Turnover in Zero-Premium Status Among Health Insurance Marketplace Plans Available to Low-Income Enrollees.

ABSTRACT:

Importance

Recent subsidy enhancements in Affordable Care Act (ACA) Marketplaces made many low-income enrolles (below 150% of the federal poverty level [FPL]) eligible for 2 free silver-tier plans. eligible for 2 free silver-tier plans. However, an unintended consequence of this structure is that the identity of which silver plans are free will often "turn over" between years, requiring that enrollees actively initiate premium payment (or lose coverage). The prevalence of this free-plan turnover is not known.

Objective

To measure the prevalence of free-plan turnover in ACA Marketplaces and to estimate how many enrollees below 150% of FPL are likely to be affected.

Design setting and participants

This observational cross-sectional study used data on plan offerings and

SUBMITTER: Kong E 

PROVIDER: S-EPMC9034407 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature