Medical and Prescription Drug Deductibles

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/

Percent of Plans Where Medical Deductible is Combined with or Separate from the Prescription Drug Deductible

91%

55%

37% 38%

9%

45%

63% 62%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Bronze Silver Gold Platinum

Separate

Combined

http://healthcare.gov/

https://www.healthcare.gov/health-plan-information/






Average Medical Deductible, in Plans with Combined Medical and Prescription Drug Deductibles

$5,328

$2,556

$845

$69 $0

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000









Distribution of Medical Deductibles, for all Plans with Combined Medical and Prescription Drug Deductible

2%

11%

39%

47%

5% 9%

41% 38%

6%

42% 45%

11%

96%

4%

0%

20%

40%

60%

80%

100%

120%

$500 or less >$500 - $1500 >1500-$2500 >2500-$4000 >4000-$5500 Over $5500









Distribution of Medical Deductibles, for Bronze Plans with Combined Medical and Prescription Drug Deductible

0%

2%

11%

30%

34%

22%

0%

5%

10%

15%

20%

25%

30%

35%

40%

$2000 or less >$2000 -$2500 >$2500 - $4000 >$4000 - $5000 >$5000 - $6000 Over $6000








Distribution of Medical Deductibles, for Silver Plans with Combined Medical and Prescription Drug Deductibles

4%

9%

41%

38%

7%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

$0 >0 - $1500 >$1500 -$2500 >$2500 - $4000 Over $4000








Distribution of Medical Deductibles, for Gold Plans with Combined Medical and Prescription Drug Deductibles

27%

15%

25%

20%

8%

5%

0%

5%

10%

15%

20%

25%

30%

$0 >0 - $500 >$500-$1000 >$1000 - $1500 >$1500 - $2000 Over $2000








Distribution of Medical Deductibles for Platinum Plans with Combined Medical and Prescription Drug Deductibles

84%

13%

4%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

$0 >0 - $500 Over $500








Average Medical Deductible In Plans with Separate Medical and Prescription Drug Deductibles

$5,372

$3,453

$1,431

$418

$0

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000









Distribution of Medical Deductibles, for all Plans with Separate Medical and Prescription Drug Deductible

2% 6%

48%

43%

2% 4%

24%

42%

20%

8%

17%

58%

14% 10%

71%

29%

0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

$500 or less >$500 - $1500 >1500-$2500 >2500-$4000 >4000-$5500 Over $5500

Bronze

Silver

Gold

Platinum








Distribution of Medical Deductibles, for Bronze Plans with Separate Medical and Prescription Drug Deductibles

2%

6%

40%

31%

19%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

$2500 or less >$2500 -$4000 >4000 - $5000 >$5000 - $6000 Over $6000








Distribution of Medical Deductibles, for Silver Plans with Separate Medical and Prescription Drug Deductibles

2%

15%

31%

24%

19%

9%

0%

5%

10%

15%

20%

25%

30%

35%

$0 >$0 - $2000 $>2000 -$3000 >$3000 - $4000 >$4000 - $5000 Over $5000








Distribution of Medical Deductibles, for Gold Plans with Separate Medical and Prescription Drug Deductibles

3%

14%

26%

31%

7%

18%

0%

5%

10%

15%

20%

25%

30%

35%

$0 >$0 - $500 >$500-$1000 >$1000 - $1500 >$1500 - $2000 Over $2000








Distribution of Medical Deductibles, for Platinum Plans with Separate Medical and Prescription Drug Deductibles

30%

41%

29%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

$0 >$0 - $500 Over $500







Medical and Prescription Drug Deductibles

Health & Medicine

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