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High-deductible Health Plan Enrollment Among Adults Aged 18-64 With Employment-based Insurance Coverage
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.
Abstract:
High-deductible health plans (HDHPs) are health insurance policies with higher deductibles than traditional insurance plans. Individuals with HDHPs pay lower monthly insurance premiums but pay more out of pocket for medical expenses until their deductible is met. An HDHP may be used with or without a health savings account (HSA). An HSA allows pretax income to be saved to help pay for the higher costs associated with an HDHP (1). This report examines enrollment among adults aged 18-64 with employmentbased private health insurance coverage by plan type and demographic characteristics. Approximately 60% of adults aged 18-64 have employmentbased coverage (2). All estimates in this report are based on data from the National Health Interview Survey (NHIS).
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