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, 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.
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. This 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 people got their insurance through their employer in 2019.
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 26 and your parents have insurance, you may be able to go on their plan. This will 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:
- Age (Note that Vermont and New York restrict age rating.)
- Level of coverage (More coverage means more expensive premiums. For marketplace plans, cost varies based on what tier level you decide to take.)
- Tobacco use or smoking
- 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.)
- Your income and if you qualify for ACA subsidies or tax credits, or programs like Medicaid
- If 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. 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. Plus, 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 18-24 age group
$329 for 25-34 age group
$411 for 35-44 age group
$551 for 45-54 age group
$784 for 55-64 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. Or, 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 26, or health plans through your school
- If you are unemployed or have low income, review sources for affordable coverage
Always check if 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 on health insurance is to:
- Know your options
- Choose a policy that works best for you, and evaluate this every year
- Ask about subsidies
- Shop for the best price
Frequently Asked Questions (FAQs)
What is "cost sharing" in health care?
"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 health care?
There was once a penalty tax imposed on those without health care 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 health care 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 going uninsured comes with serious financial risks.