Claxton Gary, Gabel Jon, Gil Isadora, Pickreign Jeremy, Whitmore Heidi, Finder Benjamin, Rouhani Shada, Hawkins Samantha, Rowland Diane
Henry J. Kaiser Family Foundation (KFF), Washington, DC, USA.
Health Aff (Millwood). 2005 Jul-Dec;Suppl Web Exclusives:W5-434-41. doi: 10.1377/hlthaff.w5.434.
This paper documents the availability, enrollment, premiums, and cost sharing for high-deductible health plans that are offered with a health reimbursement arrangement (HRA) or are health savings account (HSA)-qualified plans. Almost 4 percent of employers that offer health benefits offer one of these arrangements in 2005, covering about 2.4 million workers. Deductibles, as expected, are relatively high, averaging dollar 1,870 for single coverage and dollar 3,686 for family coverage in high-deductible health plans with an HRA and dollar 1,901 for single coverage and dollar 4,070 for family coverage in HSA-qualified high-deductible health plans. One in three employers offering a high-deductible health plan that is HSA-qualified do not contribute to HSAs established by their workers.
本文记录了与健康报销安排(HRA)一起提供的或符合健康储蓄账户(HSA)资格的高免赔额健康计划的可用性、参保情况、保费和费用分担情况。2005年,提供健康福利的雇主中约有4%提供了这些安排之一,覆盖了约240万名工人。正如预期的那样,免赔额相对较高,在带有HRA的高免赔额健康计划中,单人保险的平均免赔额为1870美元,家庭保险为3686美元;在符合HSA资格的高免赔额健康计划中,单人保险为1901美元,家庭保险为4070美元。提供符合HSA资格的高免赔额健康计划的雇主中,三分之一不为其员工设立的HSA供款。