Emergency Room Cost Sharing

SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 37 states with Federally Facilitated or Partnership exchanges in 2015 (including New Mexico, Oregon, and Nevada). Data are from Healthcare.gov Health plan information for individuals and families available here: https://www.healthcare.gov/health-plan-information/

29%

8% 5% 1%

21%

46% 48%

37%

38% 28% 25%

34%

12% 18%

22% 28%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Bronze Silver Gold Platinum

Copay & Coinsurance

Coinsurance

Copayment

No Charge afterDeductible

Share of Plans by Type of Emergency Room Cost Sharing

SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 37 states with Federally Facilitated or Partnership exchanges in 2015 (including New Mexico, Oregon, and Nevada). Data are from Healthcare.gov Health plan information for individuals and families available here: https://www.healthcare.gov/health-plan-information/

$264

$318

$252

$155

$0

$50

$100

$150

$200

$250

$300

$350

Bronze Silver Gold Platinum

Average Emergency Room Copayments (Includes plans with both copayments and coinsurance)

SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 37 states with Federally Facilitated or Partnership exchanges in 2015 (including New Mexico, Oregon, and Nevada). Data are from Healthcare.gov Health plan information for individuals and families available here: https://www.healthcare.gov/health-plan-information/

32%

28%

20%

22%

0%

5%

10%

15%

20%

25%

30%

35%

Bronze Silver Gold Platinum

Average Emergency Room Coinsurance Rate (Includes plans with both coinsurance and copayments)