Cost
Expenditures by Health Condition
Table 8. Mean expenditures by health condition and self-reported health status for adults insured throughout 2006.
Condition/Health Status |
Ages 25-34 |
Ages 55-64 |
Mean |
Mean |
All persons |
3,412 |
6,251* |
Asthma |
7,151 |
10,310* |
Cancer |
11,463 |
12,357 |
Chronic obstructive pulmonary disease |
5,100 |
9,916* |
Depression |
7,156 |
11,656* |
Diabetes |
8,136 |
11,114* |
Heart disease |
9,421 |
12,066* |
Hypertension |
6,825 |
8,189* |
Any chronic condition |
4,951 |
7,377* |
Trauma |
4,958 |
8,418* |
No chronic condition |
1,391 |
1,692 |
Self-reported health: excellent/very good/good |
2,695 |
4,850* |
Self-reported health: fair/poor |
10,515 |
13,665* |
Source: 2006 Medical Expenditure Panel Survey—Household Component
* indicates that the estimates for ages 25-54 and 55-64 are statistically different at the 5% level. Expenditures are reported for individuals with a condition. Individuals with more than one condition are included in the means for each condition.
- Overall, near-elderly adults had much higher mean medical expenditures than younger adults (Table 8).
- Mean expenditures for individuals with particular chronic conditions, except cancer, were higher for near-elderly individuals than for younger individuals.
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Non-Group Premiums
Table 9. Premiums in the non-group health insurance market (in 2006 dollars) using pooled data from 2004-2006
Policies |
# Policies |
Standard Error |
Mean Premium |
Standard Error |
All policies |
5,824,599 |
286,413 |
3,770 |
137 |
Single policies |
4,011,844 |
219,725 |
2,909 |
128 |
Family policies |
1,812,754 |
142,355 |
5,675 |
280 |
Single policies: Age 0-39 |
1,761,440 |
165,407 |
1,714 |
98 |
Single policies: Age 40-54 |
1,153,929 |
98,786 |
3,570* |
262 |
Single policies: Age 55-59 |
569,420 |
64,040 |
3,911* |
349 |
Single policies: Age 60-64 |
527,055 |
64,268 |
4,374* |
358 |
Family policies: Age 0-44 |
818,187 |
91,577 |
4,275 |
265 |
Family policies: Age 45-54 |
589,353 |
70,522 |
6,088* |
318 |
Family policies: Age 55-64 |
405,215 |
57,711 |
7,901* |
860 |
Source: 2006 Medical Expenditure Panel Survey—Household Component
* indicates that the estimate is significantly different from that for the lowest age category.
- In the 2004-2006 period, there were on average 5.8 million policies per year purchased in the non-group (individual) insurance market, covering 9.1 million persons.
- There were 4.0 million single policies with a mean premium of $2,909 (Table 9).
- There were 1.8 million family policies covering 5.1 million individuals with a mean premium of $5,675.
- For single policies, policyholders aged 40-54 ($3,570), policyholders aged 55-59 ($3,911), and policyholders aged 60-64 ($4,374) had premiums that were significantly higher than policyholders aged 0-39 ($1,714). The differences in mean premiums for policyholders aged 40-54 and 55-59 and for policyholders aged 55-59 and 60-64 were not statistically significant.
- For family policies, policyholders aged 45-54 ($6,088), and policyholders aged 55-64 ($7,901) had premiums that were significantly higher than policyholders aged 0-44 ($4,275).
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Financial Burdens
Go to Appendix Table A1 for more detailed information on this chart. Financial burden refers to people who have out-of-pocket costs for medical care and premiums that exceed 10% of the family's after-tax income.
- Near-elderly individuals were consistently at greater risk of living with high financial burdens than adults ages 25-44, regardless of their insurance status (Figure 5).
- Near-elderly individuals and those ages 45-54 with private nongroup coverage had similarly high burdens.
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