2016 KAISER HEALTH BENEFITS SUMMARY

January 18, 2017

Each year, the Kaiser Family Foundation and the Health Research & Educational Trust (HRET) conduct a survey to examine employer-sponsored health benefit trends. Here are the main points of the 2016 survey:

 

  • Average premiums have risen nearly 60 percent for single coverage since 2006.

 

  • Preferred provider organizations (PPOs) were the most common plan type, followed by high deductible health plans (HDHPs) with a savings option—covering 48 and 29 percent of workers, respectively.

 

  • The average deductible amount for single coverage was over $150 higher than last year—jumping to $1,478 from $1,318.

 

  • The average in-network copayments were $24 for primary care and $38 for specialty care; in-network coinsurance amounts were 18 percent and 19 percent, respectively.

  • Small and large firms both offer wellness programs, with 46 percent of small firms and 83 percent of large firms offering at least one.

 

  • Eighty-two percent of workers in large firms and 13 percent in small firms are covered under some sort of self-funded (partially or fully) plan.

 

  • Of the large firms offering health benefits, 39 percent cover some health care services through telecommunication.

 

  • Of the firms polled, 56 percent offer health benefits to some workers, which is similar to recent years.

 

  • Of the firms offering health coverage with 50 or more employees, 2 percent offer health benefits through a private exchange.

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