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Employees Paying More for Health Care

The increase in median out-of-pocket maximums was more than double the increase in average out-of-pocket maximums for both single and family coverage, which both went up, on average, less than $250.

Out-of-pocket maximums per employee for health care costs increased more than 6%, according to the 2014 UBA Health Plan Survey.

The increase in median out-of-pocket maximums was more than double the increase in average out-of-pocket maximums for both single and family coverage, which both went up, on average, less than $250.

The median single out-of-pocket maximum increased $500 to $3,500, and the median family out-of-pocket maximum increased $1,000 to $8,000, as reported by Stephen Miller of SHRM.

Average in-network deductibles for single coverage remained fairly level at $1,901.

Survey highlights include:

  • The percentage of plans with no deductible in-network decreased from 21% for an individual in 2013 to 20% in 2014, and from 22.5% for a family in 2013 to 20.8% in 2014.
  • The number of plans with no out-of-network deductible decreased from 8% for individuals in 2013 to 6.9% in 2014, and from 9.8% for a family in 2013 to 8.1% in 2014.
  • Plans with 100% co-insurance (wherein all medical expenses are covered by the insurer after the deductible is paid) decreased by 14.8% since 2012. In 2014, 36.2% of plans offered 100% co-insurance for individuals and only 1.3% covered families at this level.

 

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