Table 6.
Plan Generosity
| 2007
|
2008
|
|||||
|---|---|---|---|---|---|---|
| Minimum | Median | Maximum | Minimum | Median | Maximum | |
| Actuarial Value | 0.578 | 0.694 | 0.726 | 0.635 | 0.726 | 0.860 |
| Deductible | $2000 | $2000 | $2000 | $2000 | $2000 | None |
| Coinsurance | N/A | N/A | N/A | N/A | N/A | N/A |
| PCP Office Visit | $35 | $25 | $25 | $35 | $25 | $25 |
| SPC Office Visit | $50 | $25 | $25 | $50 | $25 | $25 |
| Inpatient Copay | Deductible | Deductible | $500 | Deductible | $500 | $800 |
| Outpatient Surgery Copay | Deductible | Deductible | $250 | Deductible | $250 | $250 |
| Emergency Room Copay | $200 | $100 | $75 | $200 | $75 | $100 |
| Pharmacy Deductible | N/A | None | None | $250 | None | None |
| Retail Generic | N/A | $10 | $10 | $20 | $10 | $15 |
| Retail Preferred | N/A | $50 | $30 | $50 | $30 | $30 |
| Retail Non-Preferred | N/A | $100 | $60 | $75 | $60 | $50 |
Source: DHCFP Massachusetts Health Care Cost Trends Final Report 2010. Appendices A.1a-A.3b, p.149