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How much does health insurance cost per month?

 When you’re trying to manage your money and figure out your budget, here’s a question to add to your list: How much does health insurance cost per month?


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 things like:
  • Mortgage/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 answer the question: How much does health insurance cost per month?

How much does health insurance cost per month for one person?

Monthly premiums for Affordable Care Act (ACA) Marketplace plans vary by state and can be reduced by premium tax credits. The average national monthly health insurance cost for one person on an Affordable Care Act (ACA) plan without premium tax credits in 2024 is $477.1

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:2

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.4

  • 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.
  • Around age 53, the premium rate becomes more than double the base rate.

Tobacco

Tobacco use will affect how much health insurance costs you per month.4

  • 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:5

  • Bronze
  • Silver
  • Gold
  • Platinum
  • 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
  • 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 2024 is $477, 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 premium tax credits. Rates will vary by area.

Average Monthly Health Insurance Premiums for Benchmark Plans by State Without Premium Tax Credits

Location20232024Percent Change
United States$456$477 5%
Alabama$567$564-1%
Alaska$762$889 17%
Arizona$410$403 -2%
Arkansas$416$424 -2%
California$432$468 8%
Colorado$380$451 19%
Connecticut$627$6615%
Delaware$549$533 -3%
District of Columbia$428$532 24%
Florida$471$489 4%
Georgia$413$463-12%
Hawaii$469$4680%
Idaho$420$417-1%
Illinois$453$4734%
Indiana$397$399 1%
Iowa$484$451-7%
Kansas$471$4863%
Kentucky$422$431 2%
Louisiana$565$5630%
Maine$457$515 13%
Maryland$336$3463%
Massachusetts$417$419 0%
Michigan$362$381 5%
Minnesota$335$343 2%
Mississippi$461$4855%
Missouri$473$501 6%
Montana$477$5046%
Nebraska$550$5704%
Nevada$386$387 0%
New Hampshire$323$3354%
New Jersey$441$461 5%
New Mexico$445$471 6%
New York$627$73617%
North Carolina$512$495 -3%
North Dakota$475$4862%
Ohio$413$435 5%
Oklahoma$554$508 -8%
Oregon$510$488 -4%
Pennsylvania$462$445-4%
Rhode Island$379$4006%
South Carolina$496$492 -1%
South Dakota$626$616 -2%
Tennessee$473$501 6%
Texas$461$475 3%
Utah$471$5078%
Vermont$841$950 13%
Virginia$371$3710%
Washington$395$4155%
West Virginia$824$847 13%
Wisconsin$456$476 4%
Wyoming$802$8212%
Source: Kaiser Family Foundation Marketplace Average Benchmark Premiums. 

How Much Does Health Insurance Cost per Month in Each State With a Premium Tax Credit?

The estimated national average cost in 2024 for a silver plan after a premium tax credit* is applied is $66.3 This chart, unlike the previous one, takes into account premium tax credits. Here, you can find the average monthly premium with tax credits, for a benchmark silver plan in a select city within your state.

Monthly Health Insurance Rates by State With a Premium Tax Credit

(40-year-old making $30,0000 per year)

StateMajor CountyAfter Tax Credit in 2022After Tax Credit in 2023
AlabamaJefferson$77$57
AlaskaAnchorage$0$9
ArizonaMaricopa$82$66
ArkansasPulaski$71$66
CaliforniaLos Angeles$68$53
ColoradoDenver$78$71
ConnecticutHartford$37$27
District of ColumbiaD.C.$78$69
DelawareSussex$72$64
FloridaMiami-Dade$82$71
GeorgiaFulton$82$71
HawaiiHonolulu$37$3
IowaPolk$78$68
IdahoAda$78$69
IllinoisCook$83$69
IndianaMarion$71$70
KansasJohnson$83$65
KentuckyJefferson$78$68
LouisianaEast Baton Rouge Parish$83$52
MassachusettsMiddlesex$84$69
MarylandMontgomery$74$69
MaineCumberland$74$62
MichiganWayne$83$69
MinnesotaHennepin$78$63
MissouriSt. Louis$83$70
MississippiYazzo$83$71
MontanaBeaverhead$72$61
North CarolinaRobeson$81$64
North DakotaMcKenzie$70$68
NebraskaCherry$74$70
New HampshireCoos$79$65
New JerseyBurlington$59$64
New MexicoCatron$53$51
NevadaClark$82$70
New YorkKings$37$63
OhioFranklin$79$68
OklahomaOklahoma$75$66
OregonMultnomah$81$70
PennsylvaniaPhiladelphia$82$64
Rhode IslandProvidence$63$57
South CarolinaGreenville$66$70
South DakotaMinnehaha$77$43
TennesseeShelby$77$63
TexasHarris$78$70
UtahSalt Lake$63$60
VirginiaFairfax$83$58
VermontChittenden$66$67
WashingtonKing$57$62
WisconsinMilwaukee$83$68
West VirginiaKanawha$83$70
WyomingLaramie$80$70
Source: How ACA Marketplace Premiums Are Changing by County in 2023.

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