Higher health insurance deductibles a sickening trend for Americans

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Higher health insurance deductibles a sickening trend for Americans
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As deductibles hit the thousands, many skip care or prescriptions. healthcare

Many insured workers in such plans must pay thousands more than that each year. The medical math is forcing them to view their health insurance as something for worst-case scenarios -- like a major hospitalization -- rather than insurance that helps pay for doctor visits and prescriptions.

To be sure, all insurance plans have out-of-pocket maximums, which is the most a consumer will have to pay -- excluding monthly premiums -- within a calendar year. Generally, the lower the premium, the higher the out-of-pocket max.

"For a group with employer-sponsored coverage, you would expect they won't have to make those trade-offs," Hamel said.One reason for the rise in these plans: Employers are shifting the burden of higher health care expenses to their employees. Workers with employer-based insurance typically are paying 12% of their incomes -- or more than $7,200 annually -- on premiums and deductibles, up from 7.

Dr. Munger said he saw this behavior earlier this year when a patient with diabetes and a high-deductible plan decided to skip insulin because of the out-of-pocket costs.

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