title: Paying more for less: older adults in the individual insurance market: findings from the Commonwealth Fund Survey of Older Adults.
abstract: The Commonwealth Fund Survey of Older Adults reveals that adults ages 50 to 70 who rely on the individual insurance market for health coverage pay much higher premiums than their counterparts with employer coverage or Medicare. The survey found that in 2004, more than half (54%) of older adults with individual coverage spent $3,600 or more annually on premiums. A quarter (26%) spent $6,000 or more a year. In contrast, only 17 percent of older adults with employer coverage and 6 percent of those covered by Medicare spent $3,600 or more on premiums. Moreover, individual coverage often provides poor access to care and entails high out-of-pocket expenses for older adults, making it a particularly unaffordable option for people who are older, have low incomes, or who have chronic health problems.
authors.affiliation: The Commonwealth Fund. SRC@cmwf.org
authors.forename: Sara R
authors.initials: SR
authors.lastname: Collins
authors.forename: Cathy
authors.initials: C
authors.lastname: Schoen
authors.forename: Michelle M
authors.initials: MM
authors.lastname: Doty
authors.forename: Alyssa L
authors.initials: AL
authors.lastname: Holmgren
authors.forename: Sabrina K
authors.initials: SK
authors.lastname: How
mesh_terms: D000368:Aged; D003365:Costs and Cost Analysis; D003669:Deductibles and Coinsurance; D006264:Health Benefit Plans, Employee / Q000191:economics*; D019538:Health Care Surveys; D006297:Health Services Accessibility; D006801:Humans; D007348:Insurance, Health / Q000191:economics*; D007356:Insurance, Pharmaceutical Services; D006278:Medicare / Q000191:economics*; D008875:Middle Aged; D017149:Private Sector / Q000191:economics*; D014481:United States