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Most people applying for coverage end up not buying it

As per the new report by Commonwealth Fund, employers are deducting health benefits or reducing their contribution to the cost sharing to cope with rising health care costs. // The higher deductibles squeeze workers and their families. Many people forced to take individual insurance find it too expensive. Low-income group people are at risk of medical debt and may not have needed health care.

An overwhelming majority--89%--of working-age adults who sought coverage in the individual market during the past three years ended up never buying a plan. A majority (58%) found it very difficult or impossible to find affordable coverage. One-fifth (21%) of those who sought to buy coverage were turned down, were charged a higher price because of a pre-existing condition, or had a health problem excluded from coverage.

"More workers and their families are losing employer-sponsored health insurance," said Commonwealth Fund Assistant Vice President Sara Collins, lead author of the report. "Most of the increase in the number of uninsured Americans--now upwards of 46.6 million--was due to a decline in workplace coverage. Although the individual market is a last resort for those shut out of employer-sponsored coverage, it is by no means a safe or secure haven for everyone."

People with High-Deductible Health Plans Face Potentially Large Cost Burdens The report also highlights the increasing cost burdens families are facing due to the decline in the quality of coverage and more cost-shifting to employees. Adults with high-deductible health plans--both those with individual market or employer-based coverage--have higher out-of-pocket costs than do those with lower-deductible plans. In addition, many adults with such plans are left with burdensome medical bills because of limits to their insurance coverage. Two of five (40%) of those with deductibles over $1,000 had expensive medical bills for services not covered by their insurance, compared to about on
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