How Much Is Health Insurance?

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Marketplace health insurance plans
Metal tier | Costs covered by plan | Deductible level |
---|---|---|
Bronze | 60%. | High. |
Silver | 70%. | Medium. |
Gold | 80%. | Low. |
Platinum | 90%. | Low. |
See the lowest-cost Silver premium averages in every U.S. state.
State | Average lowest-cost Silver premium |
---|---|
Alabama | $523. |
Alaska | $1,040. |
Arizona | $382. |
Arkansas | $452. |
California | $469. |
Colorado | $455. |
Connecticut | $660. |
Delaware | $530. |
District of Columbia | $526. |
Florida | $513. |
Georgia | $489. |
Hawaii | $486. |
Idaho | $430. |
Illinois | $468. |
Indiana | $380. |
Iowa | $427. |
Kansas | $508. |
Kentucky | $435. |
Louisiana | $509. |
Maine | $545. |
Maryland | $362. |
Massachusetts | $419. |
Michigan | $394. |
Minnesota | $355. |
Mississippi | $479. |
Missouri | $484. |
Montana | $540. |
Nebraska | $595. |
Nevada | $413. |
New Hampshire | $320. |
New Jersey | $482. |
New Mexico | $500. |
New York | $766. |
North Carolina | $502. |
North Dakota | $524. |
Ohio | $437. |
Oklahoma | $493. |
Oregon | $497. |
Pennsylvania | $441. |
Rhode Island | $404. |
South Carolina | $469. |
South Dakota | $616. |
Tennessee | $513. |
Texas | $482. |
Utah | $532. |
Vermont | $1,275. |
Virginia | $368. |
Washington | $416. |
West Virginia | $908. |
Wisconsin | $487. |
Wyoming | $858. |
- Plan category: Marketplace plans are priced differently depending on their category: Bronze, Silver, Gold, Platinum or Catastrophic.
- Number of enrollees: You’ll pay less for insurance just for yourself than if you’re covering a spouse and a child as well.
- Smoking: If you smoke tobacco, insurance companies can charge you as much as 50% more.
- City: Premiums can vary depending where you live.
- Age: If you’re an older adult, insurance companies can charge as much as three times more.
Out-of-pocket costs
- Premium: The monthly amount you pay for your health insurance plan.
- Copay: A flat fee (such as $20) that you pay each time you receive a health care service or procedure.
- Coinsurance: A percentage (such as 20%) of a medical charge that you pay; the rest is covered by your health insurance plan.
- Deductible: The amount you pay for covered medical care before your insurance starts paying.
- Out-of-pocket maximum: The most you’ll pay in one year, out of your own pocket, for covered health care. Once you reach this maximum, your insurance pays the rest.
- Out-of-pocket costs: These are all costs above a plan's premium that you must pay, including copays, coinsurance and deductibles.
Health insurance plan types
Plan type | Snapshot | Premiums |
---|---|---|
HMO: health maintenance organization | Lower out-of-pocket costs and a primary doctor who coordinates your care for you, but less freedom to choose providers. | Least expensive. |
POS: point of service plan | More provider options and a primary doctor who coordinates your care for you, with referrals required. | Priced between HMOs and PPOs. |
EPO: exclusive provider organization | Lower out-of-pocket costs and usually no required referrals, but less freedom to choose providers. | Priced between HMOs and PPOs. |
PPO: preferred provider organization | More provider options and no required referrals, but higher out-of-pocket costs. | Most expensive. |
High-deductible health plans
- You buy a Bronze, Silver, Gold or Platinum marketplace plan. (Catastrophic plans aren’t eligible.)
- Your household income is equal to at least 100% of the federal poverty level for your family size.
- You don’t have access to a qualifying employer plan, which would be health insurance that meets minimum coverage requirements and has a premium that is equal to or less than 9.02% of your household income in 2025.
- You aren’t filing taxes as married filing separately. (There are exceptions.)
- You can’t be claimed as a dependent on anyone else’s tax return.
Cost-sharing reduction
You may be eligible for a cost-sharing reduction if:
- You’re eligible for premium tax credits.
- Your household income lands between 100% and 250% of the poverty level.
- You’re buying a Silver marketplace plan. (This is the only plan eligible for these extra savings.)
How much is the cost-sharing reduction?
Off-marketplace health insurance plans
Employer-sponsored insurance
The bottom line
Article sources
- 1. KFF. Average Marketplace Premiums by Metal Tier, 2018-2025. Accessed Feb 12, 2025.
- 2. Department of Health & Human Services. A quick guide to the Health Insurance Marketplace. Accessed Feb 12, 2025.
- 3. Department of Health & Human Services. Catastrophic health plans. Accessed Feb 12, 2025.
- 4. Department of Health & Human Services. How insurance companies set health premiums. Accessed Feb 12, 2025.
- 5. Department of Health & Human Services. Your total costs for health care: Premium, deductible & out-of-pocket costs. Accessed Feb 12, 2025.
- 6. Department of Health & Human Services. High Deductible Health Plan (HDHP). Accessed Feb 12, 2025.
- 7. IRS. The Premium Tax Credit - The basics. Accessed Feb 12, 2025.
- 8. KFF. Explaining Health Care Reform: Questions About Health Insurance Subsidies. Accessed Feb 12, 2025.