* Estimate is statistically different from the previous year shown at p<.05.
^ Information was not obtained for HMO plans prior to 2003, or for POS plans in 1988 and 1993.
Preferred providers: Providers that are part of a plan’s approved list of doctors and hospitals; consumers generally pay lower cost sharing when using these providers.
Nonpreferred providers: Providers that are not part of a plan’s approved list of doctors and hospitals.
Note: Average deductibles include covered workers who do not have a deductible or report a $0 deductible. For example, 30% of covered workers in PPO plans do not have a deductible for preferred providers. Among single workers enrolled in a PPO plan who do have a deductible greater than $0, the average annual preferred provider deductible is $410 and the average nonpreferred provider deductible is $595.
Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits: 2000, 2002, 2003, 2004; KPMG Survey of Employer-Sponsored Health Benefits: 1993; The Health Insurance Association of America (HIAA): 1988.