New York City, March 14, 2003—Low-wage workers are at a serious disadvantage when it comes to health insurance coverage and access to care, even when they work for large businesses. A new report from The Commonwealth Fund reveals that low-wage workers are less likely to work for companies that offer coverage or to be eligible to participate. Although employees of small companies are particularly unlikely to have coverage through their jobs, low-wage workers in firms of all sizes have less access than their higher-wage colleagues. Eligibility rules such as working a certain number of hours per week or being a permanent employee hit low-wage workers particularly hard. Even in larger firms only 69% of low-wage workers are eligible for health benefits compared to 96% of higher-wage employees.
Among workers who earn less than $10 an hour, two-thirds (65%) work in firms that offer health insurance coverage, compared with 88% of those who earn over $15 an hour. While working for larger companies improves low-wage workers' chances of being offered insurance, they are still less likely to be offered or eligible for insurance than higher-wage workers. Low-wage workers may lose out because of requirements that they work a certain number of hours, or because of their status as a temporary or contract employee. Low-wage workers in large firms are most likely to face this barrier: while 85% work in firms that offer coverage, just 69% are eligible. In contrast, most higher-wage workers in larger firms are both offered and eligible for health benefits (97% offered, 96% eligible). Premium shares also present an obstacle. The gap between workers who are eligible for coverage and those who participate is largest among low-wage workers in larger firms-69% are eligible for coverage but just 46% actually take up this coverage. Low-Wage Workers Get Less Coverage
When low-wage workers do get health insurance through their jobs, coverage is not as good as that of higher-wage workers. They are notably less likely to have prescription drug, dental, or vision benefits. Lack of health insurance or less adequate insurance have real implications for the health and financial security of these low-wage workers and their families. Two of five workers earning less than $10 per hour did not see a doctor when they were sick, did not fill a prescription, did not see a specialist when needed, or skipped a recommended medical test because of cost. Similarly, two of five had problems paying their medical bills, including facing collection agencies.