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| Employer Health Benefits 2006 Annual Survey |  |
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Section 7:
Exhibit 7.11: Among Covered Workers with a General Annual Health Plan Deductible, Percentage Whose Deductible...
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Error in element (see logs)
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Exhibit 7.11: Among Covered Workers with a General Annual Health Plan Deductible, Percentage Whose Deductible Does Not Apply to Various Services, by Plan Type, 2006
| HMO | PPO | POS | HDHP/SO | | Hospital Admissions | 1% | 4% | 6% | ^ | | Outpatient Hospital Procedures | 5 | 5 | 3 | ^ | | Primary Care Visits | 45 | 44 | 36 | ^ | | Specialty Care Visits | 42 | 40 | 31 | ^ | | Preventive Procedures | 48 | 47 | 27 | 88 | | Prescription Drugs | 53 | 51 | 37 | 43§ |
| ^ | HDHP/SOs were not asked these questions with two exceptions: HDHP/SOs were asked about preventive procedures and HDHP/HRAs were asked about prescription drugs. HDHP qualified HSAs are required by law to apply the plan deductible to nearly all services. | | | | § | Percentage is for covered workers in HDHP/HRAs only. | | | | | Note: These questions refer to payments made for specific services that do not count toward a worker’s annual deductible. For example, if a worker has a deductible of $500, an office visit copayment of $15 would not be included in meeting the deductible. These questions are asked for single coverage only. We make the assumption that they apply to workers enrolled in family coverage as well. For PPO, POS, and HDHP/SO plans, we ask about deductibles for in-network services. | | | | | Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 2006. | | | | | Errata: The percentage of covered workers in HDHP/SOs whose deductible does not apply to preventive benefits is 88% rather than the 22% previously reported; similarly, the percentage of covered workers in HDHP/HRAs whose deductible does not apply to prescription drugs is 43% rather than the 57% previously indicated. (8/23/07) | | | | | For more information regarding survey methodology, click here to view the Survey Design and Methods section. |
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