Health Insurance Cost Sharing
Are you an Employer?    Attract the Best Candidates with Smart Job Postings! Search Legal Resumes
Legal Jobs Board for Attorneys, Law Students & Legal Staff | Serving USA & Other Countries | LawCrossing

Need Help? Call (800) 973-1177 

Job Seeker Login   Employer Login 

Job Seekers?  Try it Now  

ATTORNEY JOBS
LAW STUDENT JOBS
LEGAL STAFF JOBS
Download LawCrossing Online Apps: Click here  
1,000,000 + Attorneys and Legal Staff - Legal employers hire more people on LawCrossing than any other site.
See Law Jobs We Have Recently Researched and Located for You
What Where
Show Recruiter Jobs  

Show Refreshed Jobs  



Search in Job Title Only
Job Type:
Employer Type:

+ Browse Legal Jobs     + Advanced Search     + Search Tips     + Upload Legal Resume
Legal Jobs >> Legal Articles >> Law Firm Health Insurance >> Health Insurance Cost Sharing
  • Law Firm Health Insurance

Health Insurance Cost Sharing


by      
Printable Version PDF Version Email to a Friend
Subscribe to LawCrossing  
 Share on Facebook
 Twitter

Like LawCrossing on Facebook


It is important to understand what effects changes to employer-sponsored insurance plans will have on healthcare benefits and whether you will have to incur additional out-of-pocket expenses.

Some of the features of health insurance plans adopted by employers to share the costs of health insurance include deductibles, co-payments, co-insurance, and out-of-pocket maximums. Payments associated with these options have to be made for physician office visits and hospital stays, among other health insurance services.

A 2006 annual survey on employer-sponsored health insurance plans conducted by the Kaiser Family Foundation and the Health Research and Educational Trust shows the following:

Deductibles

The majority of employees are enrolled in employer-sponsored health insurance plans with no general deductibles. Most employees are members of health maintenance organizations (HMOs) and point-of-service (POS) plans, while one-third are enrolled in PPO plans.

Of those employees enrolled in plans without general deductibles, many have to make co-payments or pay for other charges when they are hospitalized or have outpatient surgery. 60% of employees enrolled in HMOs and 55% enrolled in PPOs and POS plans have to pay fees for hospitalization due to cost sharing.

POS plans have the highest deductibles on average, followed by PPOs and HMOs for employees enrolled in single- and family-coverage deductible plans.

Employees of smaller firms have higher deductibles compared with those working for large firms.

Cost Sharing for Physician Office Visits

The majority of employees have to pay fixed co-payments rather than percentages of costs when they visit physicians. Most of those enrolled in plans with co-payments must pay between $15 and $25 per visit.

Hospital Cost Sharing

In addition to annual plan deductibles, nearly half of employees face hospital cost sharing. Hospital cost sharing may be required in the form of fixed dollar amounts (co-payments) or co-insurance. The average fixed payment per hospitalization is $231, while the average co-insurance rate is 17% for each hospital admission.

Out-of-Pocket Maximums

Partial or total limits on out-of-pocket maximums may not apply to all required cost sharing under an employee's plan, including plan deductibles. Cost sharing in the forms of deductibles, prescription drug expenses, and certain services is treated differently by different plans. Some plans include these costs as out-of-pocket expenses when calculating members' maximums, while some do not, forcing employees to bear higher financial burdens.

Most family-coverage plans have out-of-pocket maximums of less than $4,000, while fewer than half of those enrolled in plans with separate, per-person out-of-pocket maximums pay less than $3,000 for family coverage.

You should be aware of changes to your employer's health insurance plan and any corresponding increases in the maximum amount you will be required to pay out of pocket. This will help you to plan for potential medical expenses.
If this article has helped you in some way, will you say thanks by sharing it through a share, like, a link, or an email to someone you think would appreciate the reference.



Facebook comments:

Related Articles
Assessing the Quality of Health Insurance Plans
Numerous health insurance plans are available in the market, and it can be very difficult to assess the quality of these plans and decide which ones offer quality service. However, information on the various aspects of health insurance such as how accessible the services are, what prevention services are offe ....

Choosing a Health Insurance Plan: Some Tips
Catastrophic illness or injury can lead to devastating financial loss. To protect themselves from this situation, most people depend on health insurance. ....

Health Insurance Choices
Health insurance protects us from depletion of financial resources due to medical emergencies. It is available in different forms from different insurance companies. The benefits available under various plans differ depending on the age of the beneficiary, the cost of the insurance, and the type of health ser ....
Related Jobs
Insurance Attorney / Litigation Attorney in Hartford, CT
Senior Counsel - Claim Legal, General Liability Duties: Provides high quality, cost ...
Source : Employer
apply now!
Insurance Attorney / Intellectual Property Attorney / Litigation Attorney in Frazer, PA
Senior Counsel - CNS / Pain Duties: Will identify inventions in designated area and ...
Source : Employer
apply now!
Insurance Attorney / Intellectual Property Attorney / Litigation Attorney in Frazer, PA
Senior Counsel - Respiratory Duties: Will identify inventions in designated area and...
Source : Employer
apply now!
View more related jobs
On The Net
Employer Health Benefits—2006 Annual Survey
www.kff.org/insurance/7527/upload/7527.pdf



Featured Testimonials

The E-mail alerts are the best feature of LawCrossing. Anyone who uses it would be very impressed with it.
 Datev 'Dave'

Facts

LawCrossing Fact #51: As a serious organization, LawCrossing is dedicated to finding users their dream jobs.


total jobs
68,282
Upload Your Resume
New Legal Jobs in Last 7 Days
17,632
Job of the day

Contract Attorney in Houston, TX
USA-Houston
Waterborne Contract Negotiator Candidate will have significant exposure to trading, scheduling, and confirmations. Resp...

apply for free
 
job search tip
Important interview props-paper and pen. On the pad of paper include your five interview questions along with any major points about your background you want to cover in the interview.
Top 101 Reasons to Sign Up for LawCrossing
Reason 45: LawCrossing allows you to save searches, which saves you time each day you sign on.
Click here for 100 more reasons


Your privacy is guaranteed. We will never give out, lease, or sell your personal information.


Shoot for the moon. Even if you miss it, you will land among the stars.