Average Health Insurance Cost for a Single Male

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What is the average cost of health insurance for men? There are a few factors that affect the price of your health plan. These may include your age and plan type and whether your job pays for part of your coverage.

Learn more about the costs of insurance and how you can get the best deal.

Average Cost of Health Insurance for a Single Male

The average cost of health insurance for men in 2020 was $438 per month without a subsidy, per eHealth data. Note that this research focuses on those who buy insurance through the marketplace.

The premium you pay for health insurance will also depend on the type of plan you select. Consider options like HMO vs. PPO when you make your choice.

Would Insurance Be Cheaper Through an Employer?

It's no surprise that employer-sponsored health insurance is often cheaper than marketplace plans.

According to the Kaiser Family Foundation, covered workers kick in 17% of the cost of single coverage. That works out to an average of $101 for HMO plans and $111.25 for PPO plans. Compare that to the eHealth data, which showed that the average cost for a single person of any gender was $456.

Costs vary from state to state. For instance, in Hawaii, the average is $718 per year for the worker, but in Massachusetts, the worker may pay $1,793 per year. This is at the high end of the cost scale. Below is the state-by-state breakdown from the Kaiser Family Foundation to see the differences by region.

Per the Census, 55.4% of Americans got their insurance through their employer in 2019.

Cost-Saving Options

The Affordable Care Act introduced a key cost-saving option. Young adults under the age of 26 can stay on their parents' plan. If you are a single male under age 26, and your parents have insurance, you may be able to go on their plan, which would save you from paying out of pocket.

7 Factors for Your Health Insurance Rate

Health insurers look at many factors when figuring out how much your premium will cost. These include:

  1. Location
  2. Age (Note that Vermont and New York restrict age rating.)
  3. Level of coverage (More coverage means more expensive premiums. For marketplace plans, cost varies based on what tier level you decide to take.)
  4. Tobacco use
  5. Choosing cost-saving options (For instance, higher deductibles can help save on your premiums and provide tax breaks if you have an HSA or FSA.)
  6. Your income and if you qualify for ACA subsidies or tax credits, or programs like Medicaid
  7. Whether your plan is sponsored by the government or an employer

The Kaiser Family Foundation offers a Health Insurance Marketplace Calculator that can help you figure out roughly how much your plan will cost.

Do Women Pay More?

Per the eHealth report, women paid an average of $35 more per month than men did. Women's health insurance costs averaged $473 each month. Men's health insurance averaged $438.

Going by these numbers, it would seem that women paid more than men, but note that some of the difference is due to plan choice.

Census data shows that the uninsured rate is higher for men. The uninsured rate of males is 3.1 percentage points higher than that of uninsured females.

Monthly Cost Estimate by Age

The cost of health insurance may also vary based on your age. Per the eHealth data, the average cost by age is:

$278 for the 18 through 24 age group

$329 for the 25 through 34 age group

$411 for the 35 through 44 age group

$551 for the 45 through 54 age group

$784 for the 55 through 64 age group

These numbers are for both men and women, but they give a sense of how your costs may vary.

Getting Health Insurance Outside of Open Enrollment

Outside of the open enrollment period, you can only sign up for a new plan if you have a qualifying life event. For instance, if you lose your job, you could then sign up for a new plan through the marketplace. If you get married or have a baby, that would allow you to buy a new plan. Even moving to a new county may count.

Single Male Health Insurance Options

Before you choose a plan, check these sources of health insurance coverage:

  • Your employer.
  • The marketplace.
  • Your domestic partner's health plan. Some people consider themselves single but don't realize they may qualify for coverage as domestic partners.
  • Your parents' health plan if you are under age 26, or health plans through your school.
  • If you are unemployed or have low income, review sources for affordable coverage.

Always check to see whether you qualify for tax breaks that can really help you save on the monthly costs.

How to Find the Best Price on Health Insurance

As a single male, the best way to pay the lowest price and control your cost of health insurance is to:

  • Know your options
  • Choose a policy that works best for you, and evaluate it every year
  • Ask about subsidies
  • Shop for the best price

Frequently Asked Questions (FAQs)

What is "cost sharing" in healthcare?

"Cost sharing" refers to costs that are shared by the patient and the insurer. Any copayments or deductibles you pay are examples of cost sharing. Premiums aren't typically considered cost sharing, but Medicaid and CHIP programs do include premiums in cost sharing calculations.

What are the costs of not having healthcare?

There was once a penalty tax imposed on those without healthcare, known as the "shared responsibility payment." However, that tax was effectively repealed by the Tax Cuts and Jobs Act, so there are no longer any upfront costs to forgoing healthcare coverage. It's important to understand that medical debt is among the leading causes of bankruptcy, and you never know when a costly medical emergency will arise, so being uninsured comes with serious financial risks.

Article Sources

  1. eHealth. "ACA Index Report on Unsubsidized Consumers in the 2020 Open Enrollment Period," Page 6. Accessed June 22, 2021.

  2. Kaiser Family Foundation. "2020 Employer Health Benefits Survey." Accessed June 22, 2021.

  3. Kaiser Family Foundation. "Average Annual Single Premium per Enrolled Employee for Employer-Based Health Insurance." Accessed June 22, 2021.

  4. U.S. Census Bureau. "Health Insurance Coverage in the United States: 2019." Accessed June 22, 2021.

  5. U.S. Centers for Medicare and Medicaid Services. "How to Get or Stay on a Parent’s Plan." Accessed June 22, 2021.

  6. Vermont Agency of Human Services. "Report on Health Insurance Affordability and Merged Markets 2019: Report to the Legislature," Page 22. Accessed June 22, 2021.

  7. Healthcare.gov. "Health Savings Account (HSA)." Accessed June 22, 2021.

  8. Cigna. "HSAs, HRAs, and FSAs." Accessed June 22, 2021.

  9. eHealth. "ACA Index Report on Unsubsidized Consumers in the 2020 Open Enrollment Period," Page 7. Accessed June 22, 2021.

  10. U.S. Census Bureau. "In Over Half of U.S. Counties, More Working-Age Men Than Women Are Uninsured." Accessed June 22, 2021.

  11. HealthCare.gov. "Qualifying Life Event (QLE)." Accessed June 22, 2021.