Health insurance deductibles pushed higher once again this year, according to a new report, contributing to a 10-year trend where out-of-pocket spending in employer health plans is causing financial anxiety for those with medical problems.
The California-based Kaiser Family Foundation on Wednesday issued its annual report on trends in employer-sponsored health insurance, which documented both the growth in deductibles plus an increase in the average premium for family coverage to nearly $20,000.
The average deductible for single coverage among all covered workers grew by more than 10 percent, the report found, while the growth rate in premiums was relatively low again this year at 3 percent for individuals and 5 percent for families. Since 2008, the general annual deductible for workers has increased eight times as fast as wages.
"It's sick people who use the most services who end up paying these costs," said Drew Altman, the Kaiser Family Foundation's president, during a news conference. "And so if you ask me … where is the biggest problem in American health care today — or the biggest cost problem, certainly — it's the cost problems and worries of Americans who are sick."
Deductibles are sums of money that patients must pay out-of-pocket for health care services before full coverage generally kicks in. The Kaiser survey drew on responses from more than 4,000 employers with three or more workers, including some in Minnesota.
The new report doesn't feature state-specific results, but the national trends have been playing out in Minnesota, said Elizabeth Lukanen, a health policy researcher at the University of Minnesota. Historically, Minnesota has had a relatively high share of workers enrolled in high-deductible health plans, Lukanen said.
"The deductibles are going up faster than premiums," said Lukanen, who studies the issue at the U's State Health Access Data Assistance Center. "We have long told a very similar national story, that the low premium increases over time have been offset by these much larger increases in deductibles."
Kaiser has been asking employers about health plan cost trends since 1999, when the total premium for family coverage — including contributions from employers and workers — was $5,791. That's less than one-third of the cost for family coverage this year, which the survey put at $19,616.