Users of Marketplace are Gaining Financial Protection

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Enroll America recently announced the results of their 2016 consumer survey regarding consumers and the Healthcare Marketplace. According to the survey, affordability remains the primary concern and reason that many have not enrolled in health insurance through the marketplace.

Last month, the Centers for Medicare & Medicaid Services (CMS) released an analysis on coverage and the cost-sharing protections that consumers are getting through HealthCare.gov for the 2016 coverage year. The best way to combat this perception is to ensure consumers are aware of the financial help available to help purchase marketplace plans.

In order to reduce health disparities, it is critical to address inequities in programs, practices, and policies.

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Despite news coverage that often focuses on rising out-of-pocket costs, the report includes some positive info on out-of-pocket costs for HealthCare.gov enrollees in 2016, including:

The median individual deductible ($850) is down $50 from 2015
One-third of marketplace enrollees have deductibles less than or equal to $250
Over half have deductibles below $1,000

Enroll America’s analysis focuses on the importance of promoting the services that consumers can access with their health insurance that are covered without any cost sharing. More than half of plans offered on the marketplace cover at least six additional services, like generic drugs, primary care, and other provider visits before the deductible.

Many of the marketplace plans have shown that they do more than just offer “affordable premiums”; many offer access more affordable care and consumers who use their coverage are more likely to retain coverage over time.