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Qualifying HDHPs are health insurance plans that both incorporate a minimum annual deductible amount (i.e., it must be a high deductible), and an annual out-out-pocket maximum amount (limiting just how high that high deductible can be), both of which are set by the IRS

Ethics declarations Ethical approval and consent to participate The need for approval was waived by the local ethical committees (Ludwig Maximilians University Munich, Germany) as data were collected retrospectively and reported anonymously

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