By NextBestFitNet cost of health insurance
Premiums minus benefits paid: insurer administration, marketing, broker commissions, premium taxes, and profit. For Medicare and Medicaid this is mostly Medicare Advantage, Part D, and Medicaid managed-care plan overhead.
Amount
$306.0B
per year
Per resident, per year
$897
÷ 341.1M people
Per household, per year
$2,315
÷ 132.2M households
How it is built
Private health insurance $176.5B + Medicare $57.6B + Medicaid $45.5B + Other insurance programs (CHIP, DoD, VA) $2B + Other third-party payers & programs $24.4B
Part of: National health expenditures ($5,278.6B, 2024)
Details
| Private health insurance | $176.5B |
| Medicare | $57.6B |
| Medicaid | $45.5B |
| Other insurance programs (CHIP, DoD, VA) | $2B |
| Other third-party payers & programs | $24.4B |
Problems this cost relates to
Sources: CMS Office of the Actuary (2025)