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High-Deductible Health Plans Preferred by 40% of Americans

Author: Bankrate, Inc.
Published: 2014/12/07 - Updated: 2026/02/03
Publication Type: Survey, Analysis
Category Topic: Insurance - Related Publications

Page Content: Synopsis - Introduction - Main - Insights, Updates

Synopsis: This research, conducted by Princeton Survey Research Associates International, presents findings from a nationally representative survey of 1,004 American adults examining health insurance preferences and attitudes toward the Affordable Care Act. The data reveals important patterns in how different demographic groups approach healthcare coverage decisions, with younger adults and lower-income households showing different preferences than older, higher-earning Americans. These findings carry particular significance for people with disabilities and seniors who often face higher medical expenses and more frequent healthcare needs, as the choice between premium costs and out-of-pocket deductibles can substantially impact their financial stability. The survey's methodology includes both landline and cell phone interviews with a margin of error of plus or minus 3.5 percentage points, providing statistically valid insights into consumer behavior during a critical period of healthcare policy implementation - Disabled World (DW).

Introduction

Thirty-six percent of Americans would rather choose a low-deductible plan with a higher monthly bill, and nine percent would not choose either of these two options. Millennials and Americans with household incomes of $30,000-$49,999 are the most likely to prefer a high premium/low-deductible plan, while higher income Americans ($50,000 and up) and those ages 30-64 years-old are more likely to prefer a low premium/high-deductible plan.

"While a low health insurance premium can be very attractive, you don't want to make the mistake of focusing too much on your monthly payment," said Doug Whiteman, Bankrate.com insurance analyst. "Especially for older Americans who may require more doctor visits than their younger counterparts, a low premium/high-deductible plan could actually cost more in the long run."

Main Content

Despite efforts by the Obama Administration to improve the health insurance exchanges, most Americans still dread shopping for their health insurance.

In fact, 82% of Americans who recently shopped for health insurance say that it's just as bad as or even worse than doing your own taxes. Seventy-five percent say it's the same or worse than getting the middle seat on a crowded airplane. Even having a tooth filled is better than health plan shopping for some Americans; 23% of those who recently shopped for a plan say it was less enjoyable than facing the dentist's drill and 45% say it's just as bad (for a total of 68% who say it's the same or worse).

"Shopping for health insurance can be complicated, but it's one of the most important decisions you can make," said Whiteman. "If you have the wrong coverage or no health insurance at all, you could be just one illness or injury away from massive medical bills."

"It's much better to go through the pain of researching and choosing a plan now than it is to figure out how you're going to pay for an unexpected hospital visit during an emergency."

Additional Findings:

The survey was conducted by Princeton Survey Research Associates International (PSRAI). PSRAI obtained telephone interviews with a nationally representative sample of 1,004 adults living in the continental United States. Interviews were conducted by landline (502) and cell phone (503, including 291 without a landline phone) in English and Spanish by Princeton Data Source from November 20-23, 2014. Statistical results are weighted to correct known demographic discrepancies. The margin of sampling error is plus or minus 3.5 percentage points.

Insights, Analysis, and Developments

Editorial Note: While these survey results date from 2014, the fundamental tension between monthly premiums and deductible amounts remains central to healthcare decision-making today. The data underscores a critical challenge that persists for individuals managing chronic conditions or disabilities: plans with attractive low premiums can become financial traps when medical needs require frequent care, yet higher monthly costs strain already tight household budgets. What this research ultimately reveals is that healthcare coverage isn't a one-size-fits-all proposition - the "right" choice depends heavily on anticipated medical needs, financial reserves, and risk tolerance. For anyone navigating these decisions, particularly those with ongoing health concerns, the lesson is clear: focus less on what feels affordable month-to-month and more on what protects you when medical emergencies inevitably arise - Disabled World (DW).

Attribution/Source(s): This quality-reviewed publication was selected for publishing by the editors of Disabled World (DW) due to its relevance to the disability community. Originally authored by Bankrate, Inc. and published on 2014/12/07, this content may have been edited for style, clarity, or brevity.

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APA: Bankrate, Inc.. (2014, December 7 - Last revised: 2026, February 3). High-Deductible Health Plans Preferred by 40% of Americans. Disabled World (DW). Retrieved February 19, 2026 from www.disabled-world.com/disability/insurance/deductible-plans.php
MLA: Bankrate, Inc.. "High-Deductible Health Plans Preferred by 40% of Americans." Disabled World (DW), 7 Dec. 2014, revised 3 Feb. 2026. Web. 19 Feb. 2026. <www.disabled-world.com/disability/insurance/deductible-plans.php>.
Chicago: Bankrate, Inc.. "High-Deductible Health Plans Preferred by 40% of Americans." Disabled World (DW). Last modified February 3, 2026. www.disabled-world.com/disability/insurance/deductible-plans.php.

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