Inpatient physicians cost sharing

1. Inpatient Physicians Cost Sharing

2. SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016
(including Hawaii, 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/
Share of Plans by Type of Cost Sharing for Inpatient Physicians
Cost Sharing
1% 3% 4%
32%
41%
20%
13%
5%
1%
2%
4%
57%
74% 79%
63%
1% <1%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Bronze Silver Gold Platinum
Copayment and Coinsurance
Coinsurance
Copayment
No Charge after Deductible
No Charge

3. SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016
(including Hawaii, 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/
Average Coinsurance Rates For Inpatient Physician Services (includes
plans with 'coinsurance' or 'both copayment & coinsurance')
34%
26%
20%
17%
0%
5%
10%
15%
20%
25%
30%
35%
40%
Bronze Silver Gold Platinum

4. SOURCE: Kaiser Family Foundation analysis of Marketplace plans in the 38 states with Federally Facilitated or Partnership exchanges in 2016
(including Hawaii, 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/
Distribution of Inpatient Physician Coinsurance Rates
(includes plans with 'coinsurance' or 'both copayment & coinsurance')
7%
12%
20%
48%
43%
74%
79%
48%
26%
8%
1%
21%
6%
1%
5%
2%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Bronze Silver Gold Platinum
Over 50%
>40%-50%
>30% - 40%
>20% - 30%
20% or less