Bronze and silver health plans with co-insurance in the U.S. by tier 2014

This statistic depicts the share of bronze and silver health care plans in the United States with co-insurance by tier, as of 2014. Some 24 percent of silver plans charged a co-insurance for preferred brands. A co-insurance refers to the insured's share of covered health care service costs, as a percent of the allowed amount for the service. 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.

Distribution of U.S. bronze and silver health care plans with co-insurance in 2014, by tier

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Sources

Release date

June 2014

Region

United States

Survey time period

2014

Supplementary notes

Cost sharing patterns may differ if service is subject to a deductible.
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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