Bronze and silver health plans cost sharing for specialist visits in the U.S. 2014

This statistic depicts the cost sharing for specialist visits within bronze and silver health care plans in the United States as of 2014. Some 70 percent of silver plan specialist visits were charged through co-payments. A co-payment refers to a fixed amount that is paid when one receives a covered service. 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.

Specialist cost sharing in U.S. bronze and silver health care plans in 2014

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Source

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.
* No cost sharing: plans charge 0 dollars, 0 percent, or list "no charge" as applicable cost sharing for an individual. Usually applies after the deductible has been met.

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