Shrinking silver
The percentage of silver plans available has decreased over the years, with gold and bronze making up a larger share.

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Note: Percentages do not add up to 100 due to rounding.


Silver premiums increased
Estimated percentage of lowest-price silver plans with more than a 7.5% premium increase in 2023, by insurer type, and the percentage of customers potentially affected by the increase.

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Note: McKinsey & Company defines Medicaid insurers as "an insurer that also operates as a managed care organization (MCO) and whose main line of business outside of individual coverage is in Medicaid."


Insurers exiting
Number of insurers exiting the marketplace at the state level fell to 0 in 2019 after a few years of volitility. Since then, the number leaving at the state level has grown.

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Cutting back
In 2023, the average consumer could choose between 5 insurers and 88 plans. A new rule proposed for 2024 would limit the number of nonstandardized plans insurers could offer in healthcare.com states to two.
If the proposed rule had been in effect for 2023:

-34%
Estimated overall reduction in the number of plan options available.

-45%
Estimated reduction in nonstandardized plan options.