Table 27. Physician office visit benefits: Extent of coverage by type of plan, state and local government workers, National Compensation Survey, 2011

(All workers participating in medical care plans = 100 percent)
                                                                                                                                                                
                                                                                                                                                                
                                                        All plans                          Fee-for-service plan              Health maintenance organization    
                                                                                                                                                                
            Characteristics                                                                                                                                     
                                            Full    Coverage     No       Not       Full    Coverage     No       Not       Full    Coverage     No       Not   
                                          coverage    with    coverage determin-  coverage    with    coverage determin-  coverage    with    coverage determin-
                                                   limits(1)              able             limits(1)              able             limits(1)              able  
                                                                                                                                                                
                                                                                                                                                                
All workers.............................         2        98         –       (2)         1        99         –       (2)         5        95         –         –
                                                                                                                                                                
         Worker characteristic                                                                                                                                  
                                                                                                                                                                
Management, professional, and related...         2        98         –       (2)         –        99         –       (2)         5        95         –         –
  Professional and related..............         2        98         –       (2)         –        99         –       (2)         5        95         –         –
    Teachers............................         2        98         –       (2)         –        99         –       (2)         5        95         –         –
      Primary, secondary, and special                                                                                                                           
      education school teachers.........         2        98         –       (2)         –        99         –       (2)         5        95         –         –
Service.................................         2        98         –       (2)         –        99         –       (2)         6        94         –         –
  Protective service....................         2        98         –         –         –       100         –         –         5        95         –         –
Sales and office........................         –        98         –       (2)         –       100         –       (2)         –        94         –         –
  Office and administrative support.....         2        98         –       (2)         –       100         –       (2)         5        95         –         –
Natural resources, construction, and                                                                                                                            
maintenance.............................         –        98         –         –         –        99         –         –         5        95         –         –
Production, transportation, and material                                                                                                                        
moving..................................         2        98         –       (2)         –       100         –       (2)         –        93         –         –
                                                                                                                                                                
Full time...............................         2        98         –       (2)         –        99         –       (2)         5        95         –         –
Part time...............................         4        96         –         –         –        97         –         –         8        92         –         –
                                                                                                                                                                
Union...................................         4        96         –       (2)         –        99         –       (2)         7        93         –         –
Nonunion................................       (2)       100         –       (2)         –       100         –       (2)         –        99         –         –
                                                                                                                                                                
Average wage within the following                                                                                                                               
categories:(3)                                                                                                                                                  
  Lowest 25 percent.....................         1        99         –       (2)         –        99         –       (2)         4        96         –         –
    Lowest 10 percent...................         –       100         –       (2)         –       100         –       (2)         –       100         –         –
  Second 25 percent.....................         2        98         –       (2)         –        99         –       (2)         5        95         –         –
  Third 25 percent......................         2        98         –       (2)         –       100         –       (2)         6        94         –         –
  Highest 25 percent....................         2        97         –       (2)         –        99         –       (2)         6        94         –         –
    Highest 10 percent..................         4        96         –         –         –        99         –         –         8        92         –         –
                                                                                                                                                                
      Establishment characteristic                                                                                                                              
                                                                                                                                                                
Service-providing industries............         2        98         –       (2)         1        99         –       (2)         5        95         –         –
  Education and health services.........         2        98         –       (2)         –        99         –       (2)         5        95         –         –
    Educational services................         2        98         –       (2)         –        99         –       (2)         5        95         –         –
      Elementary and secondary schools..         2        97         –       (2)         –        99         –       (2)         6        94         –         –
      Junior colleges, colleges, and                                                                                                                            
      universities......................         1        99         –       (2)         –       100         –       (2)         3        97         –         –
    Health care and social assistance...         –        99         –         –         –       100         –         –         –        96         –         –
      Hospitals.........................         –        98         –         –         –       100         –         –         –        94         –         –
  Public administration.................         2        98         –       (2)         –       100         –       (2)         6        94         –         –
                                                                                                                                                                
1 to 99 workers.........................         –       100         –         –         –       100         –         –         –       100         –         –
  1 to 49 workers.......................         –       100         –         –         –       100         –         –         –       100         –         –
  50 to 99 workers......................         –       100         –         –         –       100         –         –         –       100         –         –
100 workers or more.....................         2        98         –       (2)         1        99         –       (2)         6        94         –         –
  100 to 499 workers....................         –        99         –         –         –        99         –         –         –        99         –         –
  500 workers or more...................         3        97         –       (2)         –        99         –       (2)         7        93         –         –
                                                                                                                                                                
State government........................         –       100         –         –         –       100         –         –         –       100         –         –
Local government........................         3        97         –       (2)         –        99         –       (2)         7        93         –         –
                                                                                                                                                                
            Geographic area                                                                                                                                     
                                                                                                                                                                
New England.............................         –        99         –         –         –        99         –         –         –       100         –         –
Middle Atlantic.........................         9        91         –         –         –        99         –         –        29        71         –         –
East North Central......................         –        98         –       (2)         –        98         –       (2)         4        96         –         –
West North Central......................         –       100         –       (2)         –       100         –       (2)         –        99         –         –
South Atlantic..........................         –       100         –         –         –       100         –         –         –        99         –         –
West South Central......................         –       100         –       (2)         –         –         –         –         –       100         –         –
Mountain................................         –       100         –         –         –       100         –         –         –       100         –         –
Pacific.................................         –        98         –         –         –        97         –         –         1        99         –         –

  1 Limits may be set in terms of dollar or day ceiling on benefits, a requirement that the participant pay a percentage of costs (coinsurance), or a
requirement that the participant pay a specific amount (deductible or copayment) before reimbursement begins or services are rendered.
  2 Less than 0.5.
  3 The categories are based on the average wage for each occupation surveyed, which may include workers with earnings both above and below the threshold. The
average wages are based on the estimates published in the "National Compensation Survey: Occupational Earnings in the United States, 2010." See Technical Note
for more details.

NOTE: Because of rounding, sums of individual items may not equal totals. 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/glossary20102011.htm.