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Trends and Indicators in the Changing Health Care Marketplace
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Exhibit 4.8: Distribution of Covered Workers Facing HMO Copayments for Physician Office Visits, 1996-2005
Almost all (97%) of covered workers enrolled in HMOs were required to pay copayments for physician office visits in 2005 (see Exhibit 4.6). The copayment amounts that covered workers face have been increasing in recent years. In 2005, the most common copayment was $15 (34% of covered workers, up from 10% in 1996). A growing number of covered workers face a $20 copayment (27%, up from 1% in 1996). The percentage of covered workers paying $5 per visit decreased from 24% in 1996 to 5% in 2005.
 
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*Estimate is statistically different from the previous year shown at p<.05.

Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2005. KPMG Survey of Employer-Sponsored Health Benefits: 1996. From Exhibit 7.9, at http://www.kff.org/insurance/7315/sections/ehbs05-7-9.cfm.

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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

 

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