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AHIP: Individual, Group Health Policies Are Similar

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NU Online News Service, May 4, 2004, 4:34 p.m. EDT – Individuals buying health care insurance on their own tend to purchase policies similar to those available through employer-sponsored group plans.[@@]

Researchers at America’s Health Insurance Plans, Washington, draw that conclusion in a report on a new survey of 11 health insurers that have sold 543,186 individual policies and 296,736 family policies.

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The researchers found that the typical health policy purchased by individual consumers is a preferred provider organization plan with an annual deductible between $750 and $2,000, an annual out-of-pocket limit between $3,000 and $7,500, and a lifetime maximum benefit of $2 million to $5 million.

In addition, the typical individual policy offers a prescription drug card as well as coverage for inpatient and outpatient mental health, inpatient and outpatient substance abuse, annual visits to an obstetrician and gynecologist, well-baby care and care for complications from pregnancy.