|
Why
Individual Health
Insurance Is Becoming
Popular |
Individual health
insurance (also called "non-group" health insurance) is
generally purchased by those, who are not eligible for
employer-sponsored plans. The individual health
insurance market acts as a vital source of protection to
millions of Americans, who do not have access to
employer-sponsored health coverage. While it acts as a
protective shield to individuals, this also suffers from
the two most common criticisms. First, it is
prohibitively expensive. Secondly, it is only available
to the healthiest Americans. Undoubtedly, these issues
are important. While many still rely on anecdotes and
hypothetical examples, data are now becoming available,
which demonstrate the affordability of individual
coverage and the reasons, why individual health
insurance is becoming popular.
A recent survey of three insurance
companies (eHealthInsurance, HIAA and Center for
Studying Health System Change) actively
marketing individual medical policies shows that a large
majority of people, who lack employer-sponsored health
insurance, can easily obtain affordable coverage from an
individual policy.
The study by the Health Insurance
Association of America (HIAA) found that, even in states
that allow insurers to consider the applicants’ health,
nearly nine out of every 10 properly completed
applications for individual health insurance result in
an offer of coverage. Seventy one percent of completed
applications for an individual policy resulted in an
offer of full coverage at standard rates, while an
additional 22 percent received offers of insurance with
limits on the coverage, or at higher than standard
premiums, or both. Because of health reasons, fewer than
12 percent of all completed applications submitted to
the companies surveyed were declined.
According to HIAA president Donald
Young, M.D, this survey provides solid evidence that the
individual market works well for the vast majority of
those who don’t have access to health insurance through
their job and it also reinforces the importance of
buying health insurance before illness or other medical
misfortune strikes.
Recent Surveys of the Cost of Individual
Health Insurance
|
Survey
|
Date |
Average Annual
Premium |
|
Single |
Family |
|
eHealthInsurance |
January 2002 |
$1,907 |
NA |
|
HIAA |
July 2002 |
$2,070 |
$4,009 |
|
Center for
Studying Health
System Change |
July 2002 |
$2,568* |
NA |
|
eHealthInsurance |
September 2002 |
$1,871 |
NA |
|
*
Estimated |
According to this survey the consumers
are actually paying for individually purchased health
insurance. In January of this year, eHealthInsurance
gathered data on 20,000 policies sold through its
website. The average annual premium for single coverage
was just over $1,900.
In May, the Health Insurance
Association of America (HIAA) surveyed member companies
active in this market for the average premiums for
policies in force as of the beginning of April 2002. The
responses represented almost 700,000 persons with single
policies and over 1.3 million persons with family
coverage. The average annual premium for single coverage
was $2,070, and the average annual premium for family
coverage was just over $4,000.
In July, the Center for Studying Health
System Change released the results of a study that
estimated an average annual premium of $2,568 for single
coverage. However, this estimate was based on a sample
of only 2,500 individual insurance policies, and was
adjusted to represent a hypothetical population of
individuals eligible for a tax credit, rather than
current purchasers.
HIAA Premium Survey Results
|
Insured Age |
Single Insured Count |
Family Count |
Average Annual
Premium |
|
Single Family |
|
0-19 |
46,438 |
11,435 |
$988 |
$1,713 |
|
20-24 |
68,308 |
4,890 |
1,038 |
2,283 |
|
25-29 |
82,138 |
17,710 |
1,160 |
2,628 |
|
30-34 |
69,107 |
41,545 |
1,410 |
3,081 |
|
35-39 |
66,243 |
65,479 |
1,671 |
3,360 |
|
40-44 |
66,970 |
80,903 |
1,983 |
3,781 |
|
45-49 |
69,656 |
78,699 |
2,285 |
4,097 |
|
50-54 |
72,913 |
60,027 |
2,749 |
4,696 |
|
55-59 |
72,602 |
39,525 |
3,277 |
5,530 |
|
60-64 |
77,240 |
22,739 |
3,642 |
6,227 |
|
Total |
691,615 |
422,952 |
2,070 |
4,009 |
The study says that with the lack of an
employer contribution and, for many, the inability to
deduct premiums for income tax purposes, consumers in
the individual market may chose to buy somewhat less
coverage than the typical employee benefit plan. Even
so, the survey shows that individual health insurance is
readily available and affordable. The study may
overstate the number of people denied coverage for
health reasons because people in poor health may apply
with multiple insurers.
Young said insurance companies
belonging to HIAA support state-based high-risk pools
for those individuals denied coverage because of health
conditions. This approach guarantees access to health
insurance, and limits the premiums paid, even for people
with serious health problems, without harming the
consumers relying on the broader market.. He indicated
29 states have already created such a high-risk
pool.
The survey on availability of coverage
examined data for more than 500,000 applications, and
the premium survey included nearly 700,000 persons with
single coverage and over 1.3 million with family
coverage. So, it clearly demonstrates why individual
health insurance is getting popular day by day.
References:
- eHealthInsurance, The Costs and Benefits of
Individual Health Insurance Plans,
- http://ehealthinsurance.com/ehealthinsurance/expertcenter/ExpertCenter.html
(Sunnyvale, California: eHealthInsurance, January
2002).
- J. Hadley and J. Reschovsky, Tax Credits and the
Affordability of Individual Health Insurance
(Washington, D.C.: Center for Studying Health System
Change, July 2002).
- T. Musco, Individual Medical Expense Insurance
Affordable, Serves Old and Young (Washington, D.C:
Health Insurance Association of America, July
2002).
- eHealthInsurance, The Costs and Benefits of
Individual Health Insurance Plans,
- http://ehealthinsurance.com/ehealthinsurance/expertcenter/ExpertCenter.html
(Sunnyvale, California: eHealthInsurance, September
2002).
- Employer Health Benefits: 2002 (Menlo Park,
California: The Henry J. Kaiser Family Foundation and
Health Research and Educational Trust, September
2002).
- K. Pollitz et al, How Accessible is Individual
Health Insurance for Consumers in Less-than-Perfect
Health? (Menlo Park, California: The Henry J. Kaiser
Family Foundation, June 2001).
- Cost and Availability of Health Insurance for
People with Chronic Health Conditions (Washington,
D.C.: National Association of Health Underwriters,
March 2002).
- K. Pollitz and L. Levitt, Explaining the Findings
of a Study About Medical Underwriting in the
Individual Health Insurance Market (Menlo Park,
California: The Henry J. Kaiser Family Foundation May
2002).
- L. Tooman, Real People, and Real Coverage
(Alexandria, Virginia: The Council for Affordable
Health Insurance May
2002).
© 2004 by Roger
Lacocoa, Affordable Health Insurance
Quotes.
~~~~~~~~~ About the author:
Roger Lacocoa is a professional
consultant with Affordable Health Insurance
Quotes, specializing in the areas
of health, life and disability
insurance.
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