eHealth Report Provides Final Look at Individual & Family Health Insurance Costs Before 2014 Reforms
Average Individual Health Insurance Premium $197 per Month, an Increase of 3.7% From 2012, According to eHealth's 2013 "Cost and Benefits" Report
- According to the report, the average premium paid for individual health insurance nationwide in 2013 was
$197per month, an increase of 3.7% over 2012. Premiums for individually-purchased family plans increased 3.4% to a national average of $426per month.
- By contrast, the average premium paid for plans offering richer "comprehensive coverage" benefits (as defined by eHealth) was
$247per month for individual policies or $544per month for family policies.
- eHealth found that the average annual deductible for an individual plan in 2013 was
$3,319per year, a 7.8% increase vs. 2012; while the average deductible for family policies increased 3.7% to a nationwide average of $4,230in 2013.
"The release of our 2013 Cost and Benefits report is a milestone event," said eHealth CEO
The 2013 Cost and Benefits of
The objective of eHealth's "Cost and Benefits" report is to provide a nationwide perspective on cost and benefit trends in the individually-purchased health insurance market based on a large, geographically distributed sample of consumer health insurance policies purchased through eHealth. Offering thousands of plans from over 180 health insurance companies, eHealth is one of the few organizations with national source data reflecting consumer buying patterns and purchase prices in the individual and family health insurance market. The company's first Cost and Benefits of Individual Health Insurance Plans report was issued in 2001.
Highlights from the 2013 Cost and Benefits report include the following.
On premiums and deductibles:
- The average premium paid nationwide for individual policies was
$197per month (a 3.7% increase vs. 2012), while the average premium paid for family policies was $426per month (an increase of 3.4%)
- The average deductible for individual policies nationwide was
$3,319per year (a 7.8% increase vs. 2012), and the average deductible for family policies was $4,230per year (a 3.7% increase)
- The average premium paid for policies offering richer "comprehensive coverage"* was
$247per month for individual plans or $544per month for family plans
- Half of all individual policy holders paid
$163(median) or less per month in premiums, and half of all family policy holders paid $362(median) or less for monthly premiums
- Women paid monthly health insurance premiums for individual plans that were
$33higher on average ( $396per year) than those paid by men
- The range of average monthly premiums paid for individual plans across
the United Statesfell between $133in North Dakotaand $381in Massachusetts**
- The range of average monthly premiums paid for family plans across
the United Statesfell between $284in Alabamaand $914in Massachusetts**
On plans eligible for use with Health Savings Accounts (HSAs):
- Over seventeen percent (17.4%) of all plans with coverage in effect were HSA-eligible
- For the first time, the average premium paid for HSA-eligible individual plans (
$200-- a 7.5% increase vs. 2012) was greater than the average premium paid for non-HSA individual plans
- The average premium paid for HSA-eligible family plans was
$422(a 5.2% increase over 2012)
On benefits provided by individual and family plans:
- Almost all individual or family plan policy holders selected plans that included lab/x-ray (99.4%) and emergency room coverage (99.9%)
- The majority of individual and family plan policy holders purchased plans that covered prescription drugs (88.1%) and chiropractic care (72.8%)
- Policy holders also tended to select plans that offered preventive care benefits like OB/GYN (91.8%), periodic exams (89.1%) and well baby coverage (88.4%)
Top-10 states** with lowest average premiums for individual coverage in 2013:
Top-10 states** with lowest average premiums for family coverage in 2013:
* Comprehensive coverage plans offer a richer set of benefits compared to other plans, as determined by eHealth. For more information on eHealth's use of the term "comprehensive coverage" please refer to the Methodology Supplement contained in the 2013 'Cost and Benefits' report.
** The states of
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