Out-of-pocket costs that insured employees pay for a doctor’s visit or an operation in the U.S. keep on climbing.

The average deductible, the amount workers pay for health care before insurance kicks in, jumped 13 percent to $1,221 this year for individual plans, according to a report published Wednesday by the Kaiser Family Foundation and the Health Research & Education Trust. About 50 percent of employees are in plans that have deductibles of at least $1,000 for individual coverage, up from 45 percent in 2015.

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