Average Cost Of Health Insurance For A Family Of 5

Read this article to know the average cost of health insurance for a family of five.

In 2020, the average monthly cost of medical insurance for a person was $456, and for a family, it was $1,152. In any event, prices vary among the several health insurance options. Selecting the appropriate medical coverage for you is easier if you are aware of the relationship between cost and well-being included.

Furthermore, remember that the amount you spend on medical professionals and medications isn’t necessarily based on the size of your family. A married couple with severe chronic medical issues may pay more for healthcare than a healthy, five-person household.

However, regarding your medical coverage costs, the number of individuals on an arrangement influences your pay. If you want to know more about the average health insurance cost for a family of five, you have come to the right place. We have gathered all the relevant information to help you know everything you need. So, what are you waiting for? Without much further ado, let us jump right in.

Table of Contents

Average health insurance cost per month

Medical coverage expenses have risen considerably over the previous decade. During the last few years, safety net providers would value your medical coverage dependent on several components. Yet, the number of factors that sway your medical coverage costs has decreased significantly after the Affordable Care Act.

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Image Source: Canva

The average month-to-month cost of medical coverage (counting employer and worker commitments) for an individual is around $456 every month, and family incorporation arrived at the midpoint of $1,152. Your location, as rates vary based on the states and country in which you reside, is one of the significant variables affecting the cost of your health insurance. The first table examines state-by-state variations in health insurance premiums for 2023.

What will health insurance cost in 2023?

Health insurance costs nationwide rose by 4% from 2022 to 2023. For a 40-year-old on a silver plan, Georgia experienced the most significant year-over-year increase in health insurance prices, growing by 20%. Thirty-six states, including Georgia, had an average rate rise from 2022 to 2023.

 

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Image Source: Canva

The most significant annual rate declines occurred in Virginia and Louisiana, where they were 17% and 10%, respectively. 13 states had a general reduction in the cost of health insurance. One state, Vermont, had the same from the prior year.

State

2023 cost

2022 cost

% change

Georgia $474 $394 20.30%
Colorado $489 $409 19.56%
Wyoming $882 $764 15.45%
Alaska $822 $715 14.97%
New Mexico $551 $480 14.79%
Connecticut $614 $564 8.87%
New York $776 $713 8.84%
Arkansas $456 $419 8.83%
Maine $506 $465 8.82%
Montana $519 $479 8.35%
 South Carolina $469 $436 7.57%

The average cost of health insurance by tier

Depending on how much of the estimated cost of medical treatment the insurance plan is expected to cover, health insurance policies are categorized into different levels. The silver plan’s deductibles, copays, and coinsurance are in the middle. Platinum policies provide the most coverage, while catastrophic and bronze plans offer the least. The quantity of coverage supplied by health insurance policies is typically inversely connected to the average rates paid for those plans, with platinum plans being the most costly, catastrophic bronze plans being the most costly and destructive, and bronze plans being the least expensive. The average cost of individual health insurance for a 40-year-old is displayed in the following table per tier. According to the age scale established by government norms, older clients would notice a rise in their rates.

The average cost of health insurance by type of plan

The kind of network the program employs is another factor that might affect your prices. Access to healthcare providers will be handled differently depending on whether the project is a health maintenance organization (HMO), preferred provider organization (PPO), exclusive provider organization (EPO), or point of service (POS).

Factors Affecting health insurance costs

What is the cost of medical insurance? Americans in the United States pay extraordinarily high prices on a monthly or annual basis for medical care. Even though these costs are not influenced by a person’s sexual orientation or past health conditions, the Affordable Care Act has numerous provisions that affect how much you pay. Innumerable features that impact your medical coverage amount are not in your control. In any case, it’s acceptable to comprehend what they are. These considerations are shown below to help determine how much you might spend on medical insurance in 2020 and why. The following are some significant variables that affect the price of medical coverage fees:

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Image Source: Canva

Your marital status and gender

Insurance providers are no longer permitted to charge customers extra depending on their gender, according to the Affordable Care Act. However, other elements do influence outcomes. For instance, if you’re married and have children, you may anticipate paying extra to care for your family’s requirements. Remember that tax credits can be beneficial if your family’s income is below a specific threshold. To determine your eligibility and that of your family. However, other factors affect how much you could be spending besides your marital status. Here are a few different factors that insurance companies consider.

Your personal information

  • Age: Age also impacts how much health insurance will cost. Your health insurance premiums will increase as you age, potentially by a factor of three.
  • Smoking: If you smoke, your health insurance premiums may increase by up to 50% unless you reside in one of the following seven states: California, Connecticut, Massachusetts, New Jersey, New York, Rhode Island, or Vermont. These states have rules in place that prohibit raising prices for smokers. If everyone else gave up smoking, you could halve your bill.
  • Location-specific premiums exist: Monthly premiums averaged $655 in the Northeast in 2020 but just $626 in the Midwest. The average household income in the Northeast was $1,929, while it was $1,716 in the South.

Premiums and people on your plan

At the point when you include a companion or youngster in an arrangement, your regularly scheduled installment goes up. That is because you’re charged for every individual secured by your account. At the point when you have multiple youngsters younger than 21, you compensate for the three most seasoned. Here are how that works:

  • Max and Helena have five children, ages 5, 8, 12, 14, and 16. Although their well-being plan covers every one of them seven, they’re just charged on their monthly premium for five individuals. They’re not set for their two most youthful kids.
  • Darlene has two children, ages 7 and 10. So her well-being plan covers three individuals, and she’s charged for three on her month-to-month premium.
  • Darren and Jolene have four children, ages 17, 20, 22, and 24. Their well-being plan covers six individuals. Since two of their youngsters are over age 21, they’re charged on their month-to-month premium for every one of the six

Individual versus family plans

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Image Source: Canva

An individual arrangement has one part or only one individual secured by the contract. Family designs spread to at least two individuals. Your arrangement’s deductible and cash based most extreme depend on whether you have an individual or family plan. The deductible and money based most radical for a family plan usually are twofold of an individual arrangement. So if the deductible for an account is $2,000 for a family, it’s $1,000 for a person. If the cash-based most extreme for an individual arrangement is $6,000, it will be $12,000 for a family, regardless of the number of individuals the contract covers.

How much does it cost to buy health insurance on your own?

While numerous individuals are terrified by the possibility of buying their protection, as opposed to joining up with a business-supported arrangement, a few examinations have shown that it can be more reasonable on occasion than employer-supported plans.

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Image Source: Canva

For instance, a few investigations and studies found that the average month-to-month charge for an employer-supported protection plan for singular inclusion was $603. It was $1,725 for family coverage. Alternately, these studies also show that if you somehow managed to buy your protection outside of an employer-supported arrangement, the average expense of individual medical coverage was $440. For families, the average month-to-month premium was $1,168.

Moreover, if you buy inclusion through the Health Insurance Marketplace, you may meet all requirements for a Cost-Sharing Reduction endowment and Advanced Premium Tax Credits. These can bring down the sum you pay for expenses, just as bringing down your deductible and any copayment and coinsurance you are answerable for.

Average health insurance cost for single male

If we look at the average expenses for superior health care coverage, a young single male could pay charges as low as $100 or upwards of $300, depending on the degree of inclusion he needs. It is because young single men are the safest and face the slightest danger about medical coverage.

If we flip the tables and look at the cost of health insurance for women, the expenses for basic medical coverage could average higher than what men pay. That directly results from the well-being costs of having children, which men don’t need to stress over.

Anyway, shouldn’t something be said about families as well? As we referenced above, families paid a normal of $1,152 every month for their medical coverage in 2020. It’s worth realizing that if your family’s salary falls under a specific level, you could get a good deal on your medical coverage charge with a tax break.

U.S. health insurance cost calculator

You must conduct extensive web research to determine the cost of your family’s health insurance. You may find out the fees you must pay for health insurance using one of the many online calculators available. Examine these online calculators and enter all the necessary data. The calculator will then calculate the price of your health insurance.

Average health insurance cost for a family of 4

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Image Source: Canva

The typical cost for a family of 4 is around $1,200, as indicated by client information assembled by one medical coverage organization. It does exclude families who received government endowments. Like individual protection, your family’s health insurance cost will rely upon factors such as age, area, plan classification, tobacco use, and number of plan individuals. Conversing with an authorized protection specialist is ideal for getting a gauge and locating the best cost for your family’s needs. HealthMarkets can help you in such cases.

How much does monthly health insurance cost?

A 30-year-old’s typical monthly health insurance expenses are:

  • An exclusive provider organization (EPO) plan costs $436.
  • A health maintenance organization (HMO) costs $390.
  • A preferred provider organization (PPO) costs $458.

Health insurance plan member

The average monthly cost for an EPO plan

The average monthly price for an HMO plan

The average monthly price for a PPO plan

Adult Individual aged 21 $380 $342 $404
Adult Individual aged 27 $405 $361 $423
Adult Individual aged 30 $436 $390 $458
Adult Individual aged 40 $490 $438 $516
Adult Individual aged 50 $685 $613 $721
Adult Individual aged 60 $1,037 $930 $1,095

Cost of health insurance for a family of four on average

For a 40-year-old married couple with two kids, the typical monthly expense is:

  • For a Bronze plan, $1,275
  • For a Silver plan, $1,673
  • For a Gold plan, $1,837

Health insurance plan member

UnitedHealthcare

Aetna

Cigna

Kaiser Permanente

Child aged 0-14 $267 $284 $291 $249
Child aged 18 $314 $338 $339 $289
Adult individuals aged 21 $355 $371 $385 $335
Adult individual aged 27 $372 $389 $412 $351
Adult individuals aged 30 $403 $421 $443 $381
Adult individual aged 40 $454 $474 $497 $482
Adult individuals aged 50 $634 $662 $696 $599
Adult individuals aged 60 $963 $1,006 $1,052 $910
Couple aged 21 $710 $741 $770 $671
Couple aged 30 $806 $842 $886 $761
Couple aged 40 $907 $948 $994 $857
Couple aged 50 $1,268 $1,324 $1,392 $1,198
Couple aged 60 $1,926 $2,012 $2,104 $1,820

Average Health Insurance Charges By Age

Health insurance plan member

The average monthly cost for an ACA exchange plan

Child aged 0-14 $277
Child aged 18 $326
Adult individuals aged 21 $365
Adult individuals aged 27 $386
Adult individuals aged 30 $412
Adult particular aged 40 $469
Adult special aged 50 $655
Adult particular aged 60 $994
Couple aged 21 $730
Couple aged 30 $834
Couple aged 40 $937
Couple aged 50 $1,311
Couple aged 60 $1,987

Cost of Health Insurance on Average by Plan Type

The benefit structure of a health plan affects your expenditures. Preferred provider organization (PPO) plans are often more expensive than health maintenance organization (HMO) and exclusive provider organization (EPO) plans.

Health insurance plan member

Average monthly cost for an HMO plan

Average monthly cost for an EPO plan

Average monthly cost for a PPO plan

Child aged 0-14 $261 $286 $306
Child aged 18 $309 $334 $362
Adult individuals aged 21 $342 $380 $404
Adult particular aged 27 $361 $405 $423
Adult special aged 30 $390 $436 $458
Adult individuals age 40 $438 $490 $516
Adult particular aged 50 $613 $685 $721
Adult particular aged 60 $930 $1,037 $1,095
Couple aged 21 $684 $761 $807
Couple aged 30 $780 $872 $916
Couple aged 40 $877 $979 $1,032
Couple aged 50 $1,226 $1,371 $1,442
Couple aged 60 $1,859 $2,074 $2,191

Average Cost of Health Insurance by Metal Tier

The metal tier of a plan determines your premium and deductible costs.

Health insurance plan member

Average monthly cost for a Bronze plan

Average monthly cost for a Silver plan

Average monthly cost for a Gold plan

Child aged 0-14 $237 $310 $341
Child aged 18 $279 $365 $401
Adult individual aged 21 $313 $410 $450
Adult individual aged 27 $330 $433 $476
Adult individual aged 30 $356 $468 $514
Adult individual aged 40 $401 $526 $578
Adult individual aged 50 $560 $736 $808
Adult individual aged 60 $850 $1,115 $1,225
Couple aged 21 $625 $819 $900
Couple aged 30 $713 $936 $1,028
Couple aged 40 $801 $1,052 $1,156
Couple aged 50 $1,121 $1,471 $1,616
Couple aged 60 $1,700 $2,230 $2,450

Different plan types

Sometimes choosing a health insurance plan might feel like gazing for what seems like hours at rows of the same item at a grocery store, except less fun and far more costly. But comparing plans can enable you to save money. It is because your health insurance prices are also influenced by the sort of plan you select. You can choose from the following networks and plans on the market for health insurance:

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Image Source: Canva
  • Health maintenance organization (HMO): HMO plans are networks of doctors alone. Despite being the most brutal policies, they may offer cheaper rates.
  • Preferred provider organization (PPO): PPO plans are somewhat more flexible than HMOs but are similar to HMOs. Utilizing a provider in the plan’s network will make medical expenses less expensive. Out-of-network providers are available to you, but they are more expensive.
  • Exclusive Provider Organization (EPO): except in cases of emergency, EPO plans only allow you to use in-network providers.
  • Point of Service (POS): When you utilize physicians, hospitals, and other healthcare providers in the plan’s network, a point-of-service (POS) program can help you save money on medical expenses. Remember that you will need a recommendation from your primary care physician to see a specialist.
  • High-Deductible Health Plan (HDHP): Health plans with high deductibles (HDHP) are precisely what they sound like. You pay a bigger deductible than usual in exchange for much reduced premiums. These can also be used with pre-tax health saving accounts (HSAs).
  • Short-Term Plan: When you’ve between employment, short-term plans fill the void by providing temporary health insurance coverage. Typically, they last between three months and slightly about a year.
  • COBRA Plan: Contrary to popular belief, COBRA plans are identical to short-term plans but have a longer duration. If you leave your employment, they aid in preventing a coverage gap.
  • Catastrophic Plans: Young persons under 30 should primarily use catastrophic plans. They have higher deductibles but lower rates.

FAQs

How can I locate a cheap health insurance policy?

By entering your family income information on the ACA marketplace website, you may select an inexpensive health insurance plan if your income qualifies by entering your family income information on the ACA marketplace website. Health insurance premiums for ACA marketplace plans may be reduced through premiums for ACA marketplace plans may be reduced through premium tax credits and money-saving subsidies. Medicaid is a joint federal-state health insurance program that provides complete, affordable coverage if you qualify. When you enter your household’s income and family size into the exchange’s website, the ACA marketplace site will inform you if you are eligible for Medicaid in your state.

How much does monthly health insurance for a single person cost?

For a single 30-year-old, the typical monthly health insurance premium for a Bronze plan is $356. For a silver plan and a Gold plan, that same person pays an average of $468 and $514. For a Bronze plan, a 40-year-old single individual spends $401 monthly on average; for a Silver plan, $526; and for a Gold plan, $578. Age is one of the many variables health insurance insurers use when determining prices on the ACA marketplace.

What are typical health insurance deductible costs?

An ACA marketplace plan’s typical health insurance deductible is over $5,000. Most ACA  policies are either Bronze or Silver plans, and they frequently have deductibles exceeding $2,000 each. On the Gold tier, you could locate a health plan with a smaller deductible, perhaps $1,000 or less, but those rates are usually higher.

How can I locate cheap health insurance?

In general, group plans are less expensive than individual ones. Your most excellent option for coverage for the money is to enroll in one if you are eligible through your job, union, or another group. If that isn’t an option, the Affordable Care Act’s public health markets provide consumers with reasonably priced health insurance. You can enroll in a plan provided by the federal government in most of the United States by visiting the HealthCare.gov website. Twelve states, nevertheless, run their markets, and citizens register on their websites.

How much does health insurance cost a single person per month?

It varies on several variables, including your residence state, age, and the kind of plan (individual or employer). For instance, individual employees pay around $111 of the $659.25 monthly average for employer-sponsored insurance.

Conclusion

Finding your family’s average health insurance cost can be confusing because it depends on several factors. However, now that you have read this article, you know how to go about it. So, what are you waiting for? Get that health insurance for your family now and protect all you love.

Tony Bennett

Tony Bennett

Tony Benett makes his living in the insurance industry by teaching and consulting. He is also recognized by the legal profession as an expert on insurance coverages. His insurance experience includes having worked at the company level, owned an independent general agency and having worked for an insurance association. He has received various certificates over the past few years and helps his clients and readers by giving them a realistic outlook on what they can expect to achieve within their set targets. At Insurance Noon, he is known for his in-depth analysis and attention to details with accuracy. He has been published as one of the most referred agents by his peers in the insurance community. Tony loves the outdoors and most sport events. His passion other than providing excellent advice is playing golf.