Health Reform Monitoring Survey-Texas, Issue Brief #10: Marketplace Plans: Premiums, Network Size and Market Competition
Since late 2013, individuals have been able to shop for and purchase private health insurance through the Marketplace via Healthcare.gov. Through the Marketplace, Texans can learn what plans are available to them, examine the features of the plans, determine whether they qualify for tax credits to lower their premiums, and purchase the plan that is best suited to their needs. During the first year of the Affordable Care Act’s Health Insurance Marketplace, consumers learned that many plans offered limited provider networks. This issue brief examines the availability of Marketplace plans in Texas, the number of in-network hospitals in the plans, and other plan characteristics influencing premiums. Our analysis focuses on Marketplace Silver plans, because they provide the benchmark by which premium-reducing tax credits are determined and because the majority of Texans who purchased Marketplace plans chose a Silver plan.