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HEARING - U.S. Senate Special Committee on Aging

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52<br />

- 4 -<br />

CATASTRIPC PROTECTION IiDER 0.LOYEE (FULV ZINSW4CE<br />

Protecti<strong>on</strong> against catastrophic health expenses are the major c<strong>on</strong>cern of<br />

the private health insurance industry. Private health insurance provides<br />

protecti<strong>on</strong> against health care expenses for an estimated 190 millin Americans<br />

of all ages. Of all Americans covered by private health insurance, it is<br />

estimated that over 160 milli<strong>on</strong> are protected by programs that are<br />

caiprehensive in nature, providing coverage for both in and out of hospital<br />

expenses.<br />

For the working populati<strong>on</strong>, studies of group employee benefit plans am<strong>on</strong>g<br />

commercial health insurance companies have shown trends toward adopti<strong>on</strong> of<br />

plan features that will both help c<strong>on</strong>tain costs and improve the comprehensive-<br />

ness of the plans:<br />

A higher percentage of employees today than ever before have larger maxi-<br />

mum benefit levels with nearly 80i having maximun benefits of Sl,000,000 or<br />

more.<br />

- 91X of employees have out-of-pocket expenses limited to $2,000 or less.<br />

- Over 99X of insured employees have coverage for inpatient expenses associ-<br />

ated with mental and nervous disorders.<br />

- Over half of all insured employees have coverage for home health care and<br />

almcst two thirds for sec<strong>on</strong>d surgical opini<strong>on</strong>s.

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