Lawmakers get 'generous' health plans

ByABC News
June 23, 2009, 11:36 PM

WASHINGTON -- They don't receive "Cadillac" insurance plans, but when it comes to health benefits, studies suggest members of Congress are at least driving the best Buicks on the block.

Congressional lawmakers, embroiled in a debate over how to provide coverage to 46 million uninsured people in the country, paid less at the doctor's office under their own insurance than the national average in 2008 but also shelled out up to 13% more for premiums, the studies show.

Some proponents of overhauling health care, including President Obama, have suggested everyone should be entitled to the coverage members of Congress receive. At a news conference Tuesday, Obama said he wants people to be able to choose their insurance "the same way that federal employees do, same way that members of Congress do."

Mark McClellan, a doctor and economist at the Brookings Institution, said he believes members of Congress are getting a good deal. McClellan helped develop a report for the Bipartisan Policy Center that recommends using lawmakers' premiums as a benchmark for taxing purposes.

"It's significantly more generous than most Americans are getting," said McClellan, who suggests Congress could raise money for a health care overhaul by taxing premiums that exceed those included in their own plan.

Lawmakers' health insurance, which is the same available to all federal workers, is part of the equation. Members of Congress also receive care by a physician at the Capitol for a small fee and treatment at military hospitals the same offered to presidents and visiting dignitaries, watchdog groups say.

"They get what bureaucrats get plus," said Steve Ellis with Taxpayers for Common Sense.

Lawmakers are wrestling with how to expand insurance coverage and contain medical costs, which could consume 20% of the economy by 2017, according to the non-partisan Congressional Budget Office. Obama has said he wants to sign a health care bill by October.

Like millions of employees, lawmakers choose from a range of private insurers. The U.S. Office of Personnel Management does not track how many members of Congress enroll in individual plans, but a Blue Cross Blue Shield preferred provider organization (PPO) is the most popular for all federal employees, according to the agency.