4 Key Stats on Cost-Sharing and Premiums for PPACA Health Plans

The average monthly premium for a 27-year-old purchasing a health plan through the state-based and federally facilitated exchanges will be $266, according to a report from the Robert Wood Johnson Foundation and research firm Breakaway Policy Strategies.

Breakaway collected and analyzed premium and cost-sharing data for 196 silver-level health plans in 11 state-based exchanges and four federally facilitated exchanges under the Patient Protection and Affordable Care Act. Here are some more key findings:

1. Average monthly premiums for a 27-year-old range from $127 in Minnesota to $439 in New York.

2. Of the 98 second-lowest-cost silver plans analyzed, about half offer integrated deductibles, which means medical costs and prescription drug expenses accumulate toward a single deductible.

3. The average integrated deductible among the 15 marketplaces studied is $2,763. Amounts range from $2,000 in Massachusetts and Maine to $4,061 in Minnesota.

4. Of the 196 silver plans surveyed, about 75 percent charge a copay for a primary care physician visit, while 25 percent use coinsurance to determine cost-sharing. The average copay for a primary care physician visit is $30, while coinsurance averages 17 percent.

For more information, read the full report here.

More Articles on Healthcare Costs:
Study: 17M Eligible for Tax Credits Under PPACA
HHS: Half of Single Young Adults Can Get PPACA Coverage for $50 or Less Per Month
Report: A Look at PPACA Health Insurance Exchange Premiums 

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