Employer Health Benefits Survey 2004: Exhibit 7.8: Coinsurance Rates Among Covered Workers Facing Coinsurance for Physician Office Visits, By Plan Type, 2004

Employer Health Benefits 2006 Annual Survey

Section 7: Employee Cost Sharing 2004: Exhibit 7.8: Coinsurance Rates Among Covered Workers Facing Coinsurance for Physician Office Visits, By Plan Type, 2004

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Exhibit 7.8: Coinsurance Rates Among Covered Workers Facing Coinsurance for Physician Office Visits, By Plan Type, 2004

	10 or 15%	20% or 25%	30%	40%	Other
COINSURANCE RATES
Conventional Plans	5%	85%	9%	0%	1%
PPO Preferred Provider	40	56	2	0	2
PPO Nonpreferred Provider	4	26	32	23	15
POS Preferred Provider	18	81	0	0	1
POS Nonpreferred Provider	4%	26%	31%	19%	20%

Note: The distribution of coinsurance rates does not include covered workers who do not have coinsurance or report 0% coinsurance. HMO coinsurance rates are not included because less than two percent of covered workers report having coinsurance for office visits.

Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits: 2004.

The Kaiser Family Foundation and Health Research and Educational Trust
Program Area: Health Care Marketplace Project | Publication Date: 09/26/2006