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Data Shows Increased Zero-Premium and Low-Premium Health Plans

April 30, 2021/in Individual, Marketplace/by Cornerstone

The following information was originally released by Healthcare.gov.

The American Rescue Plan (ARP) enhances and expands eligibility for advance payments of premium tax credits (APTCs) to purchase Marketplace insurance coverage under the Affordable Care Act (ACA). The Assistant Secretary for Planning and Evaluation (ASPE) estimates that approximately 3 in 5 (62%) of the 11 million uninsured non-elderly adults eligible for Marketplace coverage in HealthCare.gov states likely can access zero-premium plans, while nearly 3 in 4 (73%) likely can access a plan for $50 or less per month.

Key ARP points include:

  • Under the ARP, the availability of zero-premium plans has increased by nineteen percentage points in this population, and low-premium plans by sixteen percentage points.
  • The ARP substantially increased the availability of low-premium silver and gold plans. Zero-premium gold plan availability also increased.
  • The ARP reduced the expected individual contribution of household income toward benchmark plan premiums to 0% for applicable taxpayers with income between 100-150% of the Federal Poverty Level (FPL).
  • Approximately 66% of Black non-Latino uninsured adults now may have access to a zero premium plan and 76% can find a low-premium plan. Among Hispanic and Latino uninsured adults, 69% now may have access to a zero-premium plan and 80% may now be able find a low-premium plan.
  • There are approximately two million uninsured adults with incomes of 400% of the FPL or greater in HealthCare.gov states who may be newly eligible for coverage with Marketplace premium tax credits under the ARP.

For more information about “Access to Marketplace Plans with Low Premiums: The Uninsured and the American Rescue Plan,” visit:
https://aspe.hhs.gov/pdf-report/access-to-low-premiums-issue-brief-part-II

Contact your Cornerstone representative for more information.

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