A health insurance premium is a payment made for an individual to keep the insurance policy active.

Premium is paid monthly on the individual market. In addition to it, individuals may have to pay out-of-pocket costs, deductibles, co pays, and coinsurance. If you don’t keep up the premium, the insurer is going to end your monthly coverage eventually. Even after paying your monthly expenses you have to pay for out-of-pocket depending on the type of care you receive. Which includes

  • Deductibles: before your insurance starts paying the claims you have to pay for deductibles. Deductibles may be used to describe several types of clauses that are used by insurer companies.
  • Co pays: the fixed amount that you pay for drug prescription and doctor visits at the time pf the service. Co pays are sometimes called co-payments. It can be different for different services in the same plan. 
  • Coinsurance: This is the small amount of money that you have to pay a percentage of entire expenses even after reaching your deductibles. Meanwhile, the insurer pays the rest of the bill. The amount of out of pocket expenses varies from one plan to another. If you have a higher cost of premium you will have small out of pocket expenses to pay.

Deductibles Vs out-of-pocket: once you pay deductibles then the company starts making payments on your behalf but you still pay a portion of it. If you pay the full amount for the individual then you will reach yours out of pocket maximum. 

The average cost of health insurance per month is different all over the USA. These health insurance premiums aren’t defined by your condition, gender or age. They are defined by a lot of other factors. In 2019, the annual premium for health insurance for a family of four cost $20,576 but employers picked up 71% of it. The highest benchmarks for 27 years old in 2020 were at $723 and the lowest was $282. 

Subsidized premium:

Many employers give health insurance as a part of the package mainly premium part of the insurance for the workers. According to a survey by human rights management, 20% of the employees tell that their health-related benefits are rising with cost as high as $15,000 per employee in 2020. Others also have the option to reduce their premium insurance. For adults of age 65 Medicare use payroll to provide more easy option than the private markets. There are many types of health insurance like HMO, PPO, EPO, POS and free of service.

 Another example of insurance premiums is car insurance premiums. It is the amount we pay to our insurance company every month or every sixth month to cover our insurance. Like liability and collision coverage if you paid a full premium your insurer will pay for coverage’s details of the policy. You may also be wondering how these companies calculate your premium insurance. They do it by several factors like knowing your age, the type of coverage you want, the amount of coverage and other personal information. 

Key insurance premium points:

  • When all other factors are the same high premium generally has low out of pocket expenses.
  • A low monthly premium that has high deductibles may end up becoming less expensive. 
  • And if you are not eligible for medical insurance through your job you may qualify for government-subsidized coverage through any plan sold out there.
  • The people who are 65 or above generally pay much less premium through medicare than they are

Important: once you reached a plan’s annuitant of the pocket maximum you do not need to copay or coinsurance for the covered medical expenses you sustain.


CHECKOUT: STEP BY STEP -> How To Get Health Insurance