WASHINGTON (AP) — It's the hottest trend in job-based health insurance: plans that give you a personal savings account for medical bills but also require you to pay a hefty share of costs before coverage kicks in.

Such "consumer-directed" plans could save billions for employers, providing relief from high health care costs, a study published Monday concludes.

But there's a warning flag, a risk that workers will forgo needed care, even preventive services covered at no extra cost to them. Some consumers were apparently unsure that prevention was covered.

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