Women in employer-sponsored health plans face an additional $15.4 billion in annual out-of-pocket health spending
Women in employer-sponsored health plans are getting less coverage than men for every premium dollar spent, and face an additional $15.4 billion annually in out-of-pocket healthcare expenses, according to new research by accounting firm Deloitte.
Plan benefit design — such as the copay for each service — can result in health plans delivering more value for men than for women, Deloitte found. The relatively high cost of breast-cancer imaging compared to other cancer types and the effects of menopausal transitions may play a role, according to Deloitte. Key spending categories for women include radiology — such as follow-ups after an abnormal mammogram — as well as labs and mental health, the study found.
While women generally use more healthcare services than men, that doesn’t fully explain the gender gap, according to Deloitte. Total health expenditures for women are 10% higher than for men, but women’s average annual out-of-pocket spending is 18% higher than men’s, the study found. For all 2021 claims reviewed, women’s out-of-pocket spending was 20% higher than men’s, and removing maternity claims only closed the gap by less than 2%, according to the study.
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