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In 2015, the average American household paid $20,000 on health insurance and lost money on it. That’s double the national average for that same year, according to the Commonwealth Fund.

In recent years, many insurers have been selling policies that are less comprehensive for some people and have been charging more than usual for patients who have more health issues.

Last year, it was reported that insurers were dropping plans that cover many prescription drugs. Some insurers increased their rates, some of which will be paid through the federal health care subsidies that help people pay their premiums. Many are even offering policies that are no longer required by law. The new rules from the FDA to restrict coverage of certain drugs has prompted some insurers, including Anthem, to stop taking new or existing policies on those drugs, making the insurers pay a penalty to the government.

What’s the outlook for insurers and the consumer?

In 2016, consumers saw some small increases in their deductibles on insurance plans, with some insurers increasing deductibles and others adjusting their rates. For consumers on the lower side of that spectrum, the deductibles are likely to remain high.

It was predicted, though, that consumers would see the least impact under the Affordable Care Act. The law allows insurance companies to sell insurance without a pre-existing condition requirement and lets insurers charge more for plans that cover a few conditions. But the individual health insurance market is a very regulated marketplace. The average deductible on private policies for 2017 was $3,543, which is still higher than some levels of health insurance.

Will Americans find insurance they like now that is less comprehensive?

While the U.S. uninsured rate has declined by more than half since 2010, the Affordable Care Act (ACA) has not been able to keep that progress going because of some insurers dropping policies. There have been some concerns that insurance will drop with health reforms and that more people will stop seeing doctors when they need to, leading them to be unable to pay.

What is more likely is that as more people have insurance on the exchanges under the ACA, they will use many of the policies to gain coverage that they may have purchased elsewhere, rather than buying new plans that provide less coverage.
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Will insurers keep making money?

The insurer that does worst will lose the most money.

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