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Table 3 Changes in after-subsidy premiums for lowest-cost silver plans

From: Three years in – changing plan features in the U.S. health insurance marketplace

With Subsidy at 300% FPL

 

2014–2015

2015–2016

Change in Premium

Cost of Stayinga

Change in Premium

Cost of Stayinga

Stay

Switch

Difference

Stay

Switch

Difference

Remained Lowest-Cost

N = 987 counties

N = 641 counties

 27-year-old

$14.51

 

$0.00

$19.73

 

$0.00

 50-year-old

$8.07

 

$0.00

-$0.44

 

$0.00

 60-year-old

$9.33

 

$0.00

-$0.80

 

$0.00

No Longer Lowest-Cost

N = 1350 counties

N = 1712 counties

 27-year-old

$19.04

-$1.00

$20.04

$38.98

$17.55

$21.43

 50-year-old

$37.10

$3.11

$33.99

$36.37

$0.04

$36.33

 60-year-old

$54.89

$3.41

$51.48

$54.95

-$0.06

$55.01

Discontinued

N = 175 counties

N = 159 counties

 27-year-old

 

$46.50

No Coverage

 

$37.04

No Coverage

 50-year-old

 

-$1.17

No Coverage

 

$2.27

No Coverage

 60-year-old

 

-$3.06

No Coverage

 

$1.98

No Coverage

No Subsidy at > 400% FPL

 

2014–2015

2015–2016

Change in Premium

Cost of Staying

Change in Premium

Cost of Staying

Stay

Switch

Difference

Stay

Switch

Difference

Remained Lowest-Cost

N = 987 counties

N = 641 counties

 27-year-old

$15.84

 

$0.00

$29.54

 

$0.00

 50-year-old

$26.99

 

$0.00

$50.34

 

$0.00

 60-year-old

$41.00

 

$0.00

$76.50

 

$0.00

No Longer Lowest-Cost

N = 1350 counties

N = 1712 counties

 27-year-old

$16.50

-$3.54

$20.04

$45.89

$24.46

$21.43

 50-year-old

$27.95

-$6.04

$33.99

$77.90

$41.58

$36.33

 60-year-old

$42.31

-$9.18

$51.49

$118.09

$63.08

$55.01

Discontinued

N = 175 counties

N = 159 counties

 27-year-old

 

$46.50

No Coverage

 

$43.64

No Coverage

 50-year-old

 

$79.25

No Coverage

 

$73.51

No Coverage

 60-year-old

 

$120.43

No Coverage

 

$110.88

No Coverage

  1. aPremium levels shown for nonusers of tobacco only. Cost of staying is the difference in the change in monthly after-subsidy silver premium between the linked plan and the lowest-cost option. For those who switched, both the silver plans were lowest-cost. For those who stayed, only the 2014 or 2015 silver plan was lowest-cost. Finally, in counties where the silver plan was discontinued, if enrollees did not actively select a new plan, they would no longer have coverage. Calculations were the same between 2015 and 2016