HSA 4321 Lecture Notes - Lecture 31: Patient Protection And Affordable Care Act, Bob Younger, Co-Insurance
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Purchase options: people can use their subsidy to buy a more expensive gold or platinum plan or, buy a less expensive bronze plan. This offe(cid:396)s the pote(cid:374)tial of (cid:862)ae(cid:396)o p(cid:396)e(cid:373)iu(cid:373)(cid:863) pla(cid:374)s (cid:862)ze(cid:396)o-p(cid:396)e(cid:373)iu(cid:373)(cid:863) pla(cid:374)s: bob younger, with his ,000 income, is eligible for a subsidy of /month. If he buys the second least expensive silver plan he has to pay /month. If he, instead, buys a bronze plan in jefferson county, al, He pays no out-of-pocket premium because the full premium is less than the subsidy. Mckinsey (2013) estimate that 6 to 7 million people may be eligible for zero- premium bronze plans; 1 million for zero-premium silver. Cost-sharing subsidies: silver plan requires that 30% of actuarially determined claims costs be paid as deductibles, copays, and/or coinsurance, for low income: 100 150% fpl oop is limited to 6% 150 200% fpl oop is limited to 13% 200 250% fpl oop is limited to 27%
