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. 2006 Jun;41(3 Pt 2):1027–1044. doi: 10.1111/j.1475-6773.2006.00518.x

Table 2.

Insurance Coverage of Californians, 2004

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.