In 2023, 68 percent of employees on single coverage plans had an out-of-pocket (OOP) maximum of over 3,000 U.S. dollars. This means they had to pay a maximum of over 3,000 U.S. dollars a year (including deductibles and copayment/coinsurance) before their insurance paid for all other health costs.
The Affordable Care Act (ACA) requires that non-grandfathered health plans have an out-of-pocket maximum of no more than 9,100 U.S. dollars for single coverage and 18,200 U.S. dollars for family coverage in 2023. Just one percent of the surveyed workers with single coverage had an OOP maximum of more than 9,100 U.S. dollars.
This statistic illustrates the percentage of workers in a single coverage insurance plan with an OOP maximum above select thresholds in the United States from 2009 to 2023.
Percentage of workers in a single coverage insurance plan with an out-of-pocket (OOP) maximum above select thresholds in the United States from 2009 to 2023
Profit from the additional features of your individual account
Currently, you are using a shared account. To use individual functions (e.g., mark statistics as favourites, set
statistic alerts) please log in with your personal account.
If you are an admin, please authenticate by logging in again.
Learn more about how Statista can support your business.
Kaiser Family Foundation. (October 18, 2023). Percentage of workers in a single coverage insurance plan with an out-of-pocket (OOP) maximum above select thresholds in the United States from 2009 to 2023 [Graph]. In Statista. Retrieved November 21, 2024, from https://www.statista.com/statistics/1249315/us-workers-oop-maximum-for-single-coverage/
Kaiser Family Foundation. "Percentage of workers in a single coverage insurance plan with an out-of-pocket (OOP) maximum above select thresholds in the United States from 2009 to 2023." Chart. October 18, 2023. Statista. Accessed November 21, 2024. https://www.statista.com/statistics/1249315/us-workers-oop-maximum-for-single-coverage/
Kaiser Family Foundation. (2023). Percentage of workers in a single coverage insurance plan with an out-of-pocket (OOP) maximum above select thresholds in the United States from 2009 to 2023. Statista. Statista Inc.. Accessed: November 21, 2024. https://www.statista.com/statistics/1249315/us-workers-oop-maximum-for-single-coverage/
Kaiser Family Foundation. "Percentage of Workers in a Single Coverage Insurance Plan with An Out-of-pocket (Oop) Maximum above Select Thresholds in The United States from 2009 to 2023." Statista, Statista Inc., 18 Oct 2023, https://www.statista.com/statistics/1249315/us-workers-oop-maximum-for-single-coverage/
Kaiser Family Foundation, Percentage of workers in a single coverage insurance plan with an out-of-pocket (OOP) maximum above select thresholds in the United States from 2009 to 2023 Statista, https://www.statista.com/statistics/1249315/us-workers-oop-maximum-for-single-coverage/ (last visited November 21, 2024)
Percentage of workers in a single coverage insurance plan with an out-of-pocket (OOP) maximum above select thresholds in the United States from 2009 to 2023 [Graph], Kaiser Family Foundation, October 18, 2023. [Online]. Available: https://www.statista.com/statistics/1249315/us-workers-oop-maximum-for-single-coverage/