FAQ: How Much Does Individual Health Insurance Cost?

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FAQ: How Much Does Individual Health Insurance Cost?

 

Last week during President Obama's address on health care reform, he stated that one of the major problems with the current system is that health insurance in the private market costs three times as much as insurance in the group market. This is one of the biggest misconceptions in health care. Health insurance in the private market is typically 1/2 to 1/3 the price of comparable coverage on the group market.individual health insurance

What drives this misconception about individual health insurance?

There are two good reasons for this well know misconception. The first reason is that individual health insurance plans in the past were more expensive than group plans. Over time, group plans increased faster than general medical inflation, while individual insurance typically had limits on their annual increases. The second reason for the misconception is that most consumers never pay the full amount of their coverage in the group market. Companies split the cost of insurance between the employee and the company.

According to the Kaisser Family Foundation's 2009 Survey of Health Benefits, the average monthly workers contributions to group health insurance are $65 for a single and $293 for a family. What the employee doesn't normally see is that the employer is paying a substantially higher portion of the cost. The 2009 average monthly premiums for group health insurance are $402 for a single and $1,114 for a family.

How much does an individual health insurance policy cost?

There are a number of variables that play into the cost of individual/family health insurance, but most people can find health insurance for far less than $402 for a single and $1,114 for a family in the private market. The following chart gives some examples of personal policies prices.

Available Rates for Individual Health Insurance Polices

(Check Rates in Your State)

Age Carrier Deductible Monthly Premium
25 Blue Cross Blue Shied $2,500 $45.00
35 United Health Care Golden Rule $2,500 $73.00
45 Blue Cross Blue Shield $2,500 $90.00
55 Blue Cross Blue Shield $2,500 $141.00

 

What is the solution?

Employers can now contribute to the cost of private insurance plans on a tax free basis just like they have been doing with group health insurance. Instead of splitting the cost of expensive group health insurance, employers can set a defined contribution through an HRA and allow their employees to purchase more affordable private insurance. Employees get better coverage because the insurance costs less, is based on their individual or family needs, and is independent of employment. Because the insurance is less expensive, employers save from smaller contributions.

Personal health policies are the best and fastest growing form of U.S. health insurance. The number of personal health policies grew from 12 million members in 2002, to 24 million members in 2008, and is expected to reach 30 million members by 2010. In contrast, the number of people covered by employer group policies has substantially declined—about 43% of U.S. small employers now offer group policies. 

To learn more about what an individual policy is visit Zane Benefits. To see what a policy costs for you or your family visit ehealthinsurance.com for example quotes. 

hra-whitepaper-101

Note: This should not be taken as legal or tax advice.

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Comments

I love how they put out press releases like this one, which is a nice hit job on the insurance industry, yet the White House solution is to effectively remove the one real choice consumers have that actually does provide some measure of cost competition. By opting out of insurance and saving their money, people would be free to negotiate with doctors and hospitals for cash payment, or to seek treatment overseas.

Posted @ Friday, April 06, 2012 4:15 PM by liposuction financing
How does this individual insurance market price "self employed" cheaper than individual policies? That seems like an unfair rate structure.
Posted @ Friday, May 18, 2012 8:11 PM by Frank
The article fails to mention the level of care provided by the typical group policy as currently supplied by an employer and the typical, so called, cheap individual plan. I cannot believe so many people continue to push this "affordable" solution. An individual health plan that provides the same level of care as a current, typical, employer provider plan will cost you $18,000.00 to $20,000.00 a year. These, cheap, individual plans will leave a person that becomes sick and needs hospital care and or frequent doctors visits and testing paying the majority of their bill out of pocket which could take the rest of their lives. These cheaper plans are, also, provided by some carriers not accepted by most physicians or hospitals leaving the insured to seek less successful or qualified care. These plans can and do dictate the type of care of specific illnesses forcing the insured into less successful, but cheaper solutions. As with EVERYTHING, you do get what you pay for and this is most prevalent with healthcare insurance.
Posted @ Tuesday, July 03, 2012 7:19 AM by Robert W. Johnson
@Robert W. Johnson. I think you may be over generalizing. Sure, some policies are less coverage, but I compare group and individual coverage regularly and your characterization of the coverage under individual policies is not correct. And they do cost far less here in CT. Some policy renewals are even going down, not up. My experience suggests, when you are pooled in a healthy and stable risk pool you can get lower rates and slow rate of increase. Even the line by line comparison shows very little difference. Yes need to be careful not to buy a policy that has what you need. If you expect to need maternity, you should be sure to have the included for example. Finally, I would suggest you research the approved plans under your states insurance department. The publish the plan documents and rates, renewals and rates requests.
Posted @ Saturday, July 07, 2012 1:27 PM by F Dean Gifford
Can anyone tell me what the formula is going to be on my 2013 tax return regarding what the government thinks we should be paying for healthcare. Just wondering if maybe I will get tax credit for the 30% increase last year and the over 30% increase this year. 
It is getting to the point where I cant pay the increases but don't want to owe the irs additional money next year.
Posted @ Sunday, January 06, 2013 1:24 PM by Eric
Hi Eric, see http://www.zanebenefits.com/blog/bid/229713/Individual-Health-Insurance-Premium-Subsidies-in-State-Exchanges for an overview of the premium tax credits.
Posted @ Wednesday, January 09, 2013 10:49 AM by Rick Lindquist
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Disclaimer: The information provided on this website is general in nature and does not apply to any specific U.S. state except where noted. Health insurance regulations differ in each state. See a licensed agent for detailed information on your state. Zane Benefits, Inc. does not sell health insurance.