The percentage of people in the United States with health insurance has increased over the past decade with a noticeably sharp increase in 2014 when the Affordable Care Act (ACA) was enacted. As of 2023, around ** percent of people in the United States had some form of health insurance, compared to around ** percent in 2010. Despite the increases in the percentage of insured people in the U.S., there were still over ** million people in the United States without health insurance as of 2023. Insurance coverage Health insurance in the United States consists of different private and public insurance programs such as those provided by private employers or those provided publicly through Medicare and Medicaid. Almost half of the insured population in the United States were insured privately through an employer as of 2021, while **** percent of people were insured through Medicaid, and **** percent through Medicare . The Affordable Care Act The Affordable Care Act (ACA), enacted in 2014, has significantly reduced the number of uninsured people in the United States. In 2014, the percentage of U.S. individuals with health insurance increased to almost ** percent. Furthermore, the percentage of people without health insurance reached an all time low in 2022. Public opinion on healthcare reform in the United States remains an ongoing political issue with public opinion consistently divided.

In 2020, around 66.5 percent of the U.S. population had private health insurance coverage. This share slightly decreased to 65.4 percent in 2023. Medicare and Medicaid together provided healthcare coverage to approximately 38 percent of the population in the United States. U.S. population with and without health insurance In 2022, over half of the U.S. population had health insurance coverage through their place of employment, around 54.5 percent. Approximately 35 percent had coverage through some form of government plan in the same year. While still low, the U.S. population without health insurance has decreased slightly from the previous year. A large portion of those without health insurance are between 19 and 25 years of age. Approximately 15 percent of adults in this age group did not have health insurance in 2021. Health expenditure The United States spent approximately 12,555 U.S. dollars per capita on health in 2022 while in comparison, the Canadian government expended some 6,319 U.S. dollars per capita in the same year. However, higher health spending did not equate to a better health system or outcomes and when ranked with other comparable high-income countries, the U.S. came in last on nearly all health performance categories from access of care to health outcomes.

As of 2023, nearly *** million people in the United States had some kind of health insurance, a significant increase from around *** million insured people in 2010. However, as of 2023, there were still approximately ** million people in the United States without any kind of health insurance. Insurance coverage The United States does not have universal health insurance, and so health care cost is mostly covered through different private and public insurance programs. In 2021, almost ** percent of the insured population of the United States were insured through employers, while **** percent of people were insured through Medicaid, and **** percent of people through Medicare. As of 2022, about *** percent of people were uninsured in the U.S., compared to ** percent in 2010. The Affordable Care Act The Affordable Care Act (ACA) significantly reduced the number of uninsured people in the United States, from **** million uninsured people in 2013 to **** million people in 2015. However, since the repeal of the individual mandate the number of people without health insurance has risen. Healthcare reform in the United States remains an ongoing political issue with public opinion on a Medicare-for-all plan consistently divided.

United States Health Insurance: Premium Per Member Per Month data was reported at 364.000 USD in Sep 2024. This stayed constant from the previous number of 364.000 USD for Jun 2024. United States Health Insurance: Premium Per Member Per Month data is updated quarterly, averaging 262.000 USD from Mar 2012 (Median) to Sep 2024, with 51 observations. The data reached an all-time high of 364.000 USD in Sep 2024 and a record low of 178.000 USD in Sep 2013. United States Health Insurance: Premium Per Member Per Month data remains active status in CEIC and is reported by National Association of Insurance Commissioners. The data is categorized under Global Database’s United States – Table US.RG017: Health Insurance: Industry Financial Snapshots.

United States Health Insurance: Profit Margin data was reported at 1.900 % in Sep 2024. This records a decrease from the previous number of 2.700 % for Jun 2024. United States Health Insurance: Profit Margin data is updated quarterly, averaging 3.000 % from Mar 2012 (Median) to Sep 2024, with 51 observations. The data reached an all-time high of 5.300 % in Jun 2020 and a record low of -2.100 % in Mar 2016. United States Health Insurance: Profit Margin data remains active status in CEIC and is reported by National Association of Insurance Commissioners. The data is categorized under Global Database’s United States – Table US.RG017: Health Insurance: Industry Financial Snapshots.

Graph and download economic data for Health Insurance Coverage: Coverage Rate in Nevada (DISCONTINUED) (NVHICCOVPCT) from 1999 to 2012 about coverage rate, NV, health, insurance, rate, and USA.

Graph and download economic data for Health Insurance Coverage: Total Number of People in New York (DISCONTINUED) (NYHICTOTAL) from 1999 to 2012 about health, insurance, NY, persons, and USA.

Snapshot img

Health Insurance Market Size 2025-2029

The health insurance market size is forecast to increase by USD 1,341 billion at a CAGR of 7.3% between 2024 and 2029.

The market experiences robust growth, fueled by the increasing demand for comprehensive coverage due to heightened healthcare awareness and a growing emphasis on preventive health. This trend is further driven by the escalating costs of healthcare services and medical treatments, which underscores the importance of insurance as a financial safeguard. However, market expansion encounters significant challenges. Regulatory hurdles impact adoption, as governments and regulatory bodies implement stringent regulations to ensure affordability and accessibility for consumers. Supply chain inconsistencies, such as disparities in provider networks and reimbursement rates, temper growth potential. This is particularly evident in the rising prevalence of chronic conditions such as cancer, stroke, and kidney failure, which necessitate ongoing medication and hospitalization. Additionally, another trend is the shift towards online sales and digital platforms for purchasing insurance policies and accessing healthcare services.
To capitalize on opportunities and navigate challenges effectively, companies must stay informed of regulatory changes and collaborate with healthcare providers to streamline operations and maintain competitive pricing. By focusing on innovation, transparency, and customer-centric solutions, insurers can differentiate themselves in a competitive landscape and meet the evolving needs of health-conscious consumers.

What will be the Size of the Health Insurance Market during the forecast period?

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In the dynamic market, chronic disease management and mental health coverage have emerged as significant areas of focus. Health insurance networks strive to offer comprehensive solutions, integrating geriatric care, preventive care, and end-of-life care into their offerings. Innovation drives the industry, with wellness programs, home health care, and telemedicine becoming increasingly popular. Compliance with regulations, including those related to maternity care, newborn care, and substance abuse treatment, is crucial.
Specialty care and provider networks continue to shape the landscape, while ethics and claims processing remain critical components of health insurance services. Incorporating mental health coverage into plans and addressing the needs of the aging population are key trends shaping the market.

How is this Health Insurance Industry segmented?

The health insurance industry research report provides comprehensive data (region-wise segment analysis), with forecasts and estimates in 'USD billion' for the period 2025-2029, as well as historical data from 2019-2023 for the following segments.

Service

  Public
  Private


Type

  Life insurance
  Term insurance


Age Group

  Adults
  Senior citizens
  Minors


Geography

  North America

    US
    Canada


  Europe

    France
    Germany
    Italy
    UK


  APAC

    China
    India
    Japan
    South Korea


  Rest of World (ROW)

By Service Insights

The public segment is estimated to witness significant growth during the forecast period.

In the dynamic market, various entities play crucial roles in shaping its landscape. Public organizations, such as the National Health Service (NHS) in the UK and Medicare in Australia, are leading providers due to increased government involvement in ensuring universal healthcare access. These programs offer comprehensive coverage, affordable premiums, and a focus on preventive care. Collaborations with commercial insurers, legislative frameworks, and investments in healthcare infrastructure further expand their reach. Quality is a top priority, with health insurance advisors and brokers facilitating the selection of plans that best fit businesses and individuals. Prescription drug coverage is a significant consideration, and self-funded health insurance and health reimbursement arrangements offer flexibility for employers.

Group health insurance and individual health insurance provide different solutions for various needs, with portability ensuring continuity. Health insurance cybersecurity and technology are essential, with health insurance portals, virtual care, and telemedicine transforming the industry. Health savings accounts, flexible spending accounts, and out-of-pocket maximums help manage costs. Managed care and employer-sponsored health insurance are common, with health insurance plans catering to diverse needs. Regulations and compliance are critical, with long-term care insurance addressing specific healthcare requirements. Disability insurance and life insurance provide additional coverage, while the marketing and transparency ensure consumer understanding. Point-of-service (POS) plans and dental/vision insurance of

Graph and download economic data for Health Insurance Coverage: Coverage Rate in the East North Central Census Division (DISCONTINUED) (CENCHICCOVPCT) from 1999 to 2012 about East North Central Census Division, coverage rate, health, insurance, rate, and USA.

Graph and download economic data for Health Insurance Coverage: Coverage Rate in the District of Columbia (DISCONTINUED) (DCHICCOVPCT) from 1999 to 2012 about coverage rate, DC, health, insurance, rate, and USA.

In 2023, 10.9 percent of people aged 18 to 64 in the United States didn't have health insurance, the lowest in the provided time interval. This statistic contains data on the percentage of U.S. Americans without health insurance coverage from 1997 to 2023, by age.

Graph and download economic data for Health Insurance Coverage: Coverage Rate in New Hampshire (DISCONTINUED) (NHHICCOVPCT) from 1999 to 2012 about coverage rate, NH, health, insurance, rate, and USA.

Graph and download economic data for Health Insurance Coverage: Uncovered Rate in Virginia (DISCONTINUED) (VAHICNCPCT) from 1999 to 2012 about uncovered rate, health, insurance, VA, rate, and USA.

Graph and download economic data for Health Insurance Coverage: Uncovered Rate in the District of Columbia (DISCONTINUED) (DCHICNCPCT) from 1999 to 2012 about uncovered rate, DC, health, insurance, rate, and USA.

Graph and download economic data for Health Insurance Coverage: Coverage Rate in North Carolina (DISCONTINUED) (NCHICCOVPCT) from 1999 to 2012 about coverage rate, health, insurance, NC, rate, and USA.

Graph and download economic data for Health Insurance Coverage: Coverage Rate in North Dakota (DISCONTINUED) (NDHICCOVPCT) from 1999 to 2012 about coverage rate, ND, health, insurance, rate, and USA.

Market Size statistics on the Health & Medical Insurance industry in United States

United States HIC: 45 to 54 Yrs: PG: Govt: Medicaid data was reported at 5,346.000 Person th in 2016. This records an increase from the previous number of 5,310.500 Person th for 2015. United States HIC: 45 to 54 Yrs: PG: Govt: Medicaid data is updated yearly, averaging 3,238.652 Person th from Mar 1999 (Median) to 2016, with 18 observations. The data reached an all-time high of 5,346.000 Person th in 2016 and a record low of 1,580.627 Person th in 1999. United States HIC: 45 to 54 Yrs: PG: Govt: Medicaid data remains active status in CEIC and is reported by US Census Bureau. The data is categorized under Global Database’s USA – Table US.G082: Health Insurance Coverage.

HIC: 18 to 24 Yrs: PG: Govt: Medicaid data was reported at 6,280.000 Person th in 2016. This records a decrease from the previous number of 6,546.300 Person th for 2015. HIC: 18 to 24 Yrs: PG: Govt: Medicaid data is updated yearly, averaging 3,692.097 Person th from Mar 1999 (Median) to 2016, with 18 observations. The data reached an all-time high of 6,546.300 Person th in 2015 and a record low of 2,489.028 Person th in 2000. HIC: 18 to 24 Yrs: PG: Govt: Medicaid data remains active status in CEIC and is reported by US Census Bureau. The data is categorized under Global Database’s USA – Table US.G082: Health Insurance Coverage.

This data is pulled from the U.S. Census website. This data is for years Calendar Years 2009-2014. Product: SAHIE File Layout Overview Small Area Health Insurance Estimates Program - SAHIE Filenames: SAHIE Text and SAHIE CSV files 2009 – 2014 Source: Small Area Health Insurance Estimates Program, U.S. Census Bureau. Internet Release Date: May 2016 Description: Model‐based Small Area Health Insurance Estimates (SAHIE) for Counties and States File Layout and Definitions

The Small Area Health Insurance Estimates (SAHIE) program was created to develop model-based estimates of health insurance coverage for counties and states. This program builds on the work of the Small Area Income and Poverty Estimates (SAIPE) program. SAHIE is only source of single-year health insurance coverage estimates for all U.S. counties.

For 2008-2014, SAHIE publishes STATE and COUNTY estimates of population with and without health insurance coverage, along with measures of uncertainty, for the full cross-classification of: •5 age categories: 0-64, 18-64, 21-64, 40-64, and 50-64

•3 sex categories: both sexes, male, and female

•6 income categories: all incomes, as well as income-to-poverty ratio (IPR) categories 0-138%, 0-200%, 0-250%, 0-400%, and 138-400% of the poverty threshold

•4 races/ethnicities (for states only): all races/ethnicities, White not Hispanic, Black not Hispanic, and Hispanic (any race).

In addition, estimates for age category 0-18 by the income categories listed above are published.

Each year’s estimates are adjusted so that, before rounding, the county estimates sum to their respective state totals and for key demographics the state estimates sum to the national ACS numbers insured and uninsured.

This program is partially funded by the Centers for Disease Control and Prevention's (CDC), National Breast and Cervical Cancer Early Detection ProgramLink to a non-federal Web site (NBCCEDP). The CDC have a congressional mandate to provide screening services for breast and cervical cancer to low-income, uninsured, and underserved women through the NBCCEDP. Most state NBCCEDP programs define low-income as 200 or 250 percent of the poverty threshold. Also included are IPR categories relevant to the Affordable Care Act (ACA). In 2014, the ACA will help families gain access to health care by allowing Medicaid to cover families with incomes less than or equal to 138 percent of the poverty line. Families with incomes above the level needed to qualify for Medicaid, but less than or equal to 400 percent of the poverty line can receive tax credits that will help them pay for health coverage in the new health insurance exchanges.

We welcome your feedback as we continue to research and improve our estimation methods. The SAHIE program's age model methodology and estimates have undergone internal U.S. Census Bureau review as well as external review. See the SAHIE Methodological Review page for more details and a summary of the comments and our response.

The SAHIE program models health insurance coverage by combining survey data from several sources, including: •The American Community Survey (ACS) •Demographic population estimates •Aggregated federal tax returns •Participation records for the Supplemental Nutrition Assistance Program (SNAP), formerly known as the Food Stamp program •County Business Patterns •Medicaid •Children's Health Insurance Program (CHIP) participation records •Census 2010

Margin of error (MOE). Some ACS products provide an MOE instead of confidence intervals. An MOE is the difference between an estimate and its upper or lower confidence bounds. Confidence bounds can be created by adding the margin of error to the estimate (for the upper bound) and subtracting the margin of error from the estimate (for the lower bound). All published ACS margins of error are based on a 90-percent confidence level.