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Health Insurance Exchange

See attached 

Instructions For this assignment, you will research and analyze four insurance plans offered by a federally facilitated health insurance exchange (marketplace). Download the Excel “Health Insurance Exchange Assignment Template” which includes a completed submission example on one sheet and a blank template for you to complete.

Part One: Pick a zip code Pick a non-Florida zip code for a state with a federally-facilitated exchange. The list of states below has federally-facilitated exchanges. AL, AK, AZ,, GA, IN, KS, LA, ME, MS, MO, MT, NE, NJ, NC, ND, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WY

Part Two: Pick Your Four Plans Use the website: to find all available insurance product offerings for your selected zip code. To find products, input your zip code. Then hit “skip” until you see “Go to Full-Price Plans.” (Close the pop-up that says, “Help Comparing Plans.”) Next, pick at least four insurance product offerings, including one from each metal level (bronze, silver, gold, and platinum). If a platinum plan is not available for your zip code, you may substitute another metal. Some states do not have platinum plans.

Part Three: Complete the Template After you select four insurance products from any insurance company, fill out the Excel template titled “Health Insurance Exchange Assignment Template.” When inputting information in the template, make sure you specify the zip code you used (at the top) and the metal type for each plan.

Part Four: Identify Plan Recommendations Analyze each of the products and determine which product you will recommend to a low-income family to purchase. The family is seeking a fairly comprehensive insurance product at a good price and they are eligible for cost-sharing subsidies (reductions) (as described in this chapter’s lecture). Provide your rationale for your recommendation in your assignment submission.

Please add all the replies in a paragraph format

Using the information from your completed template, please type your answer to the questions below.

A. What zip code did you use?  

B. Did the state have platinum plans? (Yes or No) 

Using the information from your completed template, please type your answer to the questions below.

A. What was the name of the 
BRONZE plan you selected?

B. What was its monthly premium?

C. What was its deductible?

D. What was the out-of-pocket maximum?

Using the information from your completed template for the 
BRONZE plan, please type your answers to the questions below.

A. What is the copayment or coinsurance requirement for 

emergency room (ER) 
visits?

B. What is the copayment or coinsurance requirement for 

generic
 drugs?

C. What is the copayment or coinsurance requirement for 

primary care
 visits?

D. What is the copayment or coinsurance requirement for 

specialist
 visits?

E. What is the copayment or coinsurance requirement for 

specialty 
drugs?

F. What is the copayment or coinsurance requirement for 

outpatient mental/behavioral health?

Using the information from your completed template, please type your answer to the questions below.

A. What was the name of the 
SILVER plan you selected?

B. What was its monthly premium?

C. What was its deductible?

D. What was the out-of-pocket maximum?

Using the information from your completed template for the 
SILVER plan, please type your answers to the questions below.

What is the copayment or coinsurance requirement for 

emergency room (ER) 
visits?

A. What is the copayment or coinsurance requirement for 

generic
 drugs?

B. What is the copayment or coinsurance requirement for 

primary care
 visits?

C. What is the copayment or coinsurance requirement for 

specialist
 visits?

D. What is the copayment or coinsurance requirement for 

specialty 
drugs?

E. What is the copayment or coinsurance requirement for 

outpatient mental/behavioral health?

Using the information from your completed template, please type your answer to the questions below.

A. What was the name of the 
GOLD plan you selected?

B. What was its monthly premium?

C. What was its deductible?

D. What was the out-of-pocket maximum?

Using the information from your completed template for the 
GOLD plan, please type your answers to the questions below.

A. What is the copayment or coinsurance requirement for 

emergency room (ER) 
visits?

B. What is the copayment or coinsurance requirement for 

generic
 drugs?

C. What is the copayment or coinsurance requirement for 

primary care
 visits?

D. What is the copayment or coinsurance requirement for 

specialist
 visits?

E. What is the copayment or coinsurance requirement for 

specialty 
drugs?

F. What is the copayment or coinsurance requirement for 

outpatient mental/behavioral health?

Using the information from your completed template, please type your answer to the questions below.

A. What was the name of the 
PLATINUM (or substitute metal) plan you selected?

B. What was its monthly premium?

C. What was its deductible?

D. What was the out-of-pocket maximum?

Using the information from your completed template for the 
PLATINUM (or substitute metal) plan, please type your answers to the questions below.

A. What is the copayment or coinsurance requirement for 

emergency room (ER) 
visits?

B. What is the copayment or coinsurance requirement for 

generic
 drugs?

C. What is the copayment or coinsurance requirement for 

primary care
 visits?

D. What is the copayment or coinsurance requirement for 

specialist
 visits?

E. What is the copayment or coinsurance requirement for 

specialty 
drugs?

F. What is the copayment or coinsurance requirement for 

outpatient mental/behavioral health?

Which of the following metal types do you recommend for the scenario family?

Silver

Bronze

Gold

Platinum

In 

one sentence or phrase
, answer the question: why did you recommend the plan above for the scenario family?

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