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Group Insurance: A Better Deal For Most People Than Individual Plans.
- Source :
-
Health Affairs . Jan2010, Vol. 29 Issue 1, p156-164. 9p. - Publication Year :
- 2010
-
Abstract
- This paper compares health plans currently available on the individual market with employer-sponsored plans. Points of comparison include the scope of benefits, cost-sharing provisions, premiums, expected out-of-pocket costs, and actuarial value. We draw from the 2007 KFF/HRET Health Benefits Survey, our own survey of individual-market plans, the MarketScan medical claims database, and a computer simulation of medical claims. We find that in 2007, employment-based plans covered 80 percent of all charges paid by the plan and the member, while individual plans covered 64 percent. For most people, premiums and out-of-pocket costs were more affordable in tax-advantaged employer plans than in individual-market plans. Proposed health reforms would fundamentally alter the plan offerings available to Americans, particularly those offered in the individual market. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 02782715
- Volume :
- 29
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Health Affairs
- Publication Type :
- Academic Journal
- Accession number :
- 48166437
- Full Text :
- https://doi.org/10.1377/hlthaff.2009.0060