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. 2016 Nov 14;18(8):987–1000. doi: 10.1007/s10198-016-0843-9

Table 6.

The CCI under a doughnut hole with deductible amount d €1000 with various starting points s for the low-risk individuals and the high risk individuals

s P(Y < s)a P(Y < s + d)b E(Y|Y < s)c E(Y|Y < s + d)d CCI
Low-risk individuals
0e 0 0.63 0 296 187
500 0.48 0.73 157 420 230
1000 0.63 0.79 296 529 231
2000 0.79 0.88 529 709 199
2257 0.82 0.89 580 748 189
3000 0.88 0.92 709 846 159
4000 0.92 0.95 846 952 123
5000 0.95 0.97 952 1031 94
High-risk individuals
0e 0 0.41 0 318 130
500 0.30 0.49 162 467 177
1000 0.41 0.55 318 609 200
2000 0.55 0.64 609 875 218
2257 0.57 0.65 680 940 219
3000 0.64 0.70 875 1119 218
4000 0.70 0.75 1119 1341 211
5000 0.75 0.78 1341 1545 200

aThe probability that healthcare expenses remain below the starting point of the deductible

bThe probability that healthcare expenses remain below the endpoint of the deductible

cThe expected expenses given that they end up in the interval [0, s]

dThe expected expenses given that they end up in the interval [0, s + d]

eA doughnut hole with a starting point of €0 is effectively a first-euro deductible; the CCI and related probabilities and expected expenses are identical (see Table 5)