Women pay more for health insurance than a man?

carandru

Well-known member
Quote:
Women Buying Health Policies Pay a Penalty
By ROBERT PEAR
Published: October 29, 2008
WASHINGTON — Striking new evidence has emerged of a widespread gap in the cost of health insurance, as women pay much more than men of the same age for individual insurance policies providing identical coverage, according to new data from insurance companies and online brokers.
Some insurance executives expressed surprise at the size and prevalence of the disparities, which can make a woman’s insurance cost hundreds of dollars a year more than a man’s. Women’s advocacy groups have raised concerns about the differences, and members of Congress have begun to question the justification for them.
The new findings, which are not easily explained away, come amid anxiety about the declining economy. More and more people are shopping for individual health insurance policies because they have lost jobs that provided coverage. Politicians of both parties have offered proposals that would expand the role of the individual market, giving people tax credits or other assistance to buy coverage on their own.
“Women often fare worse than men in the individual insurance market,” said Senator Max Baucus, Democrat of Montana and chairman of the Finance Committee.
Insurers say they have a sound reason for charging different premiums: Women ages 19 to 55 tend to cost more than men because they typically use more health care, especially in the childbearing years.
But women still pay more than men for insurance that does not cover maternity care. In the individual market, maternity coverage may be offered as an optional benefit, or rider, for a hefty additional premium.
Crystal D. Kilpatrick, a healthy 33-year-old real estate agent in Austin, Tex., said: “I’ve delayed having a baby because my insurance policy does not cover maternity care. If I have a baby, I’ll have to pay at least $8,000 out of pocket.”
In general, insurers say, they charge women more than men of the same age because claims experience shows that women use more health care services. They are more likely to visit doctors, to get regular checkups, to take prescription medications and to have certain chronic illnesses.
Marcia D. Greenberger, co-president of the National Women’s Law Center, an advocacy group that has examined hundreds of individual policies, said: “The wide variation in premiums could not possibly be justified by actuarial principles. We should not tolerate women having to pay more for health insurance, just as we do not tolerate the practice of using race as a factor in setting rates.”
Without substantial changes in the individual market, Ms. Greenberger said, tax credits for the purchase of insurance will be worth less to women because they face higher premiums.
The disparities are evident in premiums charged by major insurers like Humana, UnitedHealth, Aetna and Anthem, a unit of WellPoint; in prices quoted by eHealth, a leading online source of health insurance; and in rate tables published by state high-risk pools, which offer coverage to people who cannot obtain private insurance.
Humana, for example, says its Portrait plan offers “ideal coverage for people who want benefits like those provided by big employers.” For a Portrait plan with a $2,500 deductible, a 30-year-old woman pays 31 percent more than a man of the same age in Denver or Chicago and 32 percent more in Tallahassee, Fla.
In Columbus, Ohio, a 30-year-old woman pays 49 percent more than a man of the same age for Anthem’s Blue Access Economy plan. The woman’s monthly premium is $92.87, while a man pays $62.30. At age 40, the gap is somewhat smaller, with Anthem charging women 38 percent more than men for that policy.
Todd A. Siesky, a spokesman for WellPoint, declined to comment on the Anthem rates.
Thomas T. Noland Jr., a senior vice president of Humana, said: “Premiums for our individual health insurance plans reflect claims experience — the use of medical services — which varies by gender and age. Females use more medical services than males, and this difference is most pronounced in young adults.”
In addition, Mr. Noland said, “Bearing children increases other health risks later in life, such as urinary incontinence, which may require treatment with medication or surgery.”
Most state insurance pools, for high-risk individuals, also use sex as a factor in setting rates.
Thus, for example, in Dallas or Houston, women ages 25 to 29 pay 39 percent more than men of the same age when they buy coverage from the Texas Health Insurance Risk Pool.
In Nebraska, a 35-year-old woman pays 32 percent more than a man of the same age for coverage from the state insurance pool.
Representative Xavier Becerra, Democrat of California, said that “if men could have kids,” such disparities would probably not exist.

You can read more about it here:
http://www.nytimes.com/2008/10/30/us...nk&oref=slogin



Not that this surprises me, but I find these discrepancies ridiculous. You charge me more b/c I MAY have a child, or that I get regular checkups
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? As an insurance company, I would hope that you be more willing to pay for preventive care. If a person, man or woman, never goes to the doctor, chances are when they do go something is very very wrong.
Do you think the total cost will be less when you are forced to cover the treatments for the now serious condition?



And I'll pretend to see their point for a moment, that women use more healthcare and thus cost the company more. But up to 49% difference in premium price? Do women really utilize that much more healthcare? I find that hard to believe. In this day when several people are leaving employer sponsored health insurance due to layoffs and whatnot, this is not good news to our ears ladies.
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reesesilverstar

Well-known member
Really.... I had no idea... We can't discuss things like this at my workplace, but now I want to know for sure. That is very interesting...

Thanks for the heads up
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couturesista

Well-known member
I'm not surprised at all. Prevention is definitely the key to good health, thats why when it came time to choose a plan, I picked the one that covered 100% for Preventive Care. Its ridiculous that these company want to charge you an arm and a leg to get a pap smear! Its cheaper to give the exam then to treat cervical cancer. JMO
 

xxManBeaterxx

Well-known member
Women do go for regular check ups more so than men many study shows... Women also have a lot more female issues to deal with such as obgyn and mammograms. Not to mention the cost of giving birth. But so what? Are we supposed to delay our life because my insurance that i pay $x,xxx for cant cover the big chunk of the bill? Yeah im holding off having children for the next 3 years because im paying big bucks for my insurance yet they wont cover my hospital bills. If i find a lump in my breast i need to wait until i get more money to see a doctor and hope the cancer doesnt spread? Or a retired cancer surviver cant afford to spend 600 dollars a month for her remission pills, so she doesnt take it and her cancer returns.
 

rbella

Well-known member
Yes, they most certainly do. My husband and I own a small business and I can say for sure that it costs waaaayyy more for my health insurance than his.

The discrepancy between the cost for each of us on our health insurance is a joke. It costs at least $250/mth more to cover me than him. If I have any medical conditions or even an in office "procedure" done, my cost skyrockets the next year. His, stays the same.

Now auto insurance, on the other hand, is much more expensive for him.
 

redambition

Well-known member
it's pathetic.

it's also another aspect of user-pays healthcare that makes me very glad to live somewhere where there is government-funded and govt-subsidised healthcare.

i'll happily pay my yearly medicare levy as it means that i get charged the same as any other person earning the same wage as me, regardless of sex, age and current state of health. it also keeps health insurance here at a cheaper, more equal price because you don't need it just to see a doctor. we hold health insurance to cover us for more major things.

in terms of the levy: if i don't need that money spent on myself, then i'm happy for it to be spent on someone who does need it. what goes around comes around. the person who needs it might be a member of my family... and one day i might need treatment that costs more than i could actually pay.
 
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