How much does average american pay for health insurance

The increased cost of health insurance is a central fact in any discussion of health policy and health delivery.

In 2018 the average annual premium for employer-based family coverage rose 5% to $19,616 for single coverage, premiums rose 3% to $6,896. Covered workers contributed 18% of the cost for single coverage and 29% of the cost for family coverage, on average, with considerable variation across firms.

By comparison, annual premiums for 2017 reached $18,764, up 3 percent from 2015 for an average family coverage with workers on average paying $5,714 towards the cost of their coverage, according to the Kaiser Employer Survey, October 2018 and 2017, applying to employer-based insurance.

For those Americans who are fully covered, these cost realities affect employers, both large and small, plus the "pocket-book impact" on ordinary families. For those buying insurance on an exchange or private market plan for 2018, the average increase with subsidies was $201. The 2019 policy premiums are now final and have more moderate averages increases, with some rate decreases. View 2019 rate filings below.

2019 Heath Insurance Premiums - Reports and resources

• How ACA Marketplace Premiums Are Changing by County in 2019: Many low-income consumers who are eligible for federal financial help under the ACA can get a bronze-level plan and pay nothing out-of-pocket in premiums in more than 2,000 counties next year, depending on their annual income, according to a new analysis. But such plans can come with higher deductibles and out-of-pocket maximums. (View Issue Brief with interactive state maps. | Kaiser Family Foundation, 11/20/2018.
• Health Exchanges: 2019 Average Monthly Premiums for Second-Lowest Cost Silver Plan and Lowest Cost Plan for States Using the HealthCare.gov Platform, 2016-2019.  The tables linked below indicate the average monthly premiums for the second-lowest cost silver plan (SLCSP) and lowest cost plan (LCP) across all 39 states using the using the HealthCare.gov platform, as well as state-level average SLCSP and LCP premiums. The premiums displayed are for a 27-year old single nonsmoker.
  ♦ State by state premiums- updated Oct 11, 2018 - posted by CMS. 
• Updated Navigator Resource Guide  (Updated: November 2018): The Navigator Guide provides information on recent policy changes, a list of enrollment tools for consumers and assisters, and answers to hundreds of FAQs, ranging from questions about eligibility for marketplace subsidies to post-enrollment issues. The guide is a useful resource throughout the open enrollment season. You can access it online via the Georgetown University site.

• Health Insurance Marketplace Calculator Updated for 2019: Health Insurance Marketplace Calculator, posted by Kaiser Family Foundation (KFF), now includes local data on the 2019 health plans being sold through the Affordable Care Act (ACA) marketplaces during the 2019 open enrollment period. With the tool, consumers around the nation can generate estimates of their health insurance premiums and what financial help may be available -- based on household income, family size, ages of family members, and zip code -- for ACA marketplace plans sold in their local area. The calculator also helps consumers determine whether they could be eligible for Medicaid.
       • A Spanish-language version of the calculator is also available. 
       • KFF also offers a searchable collection of more than 300 Frequently Asked Questions  about open enrollment, the marketplaces and the ACA. 

• Experiences Under the ACA Suggest Association Health Plans Could Harm the Small-Group Insurance Market: The federal rule making it easier for groups to form association health plans may result in higher costs for those who need the ACA’s more comprehensive coverage or don’t qualify for less-regulated plans. Full report by The Commonwealth Fund, 12/4/2018

• Find 2019 Rate Review Information About Your Insurer

Select a category of health coverage from the CMS Health.Care.gov federal website to start:

• Search ACA-Compliant Products
• Search Transitional Student Plans

  New December Report: Americans with Employer Health Coverage Face Growing Cost Burdens 
  U.S. workers and their families, especially those living in the South, are spending a bigger share of their income on health care, a new Commonwealth Fund study finds. Average employee premium contributions for single and family plans consumed nearly 7 percent of U.S. median income in 2017, up from 5 percent in 2008. In Louisiana, premium contributions represented 10.2 percent of median income. For Americans whose incomes fall in the midrange of the income distribution, total spending on employer plan premiums and potential out-of-pocket costs to meet deductibles amounted to 11.7 percent of income last year, up from 7.8 percent a decade earlier. Full report by The Commonwealth Fund, 21 pp, PDF.

  Recent from HHS/CMS:

  Final 2017 Benefit Year Risk Adjustment Summary Report and accompanying issuer transfer reports. "CMS is announcing risk adjustment payments and charges for the 2017 benefit year as calculated under the HHS-operated risk adjustment methodology." Full Report released by CMS | News Release Summary,  July 7, 2018.
  Summary Report on Permanent Risk Adjustment Transfers For the 2017 Benefit Year. Full report, for actuaries and state fiscal analysts, (36 pp, PDF) July 9, 2018 
  Analysis: "The Trump administration said July 7 that it was suspending a program that pays billions of dollars to insurers to stabilize health insurance markets under the Affordable Care Act, a freeze that could increase uncertainty in the markets and drive up premiums this fall. Many insurers that enroll large numbers of unhealthy people depend on the “risk adjustment” payments, which are intended to reduce the incentives for insurers to seek out healthy consumers and shun those with chronic illnesses and other pre-existing conditions.

  2018 Health Insurance Premiums - updated resources

  The information below generally applies to health insurance policies available for sale as of Nov. 1, 2017, that took effect for coverage Jan. 1, 2018 through Dec. 31, 2018.  Note that "average" prices listed may not reveal lowest costs or highest costs, so the effect on an individual or family often requires a closer look at individual plans.  The federal HHS-sponsored web site is intended to make this precise list-price information available to policymakers and the general public. Subsidies for those with annual income up to 400 percent of federal poverty can be calculated by those who are prepared to enter their confidential financial information.  

  Table : Monthly Silver Premiums and Financial Assistance for a 40 Year Old Non-Smoker Making $30,000 / Year
  State	Major City	2nd Lowest Cost Silver Before Tax Credit	2nd Lowest Cost Silver After Tax Credit	Amount of Premium Tax Credit
  2017	2018	% Change from 2017	2017	2018	% Change from 2017	2017	2018	% Change from 2017
  California*	Los Angeles	$258	$289	12%	$207	$201	-3%	$51	$88	71%
  Colorado	Denver	$313	$352	12%	$207	$201	-3%	$106	$150	42%
  Connecticut	Hartford	$369	$417	13%	$207	$201	-3%	$162	$216	33%
  DC	Washington	$298	$324	9%	$207	$201	-3%	$91	$122	35%
  Delaware	Wilmington	$423	$631	49%	$207	$201	-3%	$216	$430	99%
  Georgia	Atlanta	$286	$308	7%	$207	$201	-3%	$79	$106	34%
  Idaho	Boise	$348	$442	27%	$207	$201	-3%	$141	$241	70%
  Indiana	Indianapolis	$286	$337	18%	$207	$201	-3%	$79	$135	72%
  Maine	Portland	$341	$397	17%	$207	$201	-3%	$134	$196	46%
  Maryland	Baltimore	$313	$392	25%	$207	$201	-3%	$106	$191	81%
  Michigan*	Detroit	$237	$244	3%	$207	$201	-3%	$29	$42	44%
  Minnesota**	Minneapolis	$366	$383	5%	$207	$201	-3%	$159	$181	14%
  New Mexico	Albuquerque	$258	$346	34%	$207	$201	-3%	$51	$144	183%
  New York***	New York City	$456	$504	10%	$207	$201	-3%	$249	$303	21%
  Oregon	Portland	$312	$350	12%	$207	$201	-3%	$105	$149	42%
  Pennsylvania	Philadelphia	$418	$515	23%	$207	$201	-3%	$211	$313	49%
  Rhode Island	Providence	$261	$248	-5%	$207	$201	-3%	$54	$47	-13%
  Tennessee	Nashville	$419	$507	21%	$207	$201	-3%	$212	$306	44%
  Vermont	Burlington	$492	$491	0%	$207	$201	-3%	$285	$289	2%
  Virginia	Richmond	$296	$394	33%	$207	$201	-3%	$89	$193	117%
  Washington	Seattle	$238	$306	29%	$207	$201	-3%	$31	$105	239%
  NOTES: *The 2018 premiums for MI and CA reflect the assumption that CSR payments will continue. **The 2018 premium for MN assumes no reinsurance. ***Empire has filed to offer on the individual market in New York in 2018 but has not made its rates public. SOURCE:  Kaiser Family Foundation analysis of premium data from Healthcare.gov and insurer rate filings to state regulators

  2017 Plan Year Premiums

  2016 Plan Year Premiums

  This report presents an analysis of changes in the premiums for the lowest- and second-lowest cost silver marketplace plans in major cities in 10 states plus the District of Columbia, where we were able to find complete data on rates for all insurers. It follows a similar approach to our September 2013 and 2014 analyses of Marketplace premiums.  In most of these 11 major cities, the authors find that the costs for the lowest and second-lowest cost silver plans – where the bulk of enrollees tend to migrate – are changing relatively modestly in 2016, although increases are generally bigger than in 2015. The cost of a benchmark silver plan in these cities is on average 4.4% higher in 2016 than in 2015.

  Benchmark premium changes in 2016 vary significantly across the cities, ranging from a decrease of 10.1% in Seattle, Washington to an increase of 16.2% in Portland, Oregon.

  2015 to 2016: Monthly Benchmark Silver Premiums for a 40 Year Old Non-Smoker Making $30,000 / Year

  State	Rating Area (Major City)	2nd Lowest Cost Silver Before Tax Credit	2nd Lowest Cost Silver After Tax Credit
  2015	2016	% Change from 2015	2015	2016	% Change from 2015
  Connecticut	2 (Hartford)	$322	$328	2.0%	$208	$208	0.2%
  DC	1 (Washington)	$242	$248	2.8%	$208	$208	0.2%
  Maine	1 (Portland)	$282	$290	2.9%	$208	$208	0.2%
  Maryland	1 (Baltimore)	$235	$246	4.6%	$208	$208	0.2%
  Michigan	1 (Detroit)	$230	$226	-1.8%	$208	$208	0.2%
  New Mexico	1 (Albuquerque)	$171	$190	11.0%	$171*	$190*	11.0%*
  New York	4 (New York City)	$372	$374	0.5%	$208	$208	0.2%
  Oregon	1 (Portland)	$213	$248	16.2%	$208	$208	0.2%
  Vermont	1 (Burlington)	$436	$476	9.2%	$208	$208	0.2%
  Virginia	7 (Richmond)	$260	$288	10.8%	$208	$208	0.2%
  Washington	1 (Seattle)	$254	$228	-10.1%	$208	$208	0.2%
  Average % change from 2015			4.4%			1.2%
  SOURCE: Kaiser Family Foundation analysis of 2016 insurer rate filings to state regulators.- Table 1 NOTES: Rates are not yet final and subject to review by the state. Oregon rates reflect preliminary changes from the state. *Unsubsidized Albuquerque premiums are so low that a 40 year old making $30,000 per year would not qualify for a premium tax credit in 2016

  Archives for 2008-2015 have been removed and archived offline as of 12/1/2017.

  • • Summary: Tracking 2019 Premium Changes by State on ACA Exchanges - Updated Oct 11, 2018 with latest states
      A new Health Premium tracker monitors preliminary 2019 premiums in the ACA's marketplaces as insurers file rate information with state regulators. Beginning with data from eight states and the District of Columbia, the tracker shows preliminary premium information in nine major cities for the lowest-cost bronze plan and “benchmark” silver plan, which is used to determine the size of the premium tax credits available to low- and moderate-income enrollees. (News Release, Issue Brief; posted by Kaiser Family Foundation)
      • Colorado: Hints of “stability” in individual market lead insurers to ask for 6 percent hike in premiums. "If approved by state regulators, the proposed average price jump would be the smallest increase for health insurance policies on the individual market, sold both on and off the state’s health insurance exchange, since 2015."
      • The Effects of Federal Policy: What Early Premium Rate Filings Can Tell Us About the Future of the Affordable Care Act. "Insurers have started to propose some pretty eye-popping premium increases for Affordable Care Act coverage in 2019. CHIR expert Sabrina Corlette dug deep into the companies’ actuarial memos to find out what’s causing the price hikes & found that recent changes in federal policy are making a big difference." 
    • 2019 Individual Market Premium Changes, by State Table below shows the range of proposed rate changes across all ACA-compliant plans offered by insurers that have proposed participating on the exchange in each state. This table by Kaiser Family Foundation includes tracked states that have released average premium increases for all insurers intending to offer exchange plans next year. 41 states reporting as of 10/11/2018

    • This table includes additional states that have released average premium increases for all insurers intending to offer exchange plans next year.

      Tennessee

      Table: Final and Proposed 2019 Individual Market Premium Changes, by State
      State (F = Final)	Number of Exchange Insurers Submitting 2019 Rates*	Statewide Average Individual Market Rate Change**	Minimum Individual Market Average Rate Change Among Exchange-Participating Insurers	Maximum Individual Market Average Rate Change Among Exchange-Participating Insurers
      Alabama	>2		15.55% (Bright Health)	-0.5% (BCBS of AL)
      Arkansas (F)	3		1.06% (Qualchoice)		4.6% (Ambetter)
      California	11	8.7%	Not Available	Not Available
      Colorado (F)	7	5.94%	-0.21% (HMO Colorado)	21.6% (Denver Health)
      Connecticut (F)	2	12.3%	-2.7% (Anthem)	4% (ConnectiCare)
      Delaware	1	3.%**	NA (One insurer)	3% (One insurer)
      DC	2	14.9%	9.5% (CareFirst BlueChoice)	20% (Kaiser)
      Florida	5***	5.2%	-1.5% (Molina)	9.8% (Health First)
      Georgia	4		2.2% (BCBS of GA)	14.7% (Kaiser)
      Hawaii	2		2.72% (Hawaii Medical Services)	28.6% (Kaiser)
      Idaho (F)	4	8%	-1% (SelectHealth)	24% (PacificSource)
      Iowa	2***	-7.9%**	NA (One returning insurer)	NA (One returning insurer)
      Indiana	2	5.1%	-0.5% (Celtic)	10.2% (CareSource)
      Kansas	3		2.68% (Sunflower State)	10.7% (Medica)
      Kentucky	2		3.5% (Anthem)	19.4% (CareSource)
      Maine	3***		-4.3% (Anthem)	2.1% (Harvard Pilgrim)
      Maryland	2	30.2%	18.5% (CareFirst Blue Choice)	91.4% (CareFirst CFMI, GHMSI)
      Michigan	8***		-2.5% (Priority Health)	11.1% (McLaren)
      Minnesota	4		-12.4% (Medica)	-7% (UCare)
      Missouri	4***		-8.6% (Celtic)	7.3% (Cigna)
      Montana	3		0% (HCSC)	10.6% (Montana Health Co-op)
      Nebraska	1	2.2%**	NA (One insurer)	NA (One insurer)
      New Hampshire	3		-15.23% (Celtic)	-7.4% (Harvard Pilgrim)
      Nevada	2		-1.1% (SilverSummit)	0% (Health Plan of Nevada)
      New Jersey	3	5.8%	0.8% (AmeriHealth EPO)	9.2% (Horizon EPO)
      New Mexico	5***		-0.4% (Molina)	18.5% (Presbyterian)
      New York (F)	12	8.6%	-3.2% (HealthNow New York)	17% (Emblem)
      North Carolina	3***		-4.1% (BCBS of NC)	3.6% (Cigna)
      Ohio	Not Available	8.2%**	Not Available	Not Available
      Oklahoma	2***	-2.0%**	NA (One returning insurer)	NA (One returning insurer)
      Oregon	5		-9.6% (PacificSource)	10.6% (Providence)
      Pennsylvania	6***	0.7%	-20.4% (Capital Advantage)	13.2% (Geisinger Quality Options)
      Rhode Island	2		8.7% (Neighborhood HP)	10.7% (BCBS of RI)
      South Dakata (F)	2		23.3% (Molina)	9.7% (Sanford)
      5***		-14.8% (BCBS of TN)	7.2% (Oscar)
      Utah (F)	3		-2.7% (SelectHealth)	23.3% (Molina).
      Vermont	2		7.48% (BCBS of VT)	10.88% (MVP Health Plan)
      Virginia (F)	7***		-7.2% (Optima)	45.1% (GHMSI
      Washington (F)	5	13.8%	0.3% (BridgeSpan)	18.6% (Kaiser)
      West Virginia	2		13.1% (CareSource)	15.9% (Highmark)
      Wyoming	1	-0.26%**	NA (One insurer)	NA (One insurer)
      *Subsidiaries are grouped by parent insurer. **Statewide individual market average rate change is only shown if an average was provided by the state through a press release. Delaware, Iowa, Nebraska, Ohio, Oklahoma, and Wyoming figures are the average on-exchange rate increases for exchange-participating insurers. ***Anthem is planning to reenter the Maine marketplace. Oscar is planning to enter the Arizona, Florida, and Michigan marketplaces. Presbyterian is planning to reenter the New Mexico marketplace. Wellmark is planning to reenter the Iowa marketplace. Medica is planning to enter the Missouri and Oklahoma marketplaces. Centene is planning to enter the North Carolina, Pennsylvania, and Tenessee marketplaces. Geisinger Quality Options is reentering the Pennsylvania marketplace. Bright Health is planning to enter the Arizona and Tennessee marketplaces. Virginia Premier is planning to enter the Virginia marketplace. Some entering insurers do not have rate changes, because they did not participate in the nongroup market the previous year. Note: 2019 premiums and insurer participation are still preliminary and subject to change unless otherwise noted as Final (F). SOURCE: Kaiser Family Foundation Table 4 analysis of premium data from insurer rate filings to state regulators, data released by state insurance departments, and www.ratereview.healthcare.gov

    • Health Benefits In 2018: Modest Growth In Premiums, Higher Worker Contributions At Firms With More Low-Wage Workers 
      Annual family premiums for employer-sponsored health insurance rose 5 percent to average $19,616 this year, extending a seven-year run of moderate increases, finds the 2018 benchmark KFF Employer Health Benefits Survey released today. On average, workers this year are contributing $5,547 toward the cost of family coverage, with employers paying the rest. Read the full report.
    • The ACA Marketplaces Open for Enrollment: 2-Minute Video on What to Know. Video For Consumers 2018: "November 1 marked the first day of open enrollment for the Affordable Care Act’s (ACA) health insurance marketplaces.  Watch and share this video to understand basic facts about ACA enrollment at healthcare.gov. The Commonwealth Fund’s Sara Collins shares updated information with consumers who are shopping for health plans. Collins reminds viewers that the ACA has not been repealed, and that affordable health insurance — and enrollment assistance – is available. Health plan premiums are rising, Collins says, however most people with marketplace insurance will be protected from the increases thanks to the ACA’s premium subsides." 
    • States Step Up to Protect Consumers in Wake of Cuts to ACA Cost-Sharing Reduction Payments.
      Authors include Kevin Lucia, who spoke at two NCSL events in the past year, and Sabrina Corlette of Georgetown University’s Center for Health Insurance Reform.
      On Oct. 27, 2017 a new report "States Step Up to Protect Consumers" by The Commonwealth Fund explains that many marketplace enrollees will be insulated from the loss of CSR funds and “the resulting premium hikes in 2018, thanks to subsidies that rise with premium costs and the actions of many state insurance departments. How consumers paying full price fare will depend largely on state officials’ decisions. The authors break down how each state has managed the uncertainty over — and eventual termination of — the cost-sharing reduction payments. For example, a majority of states assumed payments would not be made and applied the premium increase to silver plans only, leaving bronze and gold plans affordable for people with or without premium subsidies.”

    • Insurer Participation Down, Premiums Up In Uncertainty-Plagued Marketplaces
      On October 30, HHS reported on health plan choice and premiums in the 2018 federal exchange. Insurer participation is down for 2018 from 2017 and premiums, particularly for the benchmark silver plans, are up dramatically, reflecting recent administration steps that have buffeted the marketplaces. Full summary by Prof. Tim Jost published by Health Affairs, 10/30/2017.

    • HHS Report: Health Plan Choices and Premiums in the 2018 Federal Health Insurance Exchange. The report documents what was already widely known—insurer participation in the exchanges is down for 2018 from 2017 and premiums, particularly the benchmark silver plan premiums, are up dramatically. Advance premium tax credits (APTC), however, are also up sharply, and most consumers who purchase coverage through the exchange may find that coverage costs less than last year after APTC are applied.

    • HHS Map of Health Insurer Coverage
      

      

    • States Where Health Exchange Premiums Are Increasing.   In the week before the 2018 open enrollment period began, an independent health policy report explained the state of premiums on the health exchanges created by the ACA/Obamacare. The new analysis from Avalere of filings from the 40 Healthcare.gov states," shows exchange premiums for the most widespread type of exchange plan (silver level) will be 34 percent higher, on average, compared to last year's 25 percent." These averages omit the 10 states that run their own exchanges and sometimes outpace the federally run versions.
      • Largest Increases: in Iowa (69 percent), Wyoming (65 percent) and Utah (64 percent). Iowa requested to waive certain aspects insurance to avoid large increases, but was forced to withdrew their request on Oct. 23 when it became clear that it would be rejected by the Trump administration.
      • Premium decreases: In Alaska, by 22 percent; in Arizona, by 6 percent; and in North Dakota, by 4 percent.
      • New Analysis Finds Senate Tax Bill Results in Premium Increases for Many Who Buy Their Own Coverage [Read the post and graphs, by The Commonwealth Fund, 11/21/2017]
      • Premium Increases if Mandate is Repealed - 50-state graph for 27-year, 40-year and 60-year olds.

      • CAPITOL TO CAPITOL ON HEALTH CARE: Individual Mandate Repeal: The Senate tax bill repealed the requirement in the Affordable Care Act (ACA) for individuals to have health coverage, which the Congressional Budget Office (CBO) projects would save the government $338 billion over the next 10 years. Repeal of the individual mandate, however, could potentially have an immediate impact on penalties, insurance premiums and health insurance decisions for millions of Americans. (NCSL, Updated 12/4/2017)

      • 
    • 2018 Premium Table for Average Bronze, Gold and Platinum Health Exchange Plans (Healthcare.gov states only) - Open: 50-state Table #2 in new window
    • Penalties for not having health insurance - 2015  Article and map, originally posted by The New York Times, 11/29/2017  
    • HHS announces a 90 percent cut to funds for health enrollment programs in all 50 states, from $100 million for fall 2016, down to $10 million for fall 2017. Additionally, grants to about 100 nonprofit groups, known as navigators, that help people enroll in health plans offered by the insurance marketplaces will be cut to a total of $36 million, from about $63 million. [Read CMS Bulletin, Aug. 31, 2017]; additional news and analysis online: Kaiser Health News | The New York Times |
    • 2018 Premium Changes: The Choice: Return to a Broken Health Insurance Market or Move Toward Market Stability  |  Chart pack online. States face a June 21, 2017 deadline to file initial premium rates for plans to be sold in 2018 through exchanges. Rates are locked in by Aug. 16, 2017, although deadlines could be adjusted by emergency regulation. published by The Commonwealth Fund, 6/12/2017 
    • An Early Look at 2018 Premium Changes and Insurer Participation on ACA Exchanges | Report Online. published by Kaiser Family Foundation. August 2017 
    • Projected Changes in Health Coverage, 2017-2016  Pop-out Graph as calculated by the Congressional Budget Office, 7/20/2017.  Posted with explanation by The New York Times. 
    • 2018 Preliminary Premium Rates by States: Proposed, not final
      Download PDF 50-state table. Calculated by a private third party researcher Charles Gaba, and not binding for states, as of 8/14/2017.

    • ONE LAST ATTEMPT TO REPEAL THE ACA- Sept. 20, 2017
      After legislation to repeal and replace the Affordable Care Act failed in a dramatic Senate vote in July, it appeared that Republicans on Capitol Hill had dropped the effort. However, Senators Lindsay Graham (R-S.C.) and Bill Cassidy (R-La.) are reviving the health care debate and unveiled legislation to repeal and replace the ACA in a last-ditch effort to replace the law before Sept. 30, the last day of the fiscal year.  Read Capitol to Capitol, 9/18/2017]

    • 2017 health insurance plans and prices, by ZIP code or county - "See-Plans" provides access to full descriptions at HealthCare.gov.
      • 2017 Average Monthly Marketplace Premiums, Issuers and Plans - a one-click 50-state table. (see pages 31-32 from the 40-page HHS report described below)
      • Individual Market Premium Changes: 2013 – 2017 - published by ASPE/HHS, 5/23/2017
      • Consumers with special situation ready to buy for the remainder of 2017 can visit HealthCare.gov to check out options for 2017 coverage through Oct 30, 2017
    • Employer-Sponsored Health at the State Level, 2017: Premiums and Deductibles Continue to Rise
      While costs related to the Affordable Care Act marketplaces, the majority of non-elderly Americans (51.6 percent) continue to get their health insurance coverage from an employer.  A new analysis from University of Minnesota highlights the experiences of private sector workers with employer-sponsored insurance (ESI) from 2013 through 2017 at the national level and within the states. Their report includes a Two-page fact sheet on ESI for each state; separate 50-state interactive map showing premiums for in 2017, with links to state profile pages, and 50-state comparison tables.
    • 2107 Employer Health Benefits Survey. Annual premiums for employer-sponsored family health coverage.rose an average of 3 percent to $18,764 this year, with workers on average paying $5,714 towards the cost of their coverage, continuing a six-year run of relatively modest increases, according to the Kaiser Family Foundation/ HRET.
    • For 2016 among the roughly 85 percent of HealthCare.gov consumers with premium tax credits, the average monthly net premium increased just $4, or 4 percent, from 2015 to 2016, according to an HHS report.
    • ♦  For comparison, the 2016 Employer Health Benefits Survey showed annual premiums for employer-sponsored family health coverage reached $18,142 year, up 3 percent from 2015 with workers on average paying $5,277 towards the cost of their coverage. Summary | Full Report.
    • 
    • Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace. Read the full new report released by HHS Oct 24, 2016. It shows that 72 percent of Marketplace consumers in states using HealthCare.gov will be able to find plans with a premium of less than $75 per month and 77 percent will be able to find plans with premiums below $100, taking into account financial assistance. The report also shows that consumers will have options, with an average of 30 health insurance plans to choose from. 50-state premium examples with and without subsidies are provided.+
    • • 2017 health insurance plans and prices, by zip code or county - access to full plan descriptions, effective 11/1/2016
      • 2017 Average Monthly Marketplace Premiums, Issuers and Plans - a one-click 50-state table, effective 11/1/2016 for 2017 coverage
    • Using Cost Estimators to Help Consumers Understand Health Plan Costs
      The Affordable Care Act’s health insurance marketplaces were designed to help consumers buy insurance on their own. In the marketplaces, people can and compare plans in one place. However, shopping for insurance can still be challenging. Consumers are very interested in—but often confused by—a health plan’s cost.
      A new issue brief explores the marketplace’s use of total cost estimators—tools that help consumers estimate a plan’s total costs, including premiums, subsidies, and expected cost-sharing. Through interviews with marketplace officials and other stakeholders, the authors for The Commonwealth Fund examine the benefits and challenges of these tools.
    • 2017 premium increases emerged: A private non-profit web service by Charles Gaba posts a comprehensive tracker of rate filings including projected overall, weighted average rate changes for the individual market. Kaiser Family Foundation has an examination of 2017 premium changes and issuer participation. It is presented with the following statement, " in general, 23 percent seems to be the number to look at for requested increases overall." During September and October it was up to state regulators to either approve or change those requests."
    • Marketplace Premiums after Shopping, Switching, and Premium Tax Credits, 2015-2016.  Health insurance rate information becomes available each spring as issuers file proposed rates with federal and state regulators. Rates then undergo review before being finalized in the fall, prior to the annual Health Insurance Marketplace Open Enrollment Period.  Neither the proposed nor final rates offered by any individual issuer provide a reliable basis for predicting what typical Marketplace consumers will pay in the following year. Consumers’ actual health insurance premiums.
    • 2016 Employer Health Benefits Survey.  Annual premiums for employer-sponsored family health coverage reached $18,142 this year, up 3 percent from last year, with workers on average paying $5,277 towards the cost of their coverage. Summary | Full Report.  Kaiser/HRET survey, published 9/2016. 
      • 2015 Employer Health Benefits Survey.  Annual premiums for employer-sponsored family health coverage include a modest increase (4 percent) in the average premiums for both single and family coverage in the past year. The average annual single coverage premium is $6,251 and the average family coverage premium is $17,545.this year. Full Report
      • 2014 Employer Health Benefits Survey.  Annual premiums for employer-sponsored family health coverage reached $16,834 that year, up 3 percent from the previous year, with workers on average paying $4,823 towards the cost of their coverage. Summary of Findings | Full report.
    • Drivers of Health Insurance Premium Changes for 2017 - An issue brief produced by the American Academy of Actuaries’ Individual and Small Group Markets Committee, “Drivers of 2017 Health Insurance Premium Changes.” There are both upward and downward pressures on premiums for 2017, but "for the individual and small group markets as a whole, the factors driving premium increases dominate,” said Academy Senior Health Fellow Cori Uccello. “Increased health care costs and the end of the ACA’s transitional reinsurance program are two of the biggest factors pressuring rates higher. The one-year moratorium of the health insurance provider fee will partially offset these increases.” 
    • Drivers of 2016 Health Insurance Premium Changes. The Affordable Care Act (ACA) established three premium stabilization programs: the permanent risk adjustment program and the transitional risk corridor and reinsurance programs. They have provided some stability for the first three years of the implementation of the Affordable Care Act’s individual and small group market reforms; the reinsurance program is credited with reducing marketplace premiums for 2014 by 10 to 14 percent and for 2015 by 6 to 11 percent. 
    • 2016 Segal Health Plan Cost Trend Survey - A commercial sector major survey, well respected for policy research. Download report - trend-survey-2016.pdf 
    • 2015 Segal Health Plan Cost Trend Survey - (compare to 2016, above)  Download report - 2015trendsurvey.pdf
    • Analysis of 2016 Premium Changes and Insurer Participation in the ACA’s Health Insurance Marketplaces - report by Kaiser Family Foundation, June 24, 2015 [Excerpt]

How much does the average American pay for health insurance per month?

How much does the average American pay out of pocket for healthcare?