Cost-sharing reductions lower peoples’ projected out-of-pocket costs, especially for those who use health care the most Median projected out-of-pocket.

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Cost-sharing reductions lower peoples’ projected out-of-pocket costs, especially for those who use health care the most Median projected out-of-pocket costs Without cost-sharing reductions With cost-sharing reductions “High” health care users “Medium” health care users “Low” health care users Annual income Notes: Second-lowest-cost silver plans for 2016; 40-year-old male nonsmoker; largest city in state. The median includes 36 states that use the HealthCare.gov platform, excluding Alaska and Hawaii for the $17,000 category; 37 states that use the HealthCare.gov platform for the $20,000 category; and the 38 states that use the HealthCare.gov platform for the $25,000 and $35,000 categories. OOP costs is either the difference between total expected costs and the annual premium cost to the enrollee, or the plan's out-of-pocket limit, whichever is lower. Source: HealthCare.gov.