Standardized Plans in the Health Care Marketplace: Changing Requirements

(By Karen Pollitz, Justin Lo, and Rayna Wallace for Kaiser Family Foundation Published: May 08, 2023)

For the 2023 coverage year, HealthCare.gov adopted a requirement on participating health insurance insurers to offer standardized plan design (SPD) options to consumers; this requirement will be modified somewhat for 2024 and beyond.1 Such plans apply standardized cost sharing rules to covered benefits. The federal requirement does not apply to SHOP plans sold to small employers; nor does it apply to state-based marketplaces (SBM), though most SBMs also require SPDs. Continue reading here…

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