Marketplace Cost-Benefit Calculator

Estimated User Eligibility and Sponsorship Cost	Standard Estimate	Custom Estimate
Total eligible for sponsored insurance
Uninsured Adults under 65 & between 139% - 300% FPL
Uninsured AI/ANs between 139% - 400% FPL at select site(s)		——
Percent PRC (formerly CHS) eligible without offer of Employer coverage
Minimum percent of covered services provided at your site(s)
Maximum percent of covered services provided at your site(s)
Expected percent of Health Exchange covered services provided at your site(s)
Average Insurance Reimbursement to Site(s)
Paid to Site
Paid to Specialists & Hospitals
Actuarial Value Total

Medicaid Expansion Data Click the switch to toggle between Medicaid Expansion and Non-expanded data.

Facility User Count
User count for selected facilities
Uninsured AI/ANs between 0% - 100% FPL

Statewide Uninsurance Rates and Expenditures
Statewide spending by QHPs for tax credit eligible AI/ANs
Enter a number between 1-100 (to represent 1% to 100%) for State estimated % Take up Rate
State Uninsured AI/ANs between 139% - 400% FPL
State Uninsured AI/ANs between 139% - 300% FPL
AI/ANs Statewide Uninsurance Rate
Percentage of AI/ANs Uninsured between 139% - 400% FPL
Expenditures per person

Custom Estimate

Enter alternative numbers here to create a range of estimates.

Facility User Count

Remember to verify your current data and make adjustments.

Average Premiums

Visit healthcare.gov to determine marketplace premiums in your state.

No cost sharing

No cost sharing for enrolled tribal members under 300%.

Expenditures per person

Source: IHS Federal Disparities Index

Enter a number

Enter a number here for comparison estimate. By default this will be 25% higher than the standard estimate for comparison.

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