Exhibit 4.7: Distribution of Covered Workers Facing PPO In-Network Copayments for Physician Office Visits, 2004-2005

Costs/Insurance

>	Main Page
>	Consumer Protections
>	Employer-Sponsored Insurance
>	Individual Insurance

Women's Health Policy

Media and Health

Pulling It Together, From Drew Altman

Kaiser Commission on Medicaid and the Uninsured

Kaiser Polls

Media Fellowships

Barbara Jordan Health Policy Scholars Program

News Media Partnerships

Entertainment Media Partnerships

South Africa

Fast Facts

Trends and Indicators in the Changing Health Care Marketplace

Section 4: Health Insurance Benefits
Pages: 1 2 3 4 5 6 7 8 9 10 11 12 < previous | next >

Exhibit 4.7: Distribution of Covered Workers Facing PPO In-Network Copayments for Physician Office Visits, 2004-2005

More than three-quarters (80%) of covered workers enrolled in PPOs were required to pay copayments for physician office visits with in-network providers in 2005 (see Exhibit 4.6). Most workers who face a copayment pay either $15 or $20 per visit, with almost one in four workers paying $15 (25%). Fewer than one in fifty covered workers (<1%) paid $5 per visit.

*Distribution is statistically different from previous year shown at p<.05.

‡In calculating the distribution of copayments across all plan types, the copayments applicable to in-network services were used for PPO plans.

Note: The distribution of copayments for physician office visits does not include covered workers who do not have a copayment.

Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits: 2004-2005. From Exhibit 7.8, at http://www.kff.org/insurance/7315/sections/ehbs05-7-8.cfm.

Section 4: Health Insurance Benefits
Pages: 1 2 3 4 5 6 7 8 9 10 11 12 < previous | next >

Trends and Indicators in the Changing Health Care Marketplace
Information provided by the Health Care Marketplace Project.
Publication Number: 7031
Information Updated: 04/26/06