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Family Health Insurance Premiums Jump 4 Percent in 2012
Date:9/12/2012

orkers at low-wage firms pay an annual deductible of at least $1,000, compared with 29 percent of employees at high-wage firms. Overall, one-third of insured workers must meet a $1,000 deductible, and 14 percent face deductibles of at least $2,000 each year, the researchers found.

Bigger firms are more likely to offer flexible-spending accounts and allow workers to pay for the premiums with pre-tax dollars. Of the larger firms, 91 percent allow pre-tax deductions for premiums, compared with 41 percent of smaller companies. Moreover, 76 percent of large companies offer pre-tax flexible-spending accounts, compared with 17 percent of smaller employers, the results showed.

"This year's survey suggests that working families at the low end of the wage scale face significant out-of-pocket costs for coverage," study lead author Gary Claxton, a Kaiser vice president and director of the foundation's Health Care Marketplace Project, said in the release. This was true even though their "coverage itself tends to be less comprehensive," he added.

The study authors estimated that the 2010 Affordable Care Act, which allows young adults up to age 26 without employer coverage of their own to be covered as dependents on their parents' plan, had extended coverage to 2.9 million young adults -- an increase of 2.3 million people since 2011.

The investigators also found that fewer workers are in "grandfathered" plans, which exempt employees from some health reform requirements -- such as covering preventive benefits with no cost sharing and having an external appeals process -- with 48 percent of covered workers currently covered by grandfathered plans, down from 56 percent in 2011.

The number of companies offering health benefits to their employees has not changed (about 61 percent). Co-pays for covered workers are on average $23 for in-network primary care doctors and $33 for visits with specialists. ER visits typically cost $118. Average co-pays for dru
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