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Whether you’re in charge of a household or single and in charge of only yourself, most of us have a budget. Each month we hold ourselves accountable to pay for rent, utilities, groceries, car expenses, credit card bills, and more. While some of these obligations are easy to estimate, the cost of medical care can be a little trickier. 

Below are several factors that influence healthcare premiums and will help you determine how much health insurance may cost per month.

How Much Is Health Insurance per Month for One Person?

Monthly premiums for ACA Marketplace plans vary by state and can be reduced by subsidies. The average national monthly health insurance cost for one person on an Affordable Care Act (ACA) plan in 2019 was $612 before tax subsidies and $143 after tax subsidies are applied. 

Wondering how insurance premiums are decided? The Affordable Care Act ensures that insurance companies cannot discriminate based on gender, current health status, or medical history. Here are factors that determine health insurance premiums. 

Age

While some states, specifically New York and Vermont, do not use age when determining health insurance premiums, this is a major contributing factor for most states. The age of 21 is used as the base age, with premium costs being adjusted upwards for those in their thirties, forties, fifties, and sixties. The biggest rate increase occurs for adults over the age of 50, with rates up to three times higher than for younger people. 


Tobacco

Tobacco use will affect how much health insurance costs you per month. In fact, health insurance companies can charge smokers up to 50% more than non-tobacco users. While some states have elected not to allow insurance carriers to charge smokers the maximum allowed, tobacco use does still affect pricing. 

Location 

Location affects the price of the premiums, too, mostly due to the amount of (or lack of) competition in a particular area or region. While competition can be intense in populated areas, rural parts of the country may only have one or two insurance companies, making pricing higher for these residents.

Plan Category

Finally, your choice of plan will also influence the average health insurance cost per month. Plans are broken down by metal tiers: Bronze, Silver, Gold, Platinum and Catastrophic. Each carries different premiums based on what percentage of overall healthcare costs they cover. Premiums are also affected by the plan’s deductibles, copays, coinsurance, and number of family members on the plan.

How Much Does Health Insurance Cost per Month in Each State?

The national average health insurance premium for a benchmark plan in 2021 is $452, according to the Kaiser Family Foundation. A benchmark plan is the average premium for each state’s second lowest cost silver plan.

The following data reflects the national average, and each state’s average, but does not include any reduction in cost from subsidies. Rates will vary by area.

Average Monthly Health Insurance Premiums for Benchmark Plans by State Without a Subsidy

Location
2020
2021
Percent Change

United States

$462

$452
 -2%

Alabama

$553 

$590
+7%

Alaska

$724 

$675
 -7%

Arizona

$442 

$436
 -1%

Arkansas

$365 

$394
 +9%

California

$430 

$426
 -1%

Colorado

$358 

$340
 -5%

Connecticut

$570 

$580
 +2%

Delaware

$548 

$540
 -1%

District of Columbia

$414 

$415
 0%

Florida

$468 

$457
 -2%

Georgia

$463 

$456
-2%

Hawaii

$474 

$478
 +1%

Idaho

$520 

$500
-4%

Illinois

$451 

$423
-6%

Indiana

$387 

$421
 +9%

Iowa

$742 

$523
-30%

Kansas

$502 

$491
 -2%

Kentucky

$471 

$476
 +1%

Louisiana

$500 

$545
 +9%

Maine

$513 

$440
 -14%

Maryland

$397 

$344
-13%

Massachusetts

$343 

$363
 +6%

Michigan

$360 

$347
 -4%

Minnesota

$309 

$305
 -1%

Mississippi

$487 

$459
-6%

Missouri

$483 

$479
 -1%

Montana

$483 

$471
-2%

Nebraska

$711 

$699
-2%

Nevada

$374 

$393
 +5%

New Hampshire

$405 

$357
-12 %

New Jersey

$392 

$405
 +3%

New Mexico

$345 

$339
 -2.%

New York

$610 

$599
 -2%

North Carolina

$558 

$516
 -8%

North Dakota

$383 

$493
+29%

Ohio

$375 

$375
 0%

Oklahoma

$601 

$554
 -8%

Oregon

$446 

$437
 -2%

Pennsylvania

$459 

$455
-1%

Rhode Island

$332 

$349
 +5%

South Carolina

$509 

$476
 -6%

South Dakota

$593 

$618
 +4%

Tennessee

$511 

$466
 -9%

Texas

$432 

$436
 +1%

Utah

$486 

$472
 -3%

Vermont

$662 

$669
 +1%

Virginia

$521 

$479
 -8%

Washington

$391 

$388
 -1%

West Virginia

$628 

$654
 +4

Wisconsin

$491 

$457
 -7%

Wyoming

$881 

$791
-10%
Source: Kaiser Family Foundation Marketplace Average Benchmark Premiums. Percentages rounded to nearest whole number.

How Much Does Health Insurance Cost per Month in Each State With a Subsidy?

The estimated national average cost in 2021 for a silver plan after a premium subsidy* is applied is $195. This chart, unlike the previous one, takes into account subsidies. Here, you can find the average monthly premium, with and without subsidies, for a benchmark silver plan in a select city within your state. 

Monthly Health Insurance Rates by State With a Premium Subsidy*

StateMajor CityBefore Subsidy in 2021After Subsidy in 2021
Alabama
Birmingham
$607
$195
Alaska
Anchorage
$657
$149
Arizona
Phoenix
$391
$195
Arkansas
Little Rock
$394
$195
California
Los Angeles
$352
$195
Colorado
Denver
$334
$195
Connecticut
Hartford
$542
$195
Delaware
Wilmington
$540
$195
District of Columbia
Washington
$415
$195
Florida
Miami
$449
$195
Georgia
Atlanta
$445
$195
Hawaii
Honolulu
$474
$167
Idaho
Boise
$481
$195
Illinois
Chicago
$345
$195
Indiana
Indianapolis
$451
$195
Iowa
Cedar Rapids
$507
$195
Kansas
Wichita
$466
$195
Kentucky
Louisville
$412
$195
Louisiana
New Orleans
$528
$195
Maine
Portland
$393
$195
Maryland
Baltimore
$344
$195
Massachusetts
Boston
$364
$195
Michigan
Detroit
$308
$195
Minnesota
Minneapolis
$279
$195
Mississippi
Jackson
$459
$195
Missouri
St Louis
$415
$195
Montana
Billings
$422
$195
Nebraska
Omaha
$548
$195
Nevada
Las Vegas
$364
$195
New Hampshire
Manchester
$333
$195
New Jersey
Newark
$405
$195
New Mexico
Albuquerque
$314
$195
New York
New York City
$617
$195
North Carolina
Charlotte
$424
$195
North Dakota
Fargo
$429
$195
Ohio
Cleveland
$322
$195
Oklahoma
Okla. City
$489
$195
Oregon
Portland
$404
$195
Pennsylvania
Philadelphia
$447
$195
Rhode Island
Providence
$349
$195
South Carolina
Columbia
$567
$195
South Dakota
Sioux Falls
$478
$195
Tennessee
Nashville
$447
$195
Texas
Houston
$391
$195
Utah
Salt Lake City
$446
$195
Vermont
Burlington
$669
$195
Virginia
Richmond
$445
$195
Washington
Seattle
$373
$195
West Virginia
Huntington
$715
$195
Wisconsin
Milwaukee
$404
$195
Wyoming
Cheyenne
$731
$195
Source: Kaiser Family Foundation Health Insurance Marketplace Calculator. Subsidy amounts are based on a 40-year-old nonsmoker making $30,0000 per year.

How Much Is Family Health Insurance per Month?

The average premium for a family of 4 in 2020 is was $1,437, according to customer data gathered by one health insurance agency. This does not include families who received government subsides. Like individual insurance, your family cost will depend on ages, location, plan category, tobacco use, and number of plan members. 

What Is the Cheapest Health Insurance?

As you can see from the factors listed above, there’s a lot that goes into determining the price of insurance. There isn’t a single healthcare plan that’s the most affordable for everyone. But finding the right plan for your needs is easy with HealthMarkets. Our free FitScore® technology helps you shop, compare and apply for a healthcare plan in minutes. We can even check to see if you may qualify for a tax credit. To get a better look at what plans could cost you and your family, get started now.


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* Subsidy amounts are based on a 40-year-old nonsmoker making $30,000 per year.

References:
https://www.healthcare.gov/how-plans-set-your-premiums/ |  https://www.kff.org/health-reform/state-indicator/marketplace-average-benchmark-premiums | https://www.kff.org/interactive/subsidy-calculator/ | ttps://www.kff.org/health-reform/press-release/among-people-ineligible-for-subsidies-middle-class-older-adults-face-the-least-affordable-aca-premiums-especially-those-living-in-rural-areas-where-premiums-are-highest/  | https://www.ehealthinsurance.com/resources/affordable-care-act/much-health-insurance-cost-without-subsidy

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