How profitable is a voluntary deductible in health insurance for the consumer?

Health Policy
K P M van WinssenW P M M van de Ven

Abstract

To counteract moral hazard in health insurance, insured can be offered a voluntary deductible (VD) in return for a premium rebate. In the Dutch mandatory basic health insurance however, only 11 per cent of the insured opted for a VD in 2014. Several determinants could affect the decision to opt for a VD. This paper examines one of these determinants: the financial profitability. A VD is profitable for the consumer if the out-of-pocket expenses do not exceed the offered premium rebate. The empirical analyses, based upon individual-level data on costs and characteristics of over 800,000 Dutch insured, show that a VD of €500 on top of the mandatory deductible of €360 would have been financially profitable for 48 per cent of the Dutch insured given the average premium rebate of € 240 in 2014. If the whole population had a VD, most insured would obtain either the maximum loss (44 per cent) or the maximum gain (41 per cent). A VD is profitable for males, young insured, healthy insured and insured with few healthcare expenses in the past. To further reduce moral hazard, the following strategies can be used to increase the number of insured opting for a VD: provide insured with information regarding the VD and introduce a shifted deduc...Continue Reading

References

Jun 20, 2006·Social Science & Medicine·Johan J PolderHans van Oers
Apr 14, 2007·International Journal of Health Care Finance and Economics·R C van KleefR C J A van Vliet
Sep 14, 2007·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Ilaria Mosca, Anoushka Schut-Welkzijn
Nov 11, 2008·Journal of Health Economics·R C van KleefR C J A van Vliet
Nov 13, 2009·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Michelle HendriksPeter P Groenewegen
Jan 1, 2010·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Richard C van Kleef, René C J A van Vliet
May 17, 2011·BMC Health Services Research·Margreet Reitsma-van RooijenMieke Rijken
Mar 21, 2012·The Milbank Quarterly·Katherine BaickerSendhil Mullainathan
Jan 10, 2013·Annual Review of Public Health·Thomas Rice
Nov 2, 2013·Expert Review of Pharmacoeconomics & Outcomes Research·Richard C Van KleefWynand P M M Van de Ven

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Citations

Oct 27, 2016·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·K P M van WinssenW P M M van de Ven
Aug 1, 2020·Health Economics·Rob J M AlessieLaura Viluma
Sep 9, 2020·PharmacoEconomics·Luke B Connelly, Stephen Birch
Nov 16, 2016·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·D CattelR C J A van Vliet

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