Analysts at Avalere Health have quantified something brokers have been saying for months: the exchange plan out-of-pocket maximums are high.

The Patient Protection and Affordable Care Act is supposed to cap exposure to deductibles, co-payments and coinsurance payments for all insureds, and to provide subsidies to help further reduce exposure for insureds with incomes of 100 percent to 250 percent of the federal poverty level.

PPACA supporters in the Obama administration elsewhere note PPACA is the first national law that puts limits of any kind on out-of-pocket costs. 

Complete your profile to continue reading and get FREE access to BenefitsPRO, part of your ALM digital membership.

Your access to unlimited BenefitsPRO content isn’t changing.
Once you are an ALM digital member, you’ll receive:

  • Breaking benefits news and analysis, on-site and via our newsletters and custom alerts
  • Educational webcasts, white papers, and ebooks from industry thought leaders
  • Critical converage of the property casualty insurance and financial advisory markets on our other ALM sites, PropertyCasualty360 and ThinkAdvisor
NOT FOR REPRINT

© 2024 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.

Allison Bell

Allison Bell, a senior reporter at ThinkAdvisor and BenefitsPRO, previously was an associate editor at National Underwriter Life & Health. She has a bachelor's degree in economics from Washington University in St. Louis and a master's degree in journalism from the Medill School of Journalism at Northwestern University. She can be reached through X at @Think_Allison.