High-deductible Health Plan Enrollment Among Adults Aged 18-64 With Employment-based Insurance Coverage

NCHS Data Brief
|August 30, 2018
PubMed

Insights

High-deductible health plans (HDHPs) offer lower premiums but higher out-of-pocket costs. Enrollment trends in HDHPs among working-age adults with employer-sponsored insurance are examined using national survey data.

Area of Science:

  • Health Services Research
  • Health Economics
  • Public Health

Background:

  • High-deductible health plans (HDHPs) are characterized by lower monthly premiums and higher out-of-pocket expenses until a deductible is met.
  • Health Savings Accounts (HSAs) can be paired with HDHPs to allow for pretax savings to offset medical costs.
  • A significant portion of adults aged 18-64 have employer-based private health insurance.

Purpose of the Study:

  • To analyze enrollment patterns within high-deductible health plans (HDHPs) among adults aged 18-64.
  • To examine the distribution of HDHP enrollment based on various demographic characteristics.
  • To understand the prevalence of HDHPs within the landscape of employer-sponsored private health insurance.

Main Methods:

  • Utilized data from the National Health Interview Survey (NHIS) for the analysis.
  • Focused on the adult population aged 18-64 with employer-based private health insurance.
  • Categorized enrollment by plan type (including HDHPs) and demographic factors.

Main Results:

  • The study provides insights into the enrollment figures for high-deductible health plans.
  • Demographic characteristics associated with HDHP enrollment are detailed.
  • The report quantifies the prevalence of employer-sponsored coverage among working-age adults.

Conclusions:

  • Findings contribute to understanding the uptake and characteristics of high-deductible health plans in the US.
  • The data highlights the importance of demographic factors in health insurance plan selection.
  • This analysis offers a snapshot of current enrollment trends in employer-sponsored health insurance.

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