Here are the 10 states with the highest health insurance costs for exchange plans:
1. Colorado — the state’s cheapest plan includes a $266 monthly premium in line with the national median and a deductible at $2,750. But the unfavorable 20 percent co-insurance charges for primary physician visits and emergency care are costly.
2. Wyoming — the lowest cost silver plan has a $315 premium per month, which is 18.4 percent above the national average; and without the $105 tax credit the premium is $420. The average deductible is $3,000 and plans include a 20 percent co-insurance charge even after meeting deductibles.
3. Delaware — the lowest cost plan options in the state are $320 per month after tax credits, well above the $266 national average. The deductible is $3,400 but the plan offers 100 percent coverage when patients meet their deductible. In the past year, ACA exchange premiums were up 22.1 percent.
4. Indiana — the state’s lowest cost plan is $3,432 per year with a $286 monthly premium. The deductible is $5,000 and policyholders pay $200 copay for urgent or emergent care even after meeting the deductible.
5. Oklahoma — the lowest cost plan includes a $283 monthly premium and a $4,000 deductible. The plan also has higher copays, including $15 per primary care physician visit, and 20 percent co-insurance regardless of whether the deductible is met.
6. Mississippi — the lowest cost plan in Mississippi reaches $278 per month and includes a $6,500 deductible. There is a primary physician copay of $30. The state’s poverty rate is 24.3 percent, making health insurance still too expensive for many residents.
7. New Jersey — the co-insurance costs for the lowest-cost plan in the state is 50 percent. The deductible is low at $2,500, but patients are still responsible for half of the healthcare costs after meeting the deductible and the monthly premium is $317.
8. Alabama — the lowest cost plan has a $5,000 deductible and enrollees are responsible for 20 percent of the costs even after the deductible is met. The plan’s average cost is $288 per month.
9. South Carolina — the lowest cost plan in South Carolina has a $6,850 deductible, the highest of any silver plan in the study. There is no co-insurance required after the deductible is met, but patients still pay $25 copay for primary care visits.
10. New York — the state’s plan includes a $366 monthly premium and $3,000 deductible. Out-of-pocket costs are capped at $6,850 and the insured party pays some co-insurance charges, including 25 percent on emergency care.
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