The city of San Francisco is challenging state legislation that allows insurance companies to charge women more than men for health coverage.
In a practice known as gender rating, women in California pay up to 39 percent more than men for coverage in the individual insurance market, which is where people who aren’t covered by employer plans or state health programs get their insurance. Nationwide, about 7 percent of women buy their health coverage directly from insurance companies.
Gender rating is illegal in 10 states and restricted in two more, but in California, state legislation allows insurance companies to set different rates, on the basis that women are more expensive to care for than men, even without including maternity care. At least until age 55, women tend to visit their doctors for annual screenings and checkups more often than men and are more likely to suffer from certain chronic diseases.
But critics call the system unfair.
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