For me, single, ACA, 452$ a month, deductible is 8400$.
Which reflects a long standing and growing trend in the health insurance industry in the US>
Since the US health care industry has no incentive whatsoever to manage cost, all the players “manage” their costs by raising the markup. They have also larded the “system” with layers of middlemen and consultants, specialists and people who often do very little but bill big for it. No one cares.
There is every incentive to do more of this, and virtually no incentive not to.
The insurance industry is the bank for the industry, and it adjusts its pricing (adding its considerable markup). Everybody gets rich, and the employers and employees pay.
It‘s a system that has richly rewarded its major componants, insurance companies, pharma companies, hospital chains, ets. All of who have the money to buy the lobbyists to work to insure that the golden goose continues to lay eggs.
This cycle has insured health care costs rose at rates considerably higher than the rate of inflation for four decades.
Employers compensated for the huge increases by cutting coverage, thus deductibles were born, and rose steadily to their present heights.
Conservaitves like to gripe about the high deductible rates of Bronze and Silver plans. And yet similar huge deductibles had already appeared, especially in smaller and medium sized businesses. Where the trend to high deductibles had been going on for years.
The cost plus institutional corruption and the strong disincentives for cost management in teh American health care industry are the main reason why the US is spending over 20% of its GDP on health care, far more than any other developed country. And why Americans pay twice as much per capita as people in ANY country with single payer national health insurance.