Exhibit 1. Services That Are Excluded from a Plan's Deductible in 2016 Silver Plan for a 40-Year-Old Male with $35,000 Income in the Largest City in Each State

f

NM

Albuquerque

K

HI

Honolulu

i

OH

Columbus

g

NV

Las Vegas

o

SD

Sioux Falls

a

NC

Charlotte

A

AK

Anchorage

j

OK

Oklahoma City

C

AR

Little Rock

w

WV

Charleston

k

OR

Portland

V

MI

Detroit

H

DE

Wilmington

r

UT

Salt Lake City

B

AL

Birmingham

R

LA

New Orleans

J

GA

Atlanta

v

WI

Milwaukee

N

IL

Chicago

I

FL

Jacksonville

O

IN

Indianapolis

n

SC

Columbia

Y

MS

Jackson

p

TN

Memphis

b

ND

Fargo

L

IA

Des Moines

x

WY

Cheyenne

D

AZ

Phoenix

U

ME

Portland

s

VA

Virginia Beach

e

NJ

Newark

d

NH

Manchester

Notes: Data are for the second-lowest cost silver plan in 2016 for a 40-year old male with $35,000 annual income in the largest city in each of the 38 states that use Healthcare.gov for the 2016 open enrollment season. We analyze plans that have positive deductibles for a total of 37 states; the Texas plan has a zero deductible for all income levels and is therefore excluded from the analysis. No plans exclude skilling nursing and bariatric surgery from their deductibles, although these two services are among the 22 services we analyzed.

Source: Commonwealth Fund analysis of HealthCare.gov data