Senate HELP Committee Chairman Lamar Alexander has made it clear that he's interested in letting people older than 30 buy "copper," or catastrophic, insurance plans through the Affordable Care Act's exchanges. He's talked about expanding access to those policies as part of a bill to stabilize the ACA's marketplaces. So, how exactly would this work?
- A catastrophic plan — which is already available to people younger than 30 — is a policy whose deductible is equal to the law's cap on out-of-pocket spending.
- The catch, as Larry Levitt of the Kaiser Family Foundation points out, is that a catastrophic plan is "pretty much indistinguishable from a bronze plan" in terms of how much of an enrollee's health care costs it covers.
- To resolve this, the law's out-of-pocket maximum would have to be waived.
Experts from different ideologies generally agree that making this change wouldn't have major consequences. Best-case scenario, it would bring more young, healthy people into the marketplace. Worst-case scenario, is would siphon off some of these young, healthy people from more comprehensive plans, raising premiums for people still enrolled in them.