Bronze and silver healthcare plans median combined drug deductibles U.S. 2014

This statistic displays the median combined drug deductibles for bronze and silver health care plans in the United States as of 2014. The median combined deductible for a silver plan where all prescriptions are subject to deductible was 2,000 U.S. dollars. A deductible is set as the amount one must pay for covered medical services before the insurance begins paying. The plans differ based on the actuarial value which is the average percentage of health care expenses that are paid for the by plan, rather than out-of-pocket. In a bronze plan, 60 percent of covered medical expenses are taken care of and 70 percent in a silver plan.

Median combined deductibles for drugs in U.S. bronze and silver health care plans in 2014, by type

SilverBronze
No deductible for prescriptions2,0006,000
All prescriptions subject to deductible2,0005,000
All brand subject to deductible2,0005,600
Some brand subject to deductible2,4505,750
Only specialty subject to deductible2,1255,500
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Sources

Release date

June 2014

Region

United States

Survey time period

2014

Supplementary notes

This cost sharing analysis is based on a review of the 1,204 unique Silver and 1,056 unique Bronze qualified health plans in all 50 states’ and the District of Columbia’s insurance Exchanges. The premium analysis is based on a review of 7,011 Silver plans and 5,869 Bronze plans in all 50 states’ and the District of Columbia’s insurance exchanges. It was prepared for PhRMA and its member companies based on data available through state and federal government-sponsored exchange websites as of 1/1/2014.

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