With most employers offering HDHPs
with an insurance-negotiated provider network, few HDHP
enrollees are truly autonomous consumers not covered in pricing arrangements pre-negotiated with insurance plans.
Table 1 shows the average deductibles of the included plans in the pre- and postperiods for the HDHP
and Traditional Plan groups.
The increases for HDHP
out-of-pocket maximums allow plan sponsors more flexibility when determining potential deductibles.
Self-Only or Family HDHP
Coverage: The HSA maximum depends on whether the individual had self-only HDHP
coverage or family HDHP
The proliferation of HDHPs
is the most significant trend in higher ed health benefits, says Len Spangher, vice president and senior consultant at Sibson Consulting, which provides HR and benefits consulting to corporations and nonprofits.
For all of 2017, Thas self-only coverage under an HDHP
with a $2,000 annual deductible.
(1.) Healthcare.gov, High Deductible Health Plan (HDHP
A National Bureau of Economic Research study found that newly enrolled HDHP
members with median incomes of $125,000 to $150,000 cut back on preventive care, physician office visits and prescription drugs.
A qualified HDHP
has a minimum deductible of $1,300 with no first dollar coverages.
The maximum 2015 contribution for eligible individuals with self-only coverage under an HDHP
is $3,350, while an eligible individual with family coverage under an HDHP
can contribute up to $6,650.
The MMA allows people to establish or contribute to an HSA when they are covered by a high-deductible health plan (HDHP
), and the legislation explicitly defines the minimum deductible and the maximum annual out-of-pocket expenditure for a qualifying plan.
One study showed that HDHP
participants indiscriminately reduced their use of all care, (5) and another indicated that HDHP
participants with chronic conditions moderately reduced their adherence to prescription drug regimens, especially for asymptomatic conditions such as hypertension and high cholesterol.