Mommaerts, Corina Hong, Long

Time Aggregation in Health Insurance Deductibles - American Economic Journal: Economic Policy 2024 - 270-299

Health insurance plans increasingly pay for expenses only beyond a large annual deductible. This paper explores the implications of deductibles that reset over shorter timespans. We develop a model of insurance demand between two actuarially equivalent deductible policies in which one deductible is larger and resets annually and the other deductible is smaller and resets biannually. Our model incorporates borrowing constraints, moral hazard, midyear contract switching, and delayable care. Calibrations using claims data show that the liquidity benefits of resetting deductibles can generate welfare gains of 3–10 percent of premium costs, particularly for individuals with borrowing constraints.

1945-7731


Insurance Companies
Intertemporal Household Choice
Life Cycle Models and Saving, Asymmetric and Private Information
Mechanism Design, Insurance
Actuarial Studies, Household Finance: Household Saving, Borrowing, Debt, and Wealth, Household Finance: Insurance, Health Insurance, Public and Private
Health