Percent of adults ages 19–64 with single policies

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Percent of adults ages 19–64 with single policies Exhibit 1 Low-Income Adults with Marketplace Coverage Paid Monthly Premiums Comparable to Low-Income Adults with Employer Coverage Percent of adults ages 19–64 with single policies 60% 57% 75 50 25 100 66% 39% Paid less than $125 All adults Adults with incomes below 250% FPL Adults with incomes 250% FPL or more Notes: FPL refers to federal poverty level. 250% of FPL is $29,425 for an individual or $60,625 for a family of four. Segments may not sum to subtotals because of rounding. Bars may not sum to 100 percent because of rounding. Data: The Commonwealth Fund Affordable Care Act Tracking Survey, February–April 2016. Source: M. Gunja, S. R. Collins, M. M. Doty, and S. Beutel, Americans’ Experiences with ACA Marketplace Coverage: Affordability and Provider Network Satisfaction, The Commonwealth Fund, July 2016.

Half of Adults in Marketplace Plans View Their Premiums as Affordable Exhibit 2 Half of Adults in Marketplace Plans View Their Premiums as Affordable How easy or difficult is it for you to afford the premium costs for your health insurance? Percent who found it somewhat or very easy Very easy Somewhat easy 79 75 62 49 48 49 Total Incomes below 250% FPL Incomes 250% FPL or more Adults ages 19–64 who pay all or some of premium and are aware of their premium amount Notes: FPL refers to federal poverty level. 250% of FPL is $29,425 for an individual or $60,625 for a family of four. Segments may not sum to subtotals because of rounding. Data: The Commonwealth Fund Affordable Care Act Tracking Survey, February–April 2016. Source: M. Gunja, S. R. Collins, M. M. Doty, and S. Beutel, Americans’ Experiences with ACA Marketplace Coverage: Affordability and Provider Network Satisfaction, The Commonwealth Fund, July 2016.

Adults ages 19–64 who have deductibles of $1,000 or more Exhibit 3 Low-Income Adults with Marketplace Coverage Less Likely to Have High Deductibles Than Adults with Higher Incomes Percent Total Incomes below 250% FPL Incomes 250% FPL or more Adults ages 19–64 who have deductibles of $1,000 or more Notes: FPL refers to federal poverty level. 250% of FPL is $29,425 for an individual or $60,625 for a family of four. Data: The Commonwealth Fund Affordable Care Act Tracking Survey, February–April 2016. Source: M. Gunja, S. R. Collins, M. M. Doty, and S. Beutel, Americans’ Experiences with ACA Marketplace Coverage: Affordability and Provider Network Satisfaction, The Commonwealth Fund, July 2016.

Exhibit 4 Low-Income Adults with Marketplace Coverage Less Likely to Have Premium Increases Than Adults with Higher Incomes Over the time you have had a health plan through the marketplace, has the amount you have had to pay in premiums increased, decreased, or stayed about the same? Percent Adults ages 19–64 who have had marketplace coverage since before January 2016 Notes: FPL refers to federal poverty level. 250% of FPL is $29,425 for an individual or $60,625 for a family of four. Data: The Commonwealth Fund Affordable Care Act Tracking Survey, February–April 2016. Source: M. Gunja, S. R. Collins, M. M. Doty, and S. Beutel, Americans’ Experiences with ACA Marketplace Coverage: Affordability and Provider Network Satisfaction, The Commonwealth Fund, July 2016.

Exhibit 5 Majority of Adults with Marketplace Coverage Confident They Could Afford Needed Care How confident are you that if you became seriously ill you will be able to afford the health care that you need? Percent who were somewhat or very confident Very confident Somewhat confident 79 82 72 70 61 55 Total Incomes below 250% FPL Incomes 250% FPL or more Adults ages 19–64 Notes: FPL refers to federal poverty level. 250% of FPL is $29,425 for an individual or $60,625 for a family of four. Data: The Commonwealth Fund Affordable Care Act Tracking Survey, February–April 2016. Source: M. Gunja, S. R. Collins, M. M. Doty, and S. Beutel, Americans’ Experiences with ACA Marketplace Coverage: Affordability and Provider Network Satisfaction, The Commonwealth Fund, July 2016.

Exhibit 6 Four of Ten Adults Chose a Less Expensive Plan with Fewer Providers When Given the Option When choosing your new plan, did you have the option of choosing a less expensive plan with fewer doctors or fewer hospitals? Did you select the less expensive plan with fewer doctors or hospitals? Adults ages 19–64 who have had a private plan through the marketplace for two months or less or changed plans since enrolling Adults ages 19–64 who had the option to choose less expensive plan with fewer providers Note: Segments may not sum to 100 percent because of rounding. Data: The Commonwealth Fund Affordable Care Act Tracking Survey, February–April 2016. Source: M. Gunja, S. R. Collins, M. M. Doty, and S. Beutel, Americans’ Experiences with ACA Marketplace Coverage: Affordability and Provider Network Satisfaction, The Commonwealth Fund, July 2016.

Four of Five Adults with New Marketplace Coverage Exhibit 7 Four of Five Adults with New Marketplace Coverage Are Satisfied with the Doctors in Their Plans Since you switched/gained your insurance, how satisfied are you with the doctors covered by your new insurance? Very satisfied Does your current insurance include all, some, or none of the doctors that you wanted or do you not know which doctors are included on your plan? Percent who were somewhat or very satisfied Somewhat satisfied 78 80 76 Adults ages 19–64 who have had a private plan through the marketplace for two months or less or changed plans since enrolling or switched from Medicaid to marketplace Note: Segments may not sum to 100 percent because of rounding. Data: The Commonwealth Fund Affordable Care Act Tracking Survey, February–April 2016. Source: M. Gunja, S. R. Collins, M. M. Doty, and S. Beutel, Americans’ Experiences with ACA Marketplace Coverage: Affordability and Provider Network Satisfaction, The Commonwealth Fund, July 2016.

Adults ages 19–64 who are insured Exhibit 8 Rate of “Surprise Medical Bills” Similar for Adults Insured with Employer and Marketplace Coverage Have you or a family member ever received care at a hospital that you thought was covered by your insurance, but you received a bill from a doctor who was not covered by your plan? Percent who said yes Adults ages 19–64 who are insured Data: The Commonwealth Fund Affordable Care Act Tracking Survey, February–April 2016. Source: M. Gunja, S. R. Collins, M. M. Doty, and S. Beutel, Americans’ Experiences with ACA Marketplace Coverage: Affordability and Provider Network Satisfaction, The Commonwealth Fund, July 2016.

Exhibit 9 Cost Is the Most Important Factor in Plan Selection Among Marketplace Enrollees What was the most important factor in your decision about which plan to select? Adults ages 19–64 who have had a private plan through the marketplace for two months or less or changed plans since Note: Segments may not sum to 100 percent because of rounding. Data: The Commonwealth Fund Affordable Care Act Tracking Survey, February–April 2016. Source: M. Gunja, S. R. Collins, M. M. Doty, and S. Beutel, Americans’ Experiences with ACA Marketplace Coverage: Affordability and Provider Network Satisfaction, The Commonwealth Fund, July 2016.

Fewer Than Half of Adults Said It Was Easy to Find an Affordable Plan Exhibit 10 Fewer Than Half of Adults Said It Was Easy to Find an Affordable Plan How easy or difficult was it to find . . .? Percent of adults who said somewhat or very easy Very easy Somewhat easy 50 52 47 42 43 41 A plan you could afford A plan with the type of coverage you need Adults ages 19–64 who went to the marketplace and are marketplace eligible* * Marketplace eligible includes adults in expansion states with incomes >138% FPL and adults in nonexpansion states with incomes >100% FPL. Notes: FPL refers to federal poverty level. 250% of FPL is $29,425 for an individual or $60,625 for a family of four. Segments may not sum to subtotals because of rounding. Data: The Commonwealth Fund Affordable Care Act Tracking Survey, February–April 2016. Source: M. Gunja, S. R. Collins, M. M. Doty, and S. Beutel, Americans’ Experiences with ACA Marketplace Coverage: Affordability and Provider Network Satisfaction, The Commonwealth Fund, July 2016.

Adults ages 19–64 who changed marketplace plans* Exhibit 11 Consumers Cite Costs, Choice of Providers as Factors When Switching Plans What are the reasons you changed plans? Percent Adults ages 19–64 who changed marketplace plans* * 46 percent of adults ages 19–64 who have had marketplace coverage since before January 2016 switched plans since enrolling. Data: The Commonwealth Fund Affordable Care Act Tracking Survey, February–April 2016. Source: M. Gunja, S. R. Collins, M. M. Doty, and S. Beutel, Americans’ Experiences with ACA Marketplace Coverage: Affordability and Provider Network Satisfaction, The Commonwealth Fund, July 2016.

Adults ages 19–64 who stayed in the same plan marketplace plan* Exhibit 12 Adults Said Staying in Same Marketplace Plan Was Easier What are the reasons you kept the same plan? Percent Adults ages 19–64 who stayed in the same plan marketplace plan* * 50 percent of adults ages 19–64 who have had marketplace coverage since before January 2016 stayed in the same plan since enrolling. Data: The Commonwealth Fund Affordable Care Act Tracking Survey, February–April 2016. Source: M. Gunja, S. R. Collins, M. M. Doty, and S. Beutel, Americans’ Experiences with ACA Marketplace Coverage: Affordability and Provider Network Satisfaction, The Commonwealth Fund, July 2016.