How Much is Private Health Care in the US? 3 Easy Ways to Lower Your Costs

You are probably wondering how much private health care costs in the US. In Canada, we pay an average of $4,390 a year for health care. In the US, however, we spend five times as much per person as we do in Canada. The main differences between the US and Canada lie in their copayment and deductible amounts. Fortunately, there are many ways to lower your costs. Here are three easy ways to do so.

Average premiums

As the cost of healthcare continues to rise, employers and ordinary families alike must pay higher premiums for health insurance. In 2017, average premiums for private health insurance rose by nearly 20%, with subsidies covering about half of the costs. This trend is set to continue in 2019, with the average premium increase for private health insurance policies being $456 for an individual and $1,152 for a family. To learn more about health insurance premiums, visit eHealth’s resource centre or contact an insurance agent.


Copayments are out-of-pocket payments you make for certain medical services and items. Typical out-of-pocket expenses for private health care include prescription drugs and physician visits. In Philadelphia, a family with four people pays a monthly premium of $1,500, and the family’s annual deductible is $2,750. A $20 copayment for each family member means an out-of-pocket limit of $7,500 per person and $15,000 per family.


What is coinsurance in private health care? Coinsurance is your share of medical charges after you have paid the deductible. It is the percentage you pay after your health plan pays 70 per cent. For example, you would pay $25 for a visit to your primary care physician, and $10 for monthly medications. In some cases, you may have to pay $250 for an emergency room visit. There are many different kinds of coinsurance. In some cases, coinsurance is completely optional. In other cases, it is an important consideration before making the decision to enrol in health insurance.

Tiers of private health insurance

There are four tiers of private health insurance, corresponding to different income groups. Each tier mandates a minimum level of treatment for members. Premiums for basic policies are around A$140 a fortnight, so this reduction means a small premium increase of about A$1 per fortnight. However, if you are under 30, the new law may make you pay more. The LHC loading adds around 2% per year to future private health insurance.

Average premiums for individual plans

A new MoneyGeek analysis of private health insurance premiums finds that the cheapest ACA-compliant plans tend to be Bronze tier plans. Premiums for Bronze plans are on average $427 per month, while those for Silver and Gold tiers average $581 and $1,317, respectively. These premiums, though, may not cover everything you need. Bronze plans also pay for preventive care and an annual wellness visit. They also cover certain screenings and counselling.

Average premiums for family plans

In a report published today, the Kaiser Family Foundation and the Health Research & Educational Trust found that average annual premiums for family health insurance increased 5 per cent in 2018. Workers are expected to pay $6,050 toward the cost of family coverage, while employers are expected to cover the rest. Premiums have been on the rise for seven years, but many Americans do not think about the employer portion of the cost. Health benefits are a standard part of compensation, much like wages or payroll taxes.

Average premiums for marketplace plans

The average premium increase in the private health care market is less than 1 per cent in most states. In South Dakota, for example, premium increases were 16.2%, while rates in North Carolina were only 0.7% higher. For a 40-year-old silver plan, the largest year-over-year change was in South Dakota, where premium increases were nearly double those of the national average. Twenty-one states saw a decrease in premiums in 2021. Idaho saw no change in premiums during the year.