Most and Least Expensive States for Health Care, Ranked – Forbes Advisor

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Well being care prices averaged over $10,000 per individual in 2020, however the actual quantity various by state. Even the most effective medical insurance plans may have cost-sharing that buyers should pay, equivalent to deductibles, copayments and co-insurance.

We in contrast all 50 states and the District of Columbia throughout 11 key metrics utilizing knowledge from the Kaiser Household Basis to find out which states are most and least costly for well being care.

Key Takeaways

  • South Dakota topped the checklist of states with the costliest well being care, whereas Michigan is the most affordable.
  • Forbes Advisor’s evaluation discovered that the jap a part of the nation is the place it’s possible you’ll discover the costliest well being care prices. 5 of the ten costliest states for medical care are within the east, together with West Virginia, Florida, Maine, Delaware and New Hampshire.
  • The western a part of the nation has most of the least expensive states for well being care, together with Washington, Nevada, Hawaii, New Mexico and Oregon.

Prime 5 States The place Well being Care Is Most Costly

1. South Dakota

South Dakota’s rating: 100 out of 100

  • The households of 12% of youngsters in South Dakota struggled to pay for his or her youngster’s medical payments between 2019 and 2020, making the state tied for fourth highest within the nation for this metric. Solely Wyoming, Florida and Texas have been increased. Nebraska, Kansas and Indiana have been tied with South Dakota.
  • The Mount Rushmore State additionally ranked ninth highest for well being care prices per individual within the state, with South Dakota well being care prices averaging $11,736 per 12 months for companies, equivalent to hospital care, physician’s visits, nursing residence care and prescription drugs.
  • South Dakota additionally had the third highest enhance in total well being care spending per individual over a five-year interval (24.38%). Solely New York and Hawaii noticed larger jumps.
  • South Dakota had the sixth highest annual medical insurance premium for these with particular person plans within the Reasonably priced Care Act market ($7,156) and the third highest annual medical insurance deductible for employer-provided insurance coverage amongst these with single protection ($2,428).

2. Louisiana

Louisiana’s rating: 86.69 out of 100

  • Louisiana residents with employer-provided medical insurance pay a few of the highest premiums within the nation. The common single worker spends a median $1,740 per 12 months (the sixth highest quantity within the nation). Staff with “plus one” protection pay $4,685 (the best within the nation) and workers with a household plan pay $6,999.67 yearly (the second highest within the nation).
  • Louisiana had the fifth highest enhance in total well being care spending per individual between 2016 and 2020 (23.10%). Solely New York, Hawaii, South Dakota and California noticed a much bigger hike.

3. West Virginia

West Virginia’s rating: 82.31 out of 100

  • West Virginians with particular person medical insurance from the Reasonably priced Care Act market paid the fourth highest annual medical insurance premiums within the nation ($8,024).
  • The state ranked seventh highest within the nation for total well being care spending per individual ($12,019).
  • West Virginia residents have skilled the eighth highest enhance in per capita well being spending over a five-year interval: West Virginians spent 21.75% extra on well being care in 2020 than they did in 2016.

4. Florida

Florida’s rating: 79.51 out of 100

  • The households of 14% of youngsters in Florida had problem paying for his or her youngster’s well being care payments between 2019 and 2020, rating second highest within the nation for this metric, solely behind Wyoming.
  • Floridians with employer-provided household well being protection pay the best annual premium within the nation ($7,079.33), and residents with one extra individual on their employer-based well being plan pay the second highest annual premium within the nation ($4,684.67), behind solely Louisiana.
  • The price of medical insurance can be inflicting Florida residents to skip seeing the physician. Florida residents have been fifth most definitely to report that they didn’t see a health care provider prior to now 12 months attributable to price (14.87%). Among the many 1,056,000 Florida adults who reported an unmet want for psychological well being therapy in 2020, 51.9% didn’t obtain care due to price, rating sixth highest for this metric.

5. Wyoming

Wyoming’s rating: 78.63 out of 100

  • Wyoming residents with a person medical insurance plan from the Reasonably priced Care Act market paid the best annual premium within the nation ($9,620). That’s $1,400 greater than the second highest common price (Alaska).
  • The households of 16% of youngsters in Wyoming had bother paying for his or her youngster’s medical payments between 2019 and 2020, rating highest within the nation for this metric.
  • Wyoming additionally had the best share of adults who reported an unmet want for psychological well being therapy attributable to price . Of the 33,000 Wyomingites who reported an unmet want for psychological well being therapy in 2020, 64.7% didn’t obtain care attributable to price.

Prime 5 States The place Well being Care Is Least Costly

51. Michigan

Michigan’s rating: 0 out of 100

  • Michigan’s five-year enhance in well being care spending per individual (13.67%) was the sixth lowest within the nation behind solely the District of Columbia, North Carolina, Nevada, Wisconsin and Vermont.
  • Michigan residents who’ve employer-provided medical insurance pay a few of the lowest premiums and deductibles within the nation. The common worker with plus one protection in Michigan pays a median premium of $3,261.33 a 12 months and workers with a household plan pay $4,199.67 a 12 months (each the bottom averages within the nation).
  • Michiganders with household well being protection via an employer have the third lowest common deductible within the nation ($3,078.67 a 12 months) and single workers have the fifth lowest deductible ($1,675.67 a 12 months).
  • Michigan residents with particular person medical insurance plans from the Reasonably priced Care Act market have the fourth lowest common annual premium ($4,092 a 12 months). Solely Minnesota, Rhode Island and New Hampshire residents pay decrease premiums for well being plans from the ACA market.

50. Washington

Washington’s rating: 1.93 out of 100

  • Washington residents with employer-provided medical insurance pay a few of the lowest premiums within the nation. The common worker with single protection spends a median of $1,139.67 a 12 months (the third lowest nationwide). Staff with “plus one” protection pay a median $3,388.67 (the second lowest) and people with a household plan pay $5,121.67 yearly (the second lowest).
  • Washington has the fourth lowest rating amongst states for the proportion of youngsters whose households had bother paying for a kid’s medical payments prior to now 12 months (6%).
  • The state additionally had the tenth lowest enhance in a five-year enhance in well being care spending per individual (14.43%). That’s nearly half of the associated fee enhance seen within the states that noticed the largest soar (New York and Hawaii).

49. Nevada

Nevada’s rating: 18.21 out of 100

  • Nevada ranks fourth within the nation for the bottom well being care expenditures per capita, with Nevada well being care prices averaging $8,118 per 12 months. Solely Utah, Idaho and Texas had decrease per individual well being care prices.
  • Nevada had the third lowest enhance in total well being care spending per individual over a five-year interval (13.16%) behind solely the District of Columbia and North Carolina.
  • The well being care numbers weren’t all optimistic for Nevada. The state had the eleventh highest share of adults who delayed care over the previous 12 months due to price (13.3%).

48. Hawaii

Hawaii’s rating: 21.19 out of 100

  • Adults in Hawaii have been least possible within the nation to report skipping a health care provider’s go to prior to now 12 months attributable to price (7.10%).
  • Hawaiians with employer-provided medical insurance with single protection pay the bottom common premiums within the nation ($846.67 a 12 months). Hawaii is the one state with common premiums for single protection below $1,000 a 12 months.
  • Hawaiians with protection via work have the bottom common deductibles for single protection ($1,280.67) and household protection ($2,812.33).
  • Solely 5% of youngsters’s households struggled to pay for his or her youngster’s medical payments in Hawaii between 2019 and 2020, rating second lowest within the nation for this metric (Hawaii tied with Rhode Island).

47. New Mexico

New Mexico’s rating: 29.60 out of 100

  • New Mexico residents with particular person well being plans from the Reasonably priced Care Act market pay the fifth lowest common premium within the nation ($4,096 a 12 months). Solely Minnesota, Rhode Island, New Hampshire and Michigan have cheaper common premiums.
  • New Mexico adults have been among the many least possible within the nation to report an unmet want for psychological well being therapy prior to now 12 months attributable to price (25.9%), rating fourth lowest within the nation for this metric. Solely Massachusetts, Connecticut and South Carolina had decrease percentages.
  • New Mexico had the ninth least expensive well being care expenditures per individual ($8,505 a 12 months common).

Well being Care Prices Examine Methodology

To measure essentially the most and least costly states for well being care, Forbes Advisor examined knowledge from the Kaiser Household Basis for all 50 states and the District of Columbia and in contrast it throughout 11 metrics:

  • Well being care expenditures per capita: 20% of rating. This metric consists of out-of-pocket spending on all privately and publicly funded private well being care companies and merchandise equivalent to hospital care, doctor companies, nursing residence care and pharmaceuticals. We took a three-year common utilizing knowledge from 2018 to 2020.
  • % of state residents who didn’t see a health care provider prior to now 12 months attributable to price: 15% of rating. For this metric, we took a three-year common utilizing knowledge from 2018 to 2020.
  • Common particular person medical insurance premium for a Silver tier well being plan: 10% of rating. For this metric, we took a three-year common utilizing knowledge from 2020 to 2022.
  • Common annual single premium per enrolled worker for employer-provided medical insurance: 5% of rating. For this metric, we took a three-year common utilizing knowledge from 2019 to 2021.
  • Common annual plus one premium per enrolled worker for employer-sponsored medical insurance: 5% of rating. For this metric, we took a three-year common utilizing knowledge from 2019 to 2021.
  • Common annual household premium per enrolled worker for employer-provided medical insurance: 10% of rating. For this metric, we took a three-year common utilizing knowledge from 2019 to 2021.
  • Common annual deductible per enrolled worker for household protection: 5% of rating. For this metric, we took a three-year common, utilizing knowledge from 2019 to 2021.
  • Common annual deductible per enrolled worker for single protection: 5% of rating. For this metric, we took a three-year common, utilizing knowledge from 2019 to 2021.
  • % enhance in out-of-pocket well being care expenditure by state over a 5 12 months interval: 15% of rating. For this metric we calculated the five-year p.c enhance in well being care spending from 2016 to 2020.
  • % of adults reporting unmet want for psychological well being therapy prior to now 12 months who didn’t obtain care due to price: 5% of rating. Knowledge for this metric is from 2019 to 2020.

% of youngsters whose households struggled to pay for his or her youngster’s medical payments prior to now 12 months: 5% of rating. Knowledge for this metric is from 2020.

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