Eye-Opening Health Insurance Statistics You Need to Know
America has the most confusing health insurance in the world: a dysfunctional mix of Medicaid, Medicare, employer-paid private plans, and various specialized programs. Despite all these options, at the beginning of 2025, some 7.4% of Americans still did not have health insurance coverage.
Key Health Insurance Statistics for 2025 - Editor’s Choice
- More than 92.6% of Americans are covered by health insurance in 2025.
- Large companies that fail to provide health insurance to 95% of their full-time employees must pay an IRS fine of $3,860 per employee per year.
- 3 out of 4 Americans think that healthcare is too expensive compared to the services they receive.
- When the Affordable Care Act’s major provisions went into effect in 2014, the number of uninsured Americans dropped by 35.9% in a single year.
- 45% of Americans worry that medical costs will lead them to personal bankruptcy.
Over 300 million Americans are covered by health insurance in 2025.
(US Census Bureau)
This amounts to 92.6% of all US citizens, as the number of uninsured Americans continues to decrease.
The Medicaid/CHIP coverage now covers over 79 million people in 2025.
(Medicaid)
Child enrollment represented 47.4% of the total number of covered citizens last year.
About 24 million people get insurance through provisions of Obamacare in 2025.
(NPR)
The amount of people with Obamacare health plans doubled since 2021, when there were just over 12 million individuals enrolled.
Employees don’t pay taxes on the amount of money their companies pay for their health insurance.
(Tax Policy Center)
This policy – the tax exclusion for employer-sponsored health insurance – cost the federal government $299 billion in reduced taxes in 2022.
Large companies that fail to provide health insurance to 95% of full-time employees must pay an IRS fine of $3,860 per employee per year.
(Society for Human Resource Management)
On average, employers pay about 82% of the cost of their employees' health insurance.
(Kaiser Family Foundation)
This percentage drops to 71% for employees who add family members to their coverage.
Private health insurance plans cost an average of $621 per month in 2025.
(ValuePenguin)
This amounts to $7,452 annually, and represents a 7% increase in cost, which has gone up now for four years in a row.
Some 94% of people with high health insurance literacy were satisfied with their health insurer in 2024.
(Evernorth)
On the other hand, some 32% of people with low health insurance literacy have received unexpected bills or faced things like adverse coverage decisions and unexpected out-of-pocket costs.
23 million people will enroll in a health insurance plan through private marketplaces in 2025.
(Congressional Budget Office)
The number of people enrolling in congroup coverage through marketplaces is expected to increase by 1 million compared to 2024, once again reaching an all-time high.
The average per capita expenditure on health insurance in the US is projected to be $5,140 in 2025.
(Statista)
With the cost of coverage rising, the per capita expenditure is now reaching record highs as well.
60% of women aged 19 to 64 get their health insurance coverage through an employer.
(Kaiser Family Foundation)
This amounts to 58.6 million of women, while only 19% are on Medicaid, and 9% get coverage through direct purchases.
37% of Americans in excellent or good health rated their health insurance as excellent in 2024.
(Kaiser Family Foundation)
In comparison, 26% of those in fair or poor health rated their health insurance coverage as excellent.
Sources
Albert Einstein is said to have identified compound interest as mankind’s greatest invention. That story’s probably apocryphal, but it conveys a deep truth about the power of fiscal policy to change the world along with our daily lives. Civilization became possible only when Sumerians of the Bronze Age invented money. Today, economic issues influence every aspect of daily life. My job at Fortunly is an opportunity to analyze government policies and banking practices, sharing the results of my research in articles that can help you make better, smarter decisions for yourself and your family.
