ABSTRACT

Summary Cost Data for Health Plans Available in Maine's Exchange, 2014: Fact Sheet [May 1, 2014]   [open pdf - 219KB]

"The Patient Protection and Affordable Care Act (ACA, P.L. [Public Law] 111-148, as amended) contains a number of provisions that may affect the individual health insurance market. These provisions may alter the amounts that individuals and families can expect to pay for insurance plans sold on Maine's exchange. This fact sheet provides a look at selected costs and options for individual and family plans in Maine's exchange. (For background information, see the related overview report, CRS [Congressional Research Service] Report R43484, 'Summary Cost Data for Federally-Facilitated Exchanges, 2014'). A state resident interested in purchasing an individual plan in his or her exchange may have a choice of plans that vary in characteristics, such as the share of medical spending the plan will cover ('actuarial value,' or AV), the scope of the benefits package (e.g., types of services and providers covered), and other plan features. Under ACA, each plan that meets a specific AV is designated by a precious metal: platinum, gold, silver, or bronze. Exchanges are also allowed to offer catastrophic plans, with AVs below 60%; such plans are available only to individuals under the age of 30 and certain others who are exempt from ACA's individual mandate. Given this potential range in plans, this fact sheet displays premium and cost-sharing data tables for five categories of health plans, in order of decreasing actuarial value: platinum to catastrophic."

Report Number:
CRS Report for Congress, R43515
Author:
Publisher:
Date:
2014-05-01
Copyright:
Public Domain
Retrieved From:
Via E-mail
Media Type:
application/pdf
URL:
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