical Deductibles, for Bronze Plans with Combined
Medical and Prescription Drug Deductible
<1%
6%
22%
24% 24%
23%
0%
5%
10%
15%
20%
25%
30%
$2500 or less >$2500 - $4000 >$4000 - $5000 >$5000 - $6000 >$6000 - $6500 Over $6500

6. 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/
Distribution of Medical Deductibles, for Silver Plans with Combined
Medical and Prescription Drug Deductibles
2%
7%
31%
43%
17%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
$0 >0 - $1500 >$1500 -$2500 >$2500 - $4000 Over $4000

7. 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/
Distribution of Medical Deductibles, for Gold Plans with Combined
Medical and Prescription Drug Deductibles
7%
12%
31%
25%
11%
14%
0%
5%
10%
15%
20%
25%
30%
35%
$0 >0 - $500 >$500-$1000 >$1000 - $1500 >$1500 - $2000 Over $2000

8. 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/
Distribution of Medical Deductibles for Platinum Plans with
Combined Medical and Prescription Drug Deductibles
88%
12%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
$0 >0 - $500

9. 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/
Average Medical Deductible In Plans with Separate Medical and
Prescription Drug Deductibles
$5,500
$3,198
$1,136
$409
$0
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
Bronze Silver Gold Platinum

10. 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/
Distribution of Medical Deductibles, for all Plans with Separate
Medical and Prescription Drug Deductible
1%
12%
37%
50%
2%
4%
34%
40%
19%
1%
23%
61%
14%
2%
80%
20%
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
0.9
$500 or less >$500 - $1500 >1500-$2500 >2500-$4000 >4000-$5500 Over $5500
Bronze Silver Gold Platinum

11. 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/
Distribution of Medical Deductibles, for Bronze Plans with
Separate Medical and Prescription Drug Deductibles
1%
12%
25%
24%
38%
0%
5%
10%
15%
20%
25%
30%
35%
40%
$2500 or less >$2500 -$4000 >4000 - $5000 >$5000 - $6000 Over $6000

12. 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/
Distribution of Medical Deductibles, for Silver Plans with Separate
Medical and Prescription Drug Deductibles
1%
19%
29%
30%
16%
5%
0%
5%
10%
15%
20%
25%
30%
35%
$0 >$0 - $2000 $>2000 -$3000 >$3000 - $4000 >$4000 - $5000 Over $5000

13. 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/
Distribution of Medical Deductibles, for Gold Plans with Separate
Medical and Prescription Drug Deductibles
8%
15%
34%
27%
8% 8%
0%
5%
10%
15%
20%
25%
30%
35%
40%
$0 >$0 - $500 >$500-$1000 >$1000 - $1500 >$1500 - $2000 Over $2000

14. 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/
Distribution of Medical Deductibles, for Platinum Plans with
Separate Medical and Prescription Drug Deductibles
27%
53%
20%
0%
10%
20%
30%
40%
50%
60%
$0 >$0 - $500 Over $500