Health insurance deductibles among HealthCare.Gov enrollees, 2017-2021 ASPE issue brief Branham, D. Keith, author. Peters, Christie Provost, author. De Lew, Nancy, author. Sommers, Benjamin D., author. Cost Sharing Deductibles and Coinsurance -- economics Deductibles and Coinsurance -- trends Health Insurance Exchanges -- economics Health Insurance Exchanges -- trends Cost-sharing reduction subsidies (CSRs) provide substantial financial protection to eligible Marketplace enrollees who enroll in silver metal tier plans, by lowering deductibles, copayments, coinsurance, and out-of-pocket maximums. Median and average deductibles, after CSRs, differ substantially among HealthCare.gov enrollees. The median deductible decreased from $1,000 to $750 between 2017 and 2021 (prior to implementation of the American Rescue Plan (ARP)), while the average deductible increased from $2,405 to $2,825. The difference between median and average deductibles is primarily driven by the fact that the majority of enrollees are eligible for and select CSR-silver plans; the average deductible is driven up by the smaller share of enrollees enrolled in plans without CSRs. Deductibles for consumers receiving CSRs and the overall median deductible on HealthCare.gov are generally lower than employer coverage deductibles, while the average deductible in bronze plans without CSRs is higher than the average employer coverage deductible. Slightly over half of HealthCare.gov enrollees--51 percent in the 2021 open enrollment period and 58 percent of new plan selections during the 2021 special enrollment period (from February to August)--receive CSRs, making a CSR plan the median HealthCare.gov offering. The average silver CSR deductible, after subsidy, has been well below $1,000 for the past 5 years, and is even lower for those with incomes below 200 percent of the federal poverty level who qualify for more generous CSRs. Among those not receiving CSRs, the average HealthCare.gov bronze plan deductible generally remained steady between 2017 and 2021, with an average deductible of $6,094 in 2021. The average silver non-CSR deductible grew from $3,491 to $4,500 over the same time. The ARP contains provisions that reduce premiums for many Marketplace eligible individuals. Among new consumers enrolling during the 2021 HealthCare.gov Special Enrollment Period, median deductibles fell from $450 to $50 after the ARP premium provisions were implemented on April 1, 2021, indicating most new consumers are opting into CSR silver plans. Washington, D.C. : Office of the Assistant Secretary for Planning and Evaluation, Office of Health Policy, 2022 United States. Department of Health and Human Services. Office of the Assistant Secretary for Planning and Evaluation. Office of Health Policy, issuing body. Technical Report Text Illustrations 1 online resource (1 PDF file (13 pages)) nlm:nlmuid-9918574280306676-pdf 9918574280306676 http://resource.nlm.nih.gov/9918574280306676 English United States The National Library of Medicine believes this item to be in the public domain. https://creativecommons.org/publicdomain/mark/1.0