OE8 Webinar: Part V Plan Design
Plan Design
In this Health Reform: Beyond the Basics webinar presented on October 1, 2020, Sarah Lueck, Senior Policy Analyst, provides an overview of health plan design, including cost-sharing charges in marketplace plans, eligibility for cost-sharing reductions, and how plan design affects consumers’ costs. She also covers the expansion and risks of skimpy plans.
↓ View Presentation Slides (PDF)
Jump to:
- Basic elements of marketplace plans
- Essential health benefits
- Types of cost-sharing charges
- Maximum out-of-pocket limit
- Actuarial value and metal tiers
- Examples
- Levels of cost-sharing reductions
- Examples
- Cost-sharing for American Indians and Alaska Natives
- Skimpy plans vs. AC-compliant plans
- Limitations of short-term plans
- Direct enrollment websites
Additional Resources