Table 2.
Age Group | HMO | PPO | POS | FFS | Total | |
---|---|---|---|---|---|---|
Medi-Cal | All ages | 4,864,000 | ||||
Healthy families | 0–17 | 458,000 | ||||
Medicare, non-Medi-Cal | 65+ | 2,619,000 | ||||
Other public, non-Medi-Cal | 0–64 | 389,000 | ||||
Other public coverage, non-Medi-Cal elderly | 65+ | 122,000 | ||||
Uninsured | All ages | 4,616,000 | ||||
Individually purchased | 0–64 | 748,000 | 854,000* | 1,602,000 | ||
Employment-based | ||||||
Small group† | ||||||
Self-insured‡ | 0–64 | 109,000 | 69,000 | 50,000 | 3,000 | 231,000 |
Underwritten‡ | 0–64 | 2,630,000 | 1,247,000 | 877,000 | 45,000 | 4,799,000 |
Large group† | ||||||
Self-insured‡ | 0–64 | 714,000 | 2,451,000 | 303,000 | 23,000 | 3,491,000 |
Underwritten‡ | 0–64 | 6,439,000 | 1,739,000 | 1,621,000 | 61,000 | 9,860,000 |
California's total population | 33,051,000 |
Sources: 2001 California Health Interview Survey (CHIS), 2002 Kaiser Family Foundation/Health Research and Education Trust Survey of California Employers.
CHIS data only distinguish individuals with HMO coverage from those with non-HMO coverage.
Estimates of workers in HMOs, PPOs, FFS, and POS are obtained by multiplying the percentages of workers in each plan type from CA HRET 2002 data and CHIS population estimate of workers.
Estimates of workers in HMOs, PPOs, FFS, and POS who are in self-insured plans are obtained by multiplying the percentages self-insured workers in each plan type from HRET 2002 data and CHIS population estimate of workers. Estimates are then inflated to account for the proportion of children covered (29.11%).
HMO, health maintenance organization; PPO, preferred provider organization; POS, point-of-service plans; FFS, fee-for-service; HRET, Health Research and Education Trust.