Despite the Affordable Care Act improving health insurance coverage and affordability for many, an increasing number of voices have drawn attention to high out-of-pocket costs and the affordability of marketplace insurance. High financial burdens relative to income can lower enrollment levels and compromise the ability of the ACA to reach its ultimate goals. We examine premiums and out-of-pocket costs, as well as total financial burdens for individuals with different characteristics enrolled in ACA-compliant nongroup coverage. We show that despite the financial assistance available, individuals across the income distribution who are ineligible for Medicaid can still face very high expenditures.
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