How Much Does Health Insurance Cost "Off Exchange": eHealth Details Costs & Coverage of a Sample of Health Plans Not Available on Government Exchanges
The plans available for enrollment on eHealthInsurance.com
The analysis of 947 plans available through eHealthInsurance.com across these 25 cities included the following highlights:
- The average health insurance plan premium across these cities and across all metal tiers for a 29-year-old without subsidies was
$285 , with a$3,612 average deductible. - For this same demographic, nearly three-fourths (73%) of all plans covered doctor visits with a co-payment and nearly two-thirds (60%) covered an enrollee's visit to a doctor that was outside of his or her plan's provider network.
Additional data on different plan levels:
- Catastrophic Plans: The average catastrophic plan had a
$176 premium and a$6,342 deductible. Nearly all catastrophic plans (96%) covered doctor visits with a co-payment and more than half (61%) covered an enrollee's visit to a doctor that was outside of the plan's provider network. - Bronze Plans: The average bronze plan had a
$223 premium and a$5,401 deductible. Roughly half (53%) covered doctor visits with a co-payment and more than half (59%) covered an enrollee's visit to a doctor that was outside of the plan's provider network. - Silver Plans: The average silver plan had a
$273 premium and a$2,958 deductible. About three-fourths (74%) of all silver plans covered doctor visits with a co-payment and two-thirds (65%) covered an enrollee's visit to a doctor that was outside of the plan's provider network. - Gold Plans: The average gold plan had a
$321 premium and a$1,254 deductible. Most gold plans (91%) covered doctor visits with a co-payment and about half (53%) covered an enrollee's visit to a doctor that was outside of the plan's provider network. - Platinum Plans: The average platinum plan had a
$380 premium and a$509 deductible. Most platinum plans (97%) covered doctor visits with a co-payment and about half (54%) covered an enrollee's visit to a doctor that was outside of the plan's provider network.
As many as 12 million potential individual and family health insurance buyers may not necessarily be best served by shopping for health insurance through government exchanges because, according to
eHealth's analysis includes monthly premiums, deductibles, doctor visits and out-of-network benefits for a 29-year-old adult living in the following cities:
The full report is available for review at eHealth's Media Center.
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