The majority of Missourians shopping on the new health insurance marketplace are selecting lower-tier plans, leaving them vulnerable to more costs than they may be expecting, and some administrators worry that hospitals will be stuck with the bills because of high deductibles and cost-sharing.
The new marketplace offers five types of plans. The highest tier is platinum coverage, which has the most expensive premiums for the lowest out-of-pockets cost. Next is gold, followed by silver, bronze and catastrophic. No platinum plans were offered in the Missouri marketplace this year.
By Dec. 28, more than 33,000 Missourians enrolled in a marketplace policy. Nineteen percent selected bronze plans, 58 percent selected silver and 2 percent chose catastrophic plans. Silver plans push 30 percent of medical costs onto the consumer, and bronze leaves patients with 40 percent of the bill.