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Published byVerawati Susanti Kartawijaya Modified over 6 years ago
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Cost-Sharing for Plans Offered in Federally Facilitated or Partnership Marketplaces for 2016
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Medical and Prescription Drug Deductibles
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Percent of Plans Where Medical Deductible is Combined with or Separate from the Prescription Drug Deductible
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Average Medical Deductible, in Plans with Combined Medical and Prescription Drug Deductibles
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Distribution of Medical Deductibles, for all Plans with Combined Medical and Prescription Drug Deductible
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Distribution of Medical Deductibles, for Bronze Plans with Combined Medical and Prescription Drug Deductible
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Distribution of Medical Deductibles, for Silver Plans with Combined Medical and Prescription Drug Deductibles
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Distribution of Medical Deductibles, for Gold Plans with Combined Medical and Prescription Drug Deductibles
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Distribution of Medical Deductibles for Platinum Plans with Combined Medical and Prescription Drug Deductibles
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Average Medical Deductible In Plans with Separate Medical and Prescription Drug Deductibles
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Distribution of Medical Deductibles, for all Plans with Separate Medical and Prescription Drug Deductible
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Distribution of Medical Deductibles, for Bronze Plans with Separate Medical and Prescription Drug Deductibles
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Distribution of Medical Deductibles, for Silver Plans with Separate Medical and Prescription Drug Deductibles
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Distribution of Medical Deductibles, for Gold Plans with Separate Medical and Prescription Drug Deductibles
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Distribution of Medical Deductibles, for Platinum Plans with Separate Medical and Prescription Drug Deductibles
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Separate Drug Deductibles
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Average Prescription Drug Deductible, for Plans with Separate Medical and Prescription Drug Deductible
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Distribution of Prescription Drug Deductibles, for Bronze Plans with Separate Medical and Prescription Drug Deductibles
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Distribution of Prescription Drug Deductibles, for Silver Plans with Separate Medical and Prescription Drug Deductibles
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Distribution of Prescription Drug Deductibles, for Gold Plans with Separate Medical and Prescription Drug Deductibles
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Distribution of Prescription Drug Deductibles, for Platinum Plans with Separate Medical and Prescription Drug Deductibles
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Inpatient Facility Cost Sharing
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Share of Plans by Type of Inpatient Facility Cost Sharing
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Inpatient Facility Average Copayments (includes plans with 'copayment' or 'both copayment & coinsurance')
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Distribution of Inpatient Facility Copayments (includes plans with 'copayment' or 'both copayment & coinsurance')
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Average Inpatient Facility Coinsurance Rate (includes plans with 'coinsurance' or 'both copayment & coinsurance')
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Distribution of Inpatient Facility Coinsurance Rates (includes plans with 'coinsurance' or 'both copayment & coinsurance')
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Inpatient Physicians Cost Sharing
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Share of Plans by Type of Cost Sharing for Inpatient Physicians Cost Sharing
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Average Coinsurance Rates For Inpatient Physician Services (includes plans with 'coinsurance' or 'both copayment & coinsurance')
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Distribution of Inpatient Physician Coinsurance Rates (includes plans with 'coinsurance' or 'both copayment & coinsurance')
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Specialist and Primary Care Physician Office Visits
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Share of Plans by Type of Cost Sharing for Primary Care Physician Visits (deductible may apply first)
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Average Copayments for Primary Care Physician Visits (includes plans with 'copayment' or 'both copayment & coinsurance')
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Distribution of Copayments for Primary Care Physician Visits (includes plans with 'copayment' or 'both copayment & coinsurance')
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Average Coinsurance Rates for Primary Care Physician Visits (includes plans with 'coinsurance' or 'both copayment & coinsurance')
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Distribution of Coinsurance Rates for Primary Care Physician Visits (includes plans with 'coinsurance' or 'both copayment & coinsurance')
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Share of Plans by Type of Cost Sharing for Specialist Physician Visits (deductible may apply first)
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Average Copayments for Specialist Physician Visits (includes plans with 'copayment' or 'both copayment & coinsurance')
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Distribution of Copayments for Specialist Physician Visits (includes plans with 'copayment' or 'both copayment & coinsurance')
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Average Coinsurance Rates for Specialist Physician Visits (includes plans with 'coinsurance' or 'both copayment & coinsurance')
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Distribution of Coinsurance Rates for Specialist Physician Visits (includes plans with 'coinsurance' or 'both copayment & coinsurance')
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Prescription Drug Cost Sharing
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Share of Plans by Type of Cost Sharing for Generic Prescriptions Plans with Combined Medical and Prescription Drug Deductible
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Share of Plans by Type of Cost Sharing for Generic Prescriptions Plans with Separate Medical and Prescription Drug Deductible
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Average Copayment for Generic Drugs (includes plans with 'copayment' or 'both copayment & coinsurance')
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Distribution of Copayment Amounts for Generic Drugs (includes plans with 'copayment' or 'both copayment & coinsurance')
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Average Coinsurance Rates for Generic Drugs (includes plans with 'coinsurance' or 'both copayment & coinsurance')
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Distribution of Coinsurance Rates for Generic Drugs (includes plans with 'coinsurance' or 'both copayment & coinsurance')
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Share of Plans by Type of Cost Sharing for Preferred Prescriptions Plans with Combined Medical and Prescription Drug Deductible
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Share of Plans by Type of Cost Sharing for Preferred Prescriptions Plans with Separate Medical and Prescription Drug Deductible
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Average Copayment for Preferred Drugs (includes plans with 'copayment' or 'both copayment & coinsurance')
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Distribution of Copayment Amounts for Preferred Drugs (includes plans with 'copayment' or 'both copayment & coinsurance')
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Average Coinsurance Rates for Preferred Drugs (includes plans with 'coinsurance' or 'both copayment & coinsurance')
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Distribution of Coinsurance Rates for Preferred Drugs (includes plans with 'coinsurance' or 'both copayment & coinsurance')
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Share of Plans by Type of Cost Sharing for Non-Preferred Prescriptions Plans with Combined Medical and Prescription Drug Deductible
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Share of Plans by Type of Cost Sharing for Non-Preferred Prescriptions Plans with Separate Medical and Prescription Drug Deductible
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Average Copayment for Non-Preferred Drugs (includes plans with 'copayment' or 'both copayment & coinsurance')
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Distribution of Copayment Amounts for Non-Preferred Drugs (includes plans with 'copayment' or 'both copayment & coinsurance')
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Average Coinsurance Rates for Non-Preferred Drugs (includes plans with 'coinsurance' or 'both copayment & coinsurance')
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Distribution of Coinsurance Rates for Non-Preferred Drugs (includes plans with 'coinsurance' or 'both copayment & coinsurance')
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Share of Plans by Type of Cost Sharing for Specialty Prescriptions Plans with Combined Medical and Prescription Drug Deductible
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Share of Plans by Type of Cost Sharing for Specialty Prescriptions Plans with Separate Medical and Prescription Drug Deductible
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Average Copayment for Specialty Drugs (includes plans with 'copayment' or 'both copayment & coinsurance')
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Distribution of Copayment Amounts for Specialty Drugs (includes plans with 'copayment' or 'both copayment & coinsurance')
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Average Coinsurance Rates for Specialty Drugs (includes plans with 'coinsurance' or 'both copayment & coinsurance')
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Distribution of Coinsurance Rates for Specialty Drugs (includes plans with 'coinsurance' or 'both copayment & coinsurance')
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Emergency Room Cost Sharing
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Share of Plans by Type of Emergency Room Cost Sharing
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Average Emergency Room Copayments (includes plans with 'copayment' or 'both copayment & coinsurance')
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Average Emergency Room Coinsurance Rate (includes plans with 'coinsurance' or 'both copayment & coinsurance')
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Out-of-Pocket Maximums
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Average Out-Of-Pocket Limit In Plans with Combined Limit for Medical and Prescription Drug Cost Sharing
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Distribution of Out-Of-Pocket Limits In Plans with Combined Limit for Medical and Prescription Drug Cost Sharing
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