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Covered CA

Please explain cost sharing reductions.

Cost sharing reductions (CSR) help people with their out-of-pocket costs such as deductibles, coinsurance and copayments.  It is only available to people who enroll in in a silver plan.  The issuers provide the extra help with out-of-pocket costs by covering more of the costs of covered benefits, hence increasing the actuarial value of a silver plan.  As a result, the individual pays lower deductibles, coinsurance, and/or copayments.

There are three levels of savings available to people who qualify for a CSR.  The level of savings is based on the family’s income.  See table on page 18 in the Eligibility for Individuals and Families participant guide.