U.S. flag

An official website of the United States government

Department of Labor Logo United States Department of Labor
Dot gov

The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Employee Benefits Survey
PRINT:Print
EBS EBS Program Links
Table 9. Standard errors for medical care benefits: Amount of annual individual out-of-pocket maximum,(1) private industry workers, 2018
Characteristics With out-of-pocket maximum Amount of out-of-pocket maximum With no out-of-pocket maximum Not determinable
10th percentile 25th percentile 50th percentile (median) 75th percentile 90th percentile

Worker characteristics

All workers

 0.4 $0 $0 $57 $24 $177 0.4 0.1

Management, professional, and related

 0.4 $202 $9 $167 $90 $460 0.3 0.2

Management, business, and financial

 0.4 $109 $105 $56 $65 $521 0.4 0.1

Professional and related

 0.5 $198 $0 $159 $135 $521 - -

Sales and office

 0.7 $0 $120 $0 $120 $188 - -

Sales and related

 0.2 $138 $184 $166 $34 $159 - 0.0

Office and administrative support

 1.0 $0 $22 $228 $297 $401 - -

Full time

 0.5 $0 $0 $129 $67 $238 0.4 0.1

Part time

 3.1 $18 $146 $297 $700 - - 0.0

Establishment characteristics

Service-providing industries

 0.5 $0 $46 $44 $9 $152 - -

Trade, transportation, and utilities

 0.1 $0 $205 $85 $185 $167 - 0.0

Information

 0.1 $0 $210 $551 $292 $65 - 0.0

Financial activities

 1.7 $0 $108 $94 $114 $50 - -

Education and health services

 0.6 $162 $132 $130 $343 $513 0.2 0.5

Educational services

 1.2 $0 $133 $71 $524 $303 1.2 0.2

Health care and social assistance

 0.6 - $86 $105 $476 $1,045 - -

Geographic areas

Northeast

 1.2 $112 $38 $34 $379 $832 - -

New England

 2.6 $271 - $556 $279 $223 - -

Middle Atlantic

 1.2 $199 $108 $53 $623 $840 - -

South

 0.6 $76 $124 $105 $64 $93 - -

South Atlantic

 0.9 $9 $176 $158 $66 $163 - -

West South Central

 0.4 $248 - - $71 $97 - -

Midwest

 0.6 $0 $0 $190 $302 $340 0.6 0.1

East North Central

 0.9 $0 $0 - $227 $389 0.8 0.1

West North Central

 0.2 $62 $321 $55 $189 $392 - 0.0

West: Mountain

 1.0 - $343 $204 $202 $428 - -

Footnotes:
(1) The out-of-pocket maximum is the annual limit on the amount of covered expenses that a participant or a family must pay after the deductible has been satisfied. Once reached, covered expenses are fully reimbursed for the rest of the year.

Note: Dashes indicate that no data were reported or that data do not meet publication criteria. For definitions of major plans, key provisions, and related terms, see the "Glossary of Employee Benefit Terms" at www.bls.gov/ncs/ebs/detailedprovisions/2018/ownership/private/glossary.htm.
Source: U.S. Bureau of Labor Statistics, National Compensation Survey.

 

Last Modified Date: April 18, 2019