2015 Obamacare Rate Filings Reveal Out-of-Pocket Cost Changes

A recent HealthPocket study finds that deductibles and other out-of-pocket costs are changing inconsistently among the four categories of Obamacare plans: bronze, silver, gold, and platinum plans. Bronze plans had a decrease in deductible with an increase in specialist copayments, and a higher maximum for annual out-of-pocket costs. Silver plans had decreases in deductibles, doctor copayments, specialist copayments, and maximum annual out-of-pocket costs. Gold plans had decreases in deductible, doctor copayments, and specialist copayments, but an increase in maximum for annual out-of-pocket costs. Platinum plans had increases in deductible, doctor copayments, and specialist copayments, but a decrease in maximum annual out-of-pocket costs. Actuarial values requirements for the different categories plans have not simplified the health plan shopping process as originally intended. While the actuarial value changes evenly among the different categories of Obamacare plans, the resulting changes in deductibles and physician copayments did not change proportionally with the actuarial value changes. “Early media attention of the 2015 Obamacare plans has focused on premiums, but out-of-pocket costs are just as important…they can represent thousands of dollars in annual expenses for a consumer who uses healthcare services regularly,” said Kev Coleman, Head of Research & Data at HealthPocket For more information, visit HealthPocket.com.

Last Updated 01/19/2022

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