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Percentage of Families with High Out-of-Pocket Medical Expenses for Care

This measure reports the percentage of all Americans with high medical expenses for care that are paid 'out-of-pocket', generally because they are not covered by health insurance coverage. High out-of-pocket cost is defined as exceeding a threshold percentage of income (i.e. 10%, 15%, 20% of income).

Metrics Calculation:

Percentage of population of American families with out-of-pocket medical costs,excluding premium payments, that are not covered by government or third party exceeding particular threshold of reported income. These out-of-pocket costs are defined as payments made by self or family for all health care for the family. The ratio is calculated at the family-level. The numerator is families with out-of-pocket health care expenses above a given threshold. The denominator is family-level total income. The result is then allocated to one of the following categories: Exceeding 10% of Income; Exceeding 15% of Income; Exceeding 20% of Income.

Additional Information:

Inclusion Criteria: This measure includes people in the civilian non-institutional population.

Exclusion Criteria: Excluded from this measure are people in the military and those living in institutions.

This measure is calculated by AHRQ from the MEPS.

Age Group

Percentage of Families with High Out-of-Pocket Medical Expenses by Age Group



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Coverage Overview

Percentage of Families with High Out-of-Pocket Medical Expenses by Coverage Overview



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Disability Status

Percentage of Families with High Out-of-Pocket Medical Expenses by Disability Status



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Education Level

Percentage of Families with High Out-of-Pocket Medical Expenses by Education Level



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Ethnicity

Percentage of Families with High Out-of-Pocket Medical Expenses by Ethnicity



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Income Level

Percentage of Families with High Out-of-Pocket Medical Expenses by Income Level



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Metropolitan Status

Percentage of Families with High Out-of-Pocket Medical Expenses by Metropolitan Status



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National Summary

Percentage of Families with High Out-of-Pocket Medical Expenses by National Summary



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Number of Chronic Conditions

Percentage of Families with High Out-of-Pocket Medical Expenses by Number of Chronic Conditions



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Race

Percentage of Families with High Out-of-Pocket Medical Expenses by Race



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Region

Percentage of Families with High Out-of-Pocket Medical Expenses by Region



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