Avalere used data from four major U.S. cities to compare estimated exchange premiums for 60-year-old non-smokers to Medicare premiums for 65-year-olds at three income levels, relying on the current exchange subsidy structure under the American Rescue Plan Act.
For low-income individuals in Miami and Chicago, silver exchange plans were more affordable than Medicare plans, while silver and gold plans were more affordable than Medicare plans among low-income residents of Houston and Los Angeles, the study found.
The study also showed that subsidized exchange coverage is significantly more expensive than Medicare coverage for individuals with higher incomes.
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