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 2023 more than 26 million Americans didn’t have any health insurance at all.
Key Health Insurance Statistics for 2024 - Editor’s Choice
- 26 million Americans didn’t have any type of health insurance in the first half of 2023.
- 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.
General Health Insurance Data
Most Americans get their insurance from three programs: Medicare, Medicaid, and employer-provided private insurance. Medicare insures people over the age of 65. Medicaid and the Children’s Health Insurance Program insure the poor and the unemployed. Employer-provided private health insurance covers employees and their families.
Most people get health insurance through their employers. If you work for a large corporation, you’ll most likely be covered because the government gives tax benefits to companies that insure their workers and penalizes those that don’t.
If you work for a company that has fewer than 50 employees, you are self-employed, or you work part-time, you are in trouble. The company is not required to pay your health insurance.With employer-based coverage, losing your job means losing your health insurance.
About 91.5% of Americans are covered by health insurance.
(US Census Bureau)
Of 330 million Americans, 59 million get Medicare, 159 million have employer-based insurance, and Medicaid/CHIP covers 57 million.
(Congressional Budget Office)
About 22 million people get insurance through provisions of Obamacare.
(Congressional Budget Office)
Another 8 million Americans get medical insurance through Medicare disability coverage, and 8 million have other insurance.
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 $273 billion in reduced taxes in 2019.
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.
On average, monthly worker contributions for health insurance are $103 for single coverage and $501 for family coverage.
(Kaiser Family Foundation)
That's $1,242 annually for single coverage, and $6,015 annually for family coverage.
The average annual premiums for employer-sponsored health insurance are $7,188 for single and $20,576 for family coverage.
(Kaiser Family Foundation)
The US spends 16.9% of GDP on healthcare - twice as much as the average OECD member country.
(Organisation for Economic Co-operation and Development)
The US spent $3.6 trillion on healthcare in 2018.
(US Centers for Medicare and Medicaid Services)
3 out of 4 Americans think healthcare is too expensive compared to the services they receive.
(Gallup)
Health insurance facts show that Americans pay $1,122 out-of-pocket for different medical expenses like co-pays and prescriptions.
(Organisation for Economic Co-operation and Development)
Health insurance facts show that Americans pay $1,122 out-of-pocket for different medical expenses like co-pays and prescriptions.
(Organisation for Economic Co-operation and Development)
About the Uninsured
People who don’t have insurance in America are typically the unemployed and self-employed, gig workers, part-time workers, and those who work for smaller companies that don’t provide health insurance as an employment benefit. These people simply don’t have a lot of options. If they are unable to pay for health insurance, there aren’t that many government programs that can help.
Based on American healthcare system facts, the only way to become eligible for Medicaid is to be disabled or below the poverty line. This means that millions of people with low-paying jobs, working for small companies, don’t receive government-funded healthcare. Since health insurance premiums are expensive, many families are simply left without options.
The most jeopardized groups are Hispanics and African Americans. However, ethnic and racial groups are not the only ones affected by gaps in healthcare coverage.
The data shows that young people, especially millennials, are not covered by any of America's health insurance plans. Children are also a vulnerable group when it comes to health insurance, while people over 65 are the most covered group thanks to Medicare assistance.
Healthcare coverage varies by state and even by county. The Southern states, including Texas and Oklahoma, have the highest uninsured rates.
26 million Americans didn’t have any type of health insurance in the first half of 2023.
(Peter G. Peterson Foundation)
America’s uninsured population increased by 1.9 million from 2017 to 2018, largely because many Americans no longer qualified for Medicaid.
(US Census Bureau)
The COVID-19 pandemic cost 27 million Americans their health insurance in its first months.
(Kaiser Family Foundation)
Among them are 10.1 million workers who lost both their jobs and their families.
The average price for COBRA health insurance is $599 / month for individual coverage, and $1,715 / month for family coverage.
(Kaiser Family Foundation)
COBRA is intended to provide temporary health insurance to people who lose their jobs or lose their company-paid insurance for other reasons.
More than 26,000 Americans die needlessly each year because they lack health insurance.
(Families USA)
People without insurance are likely to go without screenings, preventive care, and medications.
Companies with fewer than 50 employees are not legally required to provide health insurance benefits to employees.
(eHealth)
This is about half the companies in the US.
Gig workers and part-time employees aren’t generally covered by employer-provided health insurance.
(Employment Law Handbook)
Gig workers are not considered employees, and companies are not legally required to provide health benefits to those who work 30 hours or less per week.
99.1% of Americans 65 and older have health insurance.
(US Census Bureau)
This group is followed by young adults and children under 19 (94.5%). Only 88.3% of people between 19 and 64 have medical insurance.
About 30% of people between 19 and 25 don’t have health insurance, followed by 13.9% of those aged 26 to 34.
(Centers for Disease Control)
Besides young adults, children under the age of 19 are the most likely to be uninsured.
(US Census Bureau)
The percentage of uninsured children was 22.8% in 2018.
27% of Hispanic people were uninsured in the first half of 2019, followed by African Americans (13.6%).
(Kaiser Family Foundation)
For people under 65, the uninsured rate increased in 80 US counties and decreased in 70 counties from 2017 to 2018.
(US Census Bureau)
Counties with the lowest uninsured rates (below 10%) are in the North and Midwest.
(US Census Bureau)
On the other hand, the southern states have counties with uninsured rates above 15.9%.
Texas has the highest uninsured rate: 17.7%, followed by Oklahoma (14.2%).
(US Census Bureau)
When the ACA’s major provisions took effect in 2014, the number of uninsured people dropped by 35.9% in a single year.
(Kaiser Family Foundation)
Between 2010 to 2015, more than 16 million people got health insurance thanks to the ACA.
(US Department of Health & Human Services)
Between 2014 and 2015, the number of uninsured young adults dropped by 5% thanks to ACA.
(US Census Bureau)
Health insurance facts show that 8.5 million people signed up for ACA insurance in 2019.
(US Centers for Medicare and Medicaid Services)
Obamacare was projected to reduce the number of uninsured Americans by 25 million by the end of 2023.
(Congressional Budget Office)
The number of uninsured people in the US is expected to grow by 13 million in 2027 alone
(Congressional Budget Office)
The Congressional Budget Office bases this prediction on the fact that the ACA individual mandate will be eliminated.
In 2018’s congressional midterm elections, 45.9% of television ads for House and Senate races raised the issue of health insurance.
(Wesleyan Media Project)
As much as 54.5% of ads supporting Democrats brought up this subject and 31.5% of ads supporting Republicans.
48% of Americans think the US health system is the best or among the best in the world.
(Gallup)
The rate is higher among Republicans (67%), while only 28% of self-identified Democrats believe this.
Predictions
No one knows what tomorrow will bring, but America’s health insurance problems do not seem to be speeding toward a happy resolution.
45% of Americans worry that a major health issue will lead them to personal bankruptcy.
(Gallup)
CBO estimates for 2029 show 159 million Americans receiving full coverage health insurance from employers.
(Congressional Budget Office)
Another 85 million will be enrolled in Medicare, and 71 million on Medicaid/CHIP according to CBO's predictions. About 35 million Americans will not have any type of insurance. The CBO published these forecasts in May 2019, so they do not include the effects of the coronavirus pandemic.
America’s overall healthcare costs are projected to grow from $7.72 trillion in 2017 to $10.06 trillion by 2022.
(Deloitte)
Estimates on how many people will ultimately lose their jobs to the pandemic range up to 50 million or more.
(Forbes)
Each one represents another American or American family losing access to affordable private health insurance.
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.
