About 28% of adults with health insurance through their employer were underinsured in 2018, up from 20% just four years earlier and from 10% in 2003, according to a study released last week by the Commonwealth Fund, a health care think tank.
Americans are considered underinsured if their deductibles are at least 5% of their household income or if their annual out-of-pocket costs, excluding premiums, are at least 10% of their household income, according to the Commonwealth Fund.
Lower-income people are underinsured if either their deductibles or their out-of-pocket costs exceed 5% of their income.
Being underinsured can carry big health risks, as it can prompt people to skip needed care or can leave patients with hefty bills.
About 23% of underinsured adults skipped a recommended test, treatment or followup in the previous year, compared with 10% of those with better coverage, according to the Commonwealth Fund.
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