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Women pay higher rates for private health insurance

Posted Nov 05 2008, 03:51 PM by Karen Datko
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If you're one of those people who buy individual health insurance because your employer doesn't provide coverage or you work for yourself, this news may come as a shock: Women pay much more for individual health insurance than do men of the same age.

A New York Times story reported that the gap is often more than 30% and in some cases almost 50%. We're talking about identical coverage, not including the extra women have to pay for maternity care. We're comparing apples to apples.

"F.F." wrote in a thoughtful post at Feminist Finance, "And no one seems to have a very good explanation of why that might be."

F.F. shared her thoughts after reading the New York Times story examining the discrepancy. For those of you who aren't familiar with the individual health insurance market, this excerpt from the story will quickly bring you up to speed.

The individual insurance market is notoriously unstable. Adults often find it difficult or impossible to get affordable coverage in this market. In most states, insurers can charge higher premiums or deny coverage to people with health problems.

(Full disclosure: We're one of those people who don't have health insurance because of those facts.)

Laws are in place to prevent sex discrimination against workers who have group insurance. Not so in the individual market, except in a few states.

What's the justification for charging women so much more? Most of the insurance people the NYT interviewed said that women use health care more often. "They are more likely to visit doctors, to get regular checkups, to take prescription medications and to have certain chronic illnesses," the story said.

Holes can be poked in that explanation.

    • For plans with high deductibles, women are paying for many of those costs out-of-pocket.

    • F.F. argued that those doctor visits are often for preventive care, which would mean eventual savings for health insurers.

    • Marcia Greenberger, co-president of the National Women's Law Center, told The New York Times, "The wide variation in premiums could not possibly be justified by actuarial principles."

    F.F. predicted in her pre-election post that John McCain's health plan would force more people out of employer-provided group health care and into the individual market. Regardless of how America's health care evolves, it's an issue that should be addressed.

    "It would be swell if this sort of discrimination was prohibited," she wrote. "But right now, it's A-OK."

    Comments

     

    Matt,

    Men are immature and wreckless drivers, generally speaking, therefore that is why icar insurance rates are higher.  

    DAHH!!!

    so women have babies ...... ALL ON THEIR OWN??? Males have 50% responsibility right? Unless you're Jesus Christ and a virgin birth :)

    How can women be held solely responsible for childbirth? ABSURD.

    As for women using health care or should I say disease care .. more than men ... not sure who these women are... I dont go to the Dr at all and take no medications. Read John Robbins "Reclaiming your health .. exploding the medical myth and reclaiming the source of true healing" which outlines the conspiracy against women where they are made to believe their issues are somehow vastly different from men and need HELP from doctors simply to stay healthy...... DIET LIFESTYLE AND SPIRITUALITY IS ALL YOU NEED TO STAY HEALTHY.

    Women gave birth to babies without doctors for millions of years. The medical field like we know it today has been around only for 200 years..... and sure there will be those who say that the mortality rate has gone down ..... but actually the 3rd largest cause of death after heart attacks and cancer is MEDICAL TREATMENT!

    The improvements in health are due to improved sanitation! The medical field has its place in emergencies but not in the treatment of psychosomatic disorders.

    I am 60 and pay $450 per month for an individual fee for service plan.  It has a  $1000 deductible and a 50% copayment for all services.  There is no stop loss, I will always pay 50% on my bill.  Furthermore, I am not protected by Medicare contractual amounts.  This means that providers can pretty much charge whatever they desire, without limitation.  Even the mandated *** exam doesn't pay for the associated doctors visit.  I keep paying into the system in case I have a catastrophic event.  I have not seen a doctor since 1993.  I couldn't afford the premium if I started using a doctor's services. Thank goodness for health fairs and the blood pressure cuffs in grocery stores. I have to take care of myself.

    Ryan,

    BTW, I was in great shape and kayaked, walked, etc. and always carried my own benefits.. YOU can be in great shape, and then something GOES wrong with your health, sometimes out of NO control of your own, as mine did. Let's then see you hooked up to IVS, home health care, and I wasn't OLD, or out of shape, as you tend to try and accuse sooooo many of us women.. NEVER had any issues before. I am just happy to say I now can start returning to a NORMAL life that you seem to take for granted..

    I gladly carried my own insurance for when I had my sons, and never had any issue of it all. I DO have an issue like the above comments, that those little viagra pills that cost about 8 bucks a pop are covered by health insurance and birth control hasn't been.. Let me see, last time I checked, it took 2 people for birth control and responsbility.

    PS.. my car insurance rates went up when I got a divorce, just as if a man, had no driving record issues, but due to the fact that i was now single, I was considered to be a more at risk driver.. hmmm.

    Beverly

    Let's face it - there's no easy answer here.  However, I don't think I want any type of "nationalized" health care.  I fear it would resemble Medicare/Medicaid, and that's not the answer.

    Regarding women paying more for health premiums - well it just goes back to the saying of women are twice as smart/educated and get half the pay/recognition of men.  Unfortunately, this has also spread to other areas.  

    I am in the health insurance business, both individual and group health plans.  I am well versed on self-funded health plans for large employers.  When I run utilization reports on my groups for reporting purposes to give my employers (to answer the Q...where are we spending our $?).  I can tell you that females have more claims than males.  You can decide why, I'm just saying that historically the number of claims is higher.  Usually, but not always, you would expect the $ in claims is also higher. There is no issue of discrimination here.......more claims = more premium.  Now, having said that, the rates are "composite" rated for group plans.  so, the young males pay more for coverage and the females pay less than their "fair share".  Don't get me wrong here it is all TOO EXPENSIVE.  After all, it takes a lot of $300-500 per month of individual premiums to pay an orthopedic surgeon (insert your doc of choice here) $700K+ per year.....

    Socialized healthcare is going to be ugly.....However, There will always be sometype of private pay system in place.  Those that have $ and pay premiums will be able to "skip" the line and receive better services faster.  Ugly fact folks but money talks.  

    Has anyone paused to ponder the concept of insurance? From a business standpoint it would not make sense to undertake a venture that would be a great risk. From a personal standpoint I think a lot of people expect not to pay more than they get out of their health insurance.

    Insurance is suppose to be a coverage for things we wish wouldn't happen. Health insurance encourages (and covers) many routine practices in hopes of preventing the really big (bills) health issues.

    If the statistics are showing (even if one person doesn't personally) that women are using and costing more than males- why shouldn't the health insurance companies charge more. No one should be forced to purchase or sell health insurance at a loss to themselves or their company.

    As a society, we have come to expect affordable health care. In reality, I could pay my premiums for life and incur more cost in premiums and deductibles than I reap in the benefits I require. On the other side of it, I could decide to keep my money and hope that nothing big ever happens.

    The industry is not a monopoly and negotiation has not been closed, but the people who assess risk for the company will not encourage high risk investments.

    Lets use our common sense in negotiating what we really deserve. This isn't a conspiracy is a business investment.  

    Private health insurance is very expensive.  There's no doubt about that.  But that's what it is - "insurance".  It's something you purchase "before" you need it, yet many Americans are offended when they can't get coverage because of a pre-existing condition.  You can't purchase homeowners insurance while your house is on fire!! Same with health insurance.  As for the insurance company profits, we are all willing to pay the huge mark ups on electronic equipment, jewelry & other unnecessary items we al purchase.  Smokers don't stop smoking, drinkers don't stop drinking so they can afford health insurance premiums.  Universal Health Insurance certainly is the answer - after all, the government can provide it and administer it for so much less than the insurance companies do - right?  Is our government going to force doctors, hospitals, labs, researchers to all cut their costs so the government can keep our health insurance costs down?  After all, we know what a wonderful job they've done with our social security money.  Do you want to know how the government will keep costs down?  The government's plan will be designed to allow them to deny claims.  That will be the ONLY way our health insurance will cost us less if the government takes over.  After the first year of coverage, when they realize how much they had to pay out in claims as opposed to how much premium (tax dollars) they collected, they'll realize they have no choice but to make "adjustments" somewhere.  Those adjustments are going to cost us, either in more tax dollars, or watching our loved ones be denied care that could possibly save their lives.  Universal Health Care is NOT free!!  Say bye bye to your paychecks!

    I am A Male. I have paid and paid and paid. I don't go to doctors. I don't eat that quick fried grease at fast foods. I'm retired now and Medicare makes me pay for something I don't use. Who have I been paying for and why must I pay?  Most of America's women are fat as cows. Skinny women are usually on drugs legal & illegal. The young women try to run me off the road as I only go 5 miles over the speed limit. It used to be young males.My feeling is we should all have accounts as indiviuals and they should build up if you don't get sick. Instead I keep paying,paying and paying for others who live at the doctors office.

    Ryan,

    Also you might want to take a serious look at YOUR health.. while you are at the gym, calling us names, and gawking at the same time, you might  have a heartattack or stroke.. I wonder what your name calling will be then for those nurses who come in and show compassion while they clean up your body fluids..

    Sounds to be you have a bit of pure hatred or discrimination for the female gender..

    Good luck..

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