When you need urgent medical care, health insurance may cover costs, but it doesn’t always guarantee access to the right hospital.
The latest health insurance statistics in the U.S. show how many Americans are covered, how many are uninsured, and how cost or accessibility issues delay the care many patients need.
At REVA, we provide life-saving domestic air ambulance flights to help you reach the hospital, whether across the United States or across the world.
Need to reach care across the U.S.? Contact REVA anytime, day or night. We’ll handle insurance coordination and the details of your transfer while you focus on recovery.
Health Insurance Coverage in the U.S. At A Glance
What percentage of Americans have health insurance?
In 2024, 92.0% of Americans had health insurance for some or all of the year.
How many Americans have health insurance?
In 2024, 310.0 million Americans had health insurance for some or all of the year.
What percentage of Americans are uninsured?
In 2024, 8.0% of Americans were uninsured for the entire calendar year.
How many Americans are uninsured?
In 2024, 27.11 million Americans were uninsured for the full year.
How has the U.S. uninsured rate changed over time?
The U.S. uninsured rate has stayed mostly consistent. The Census reported 8.0% uninsured in 2024, essentially unchanged from 2023.
CDC/NHIS also reported 8.2% uninsured in 2024 and 8.2% from January–June 2025.
Private Health Insurance Coverage
What percentage of Americans have private health insurance?
In 2024, 66.1% of Americans had private health insurance.
How many Americans are covered by private health insurance?
In 2024, 222.7 million Americans were covered by private health insurance.
What percentage of Americans have employer-based health insurance?
In 2024, 53.8% of Americans had employer-based health insurance.
How many Americans get health insurance through an employer?
In 2024, 181.3 million Americans got health insurance through an employer.
What percentage of Americans buy health insurance directly?
In 2024, 10.7% of Americans purchased health insurance directly rather than through an employer or public program.
Public Health Insurance Coverage
What percentage of Americans are covered by public health insurance?
In 2024, 35.5% of Americans had public health insurance.
How many Americans are covered by public health insurance?
In 2024, 119.7 million Americans were covered by public health insurance.
What percentage of Americans are covered by Medicaid?
In 2024, 17.6% of Americans had Medicaid coverage.
How many people are covered by Medicaid?
In 2024, 59.44 million Americans were covered by Medicaid.
What percentage of Americans are covered by Medicare?
In 2024, 19.1% of Americans had Medicare coverage.
How many people are covered by Medicare?
In 2024, 64.36 million Americans were covered by Medicare.
ACA Marketplace & Individual Health Insurance
How many people are enrolled in ACA marketplace plans?
During the 2025 Open Enrollment Period, 24.3 million consumers selected or were automatically re-enrolled in ACA Marketplace coverage.
How has ACA marketplace enrollment changed over time?
ACA Marketplace enrollment has grown sharply. 2025 plan selections are up 13% from 2024, 49% from 2023, and 68% from 2022.
How large is the individual health insurance market?
24.3 million people selected ACA Marketplace plans in 2025, while 36.05 million Americans had direct-purchase health insurance coverage in 2024.
Uninsured Americans
What percentage of adults ages 18 to 64 are uninsured?
In 2024, 11.6% of adults ages 18–64 were uninsured, and the rate remained 11.6% from January–June 2025.
How many adults are uninsured?
In 2024, 23.1 million adults ages 18–64 were uninsured, and estimates rose slightly to 23.6 million in January–June 2025.
What percentage of children are uninsured?
In 2024, 5.1% of children ages 0–17 were uninsured, and the estimate dropped slightly to 4.9% from January–June 2025.
How many children in the U.S. are uninsured?
In 2024, 3.7 million children ages 0–17 were uninsured in the U.S. Estimates dropped to 3.5 million in January–June 2025.
Why do some Americans remain uninsured?
Some of the most common reasons Americans remain uninsured include:
- High monthly costs
- No employer-sponsored coverage
- Medicaid eligibility gaps
- Immigration-related eligibility restrictions
- Enrollment or paperwork barriers
What percentage of uninsured adults say coverage is too expensive?
Among adults under 65, 82% of uninsured individuals say healthcare costs are unaffordable, compared with 42% of insured adults.
Health Insurance Coverage by State
Which states have the highest uninsured rates?
The states with the highest uninsured rates in 2024 were:
- Texas: 16.7%
- Georgia: 12.0%
- Oklahoma: 11.5%
- Nevada: 11.4%
- Alaska: 11.0%
Which states have the lowest uninsured rates?
The states with the lowest uninsured rates in 2024 were:
- Massachusetts: 2.8%
- Hawaii: 3.5%
- Vermont: 4.2%
- District of Columbia: 4.5%
- New Hampshire: 4.5%
Which states have the largest uninsured populations?
The states with the largest uninsured populations in 2024 were:
- Texas: 5.152 million
- Florida: 2.510 million
- California: 2.314 million
- Georgia: 1.314 million
- New York: 974,000
Which states have the highest health insurance coverage rates?
The states with the highest health insurance coverage rates in 2024 were:
- Massachusetts: 97.2%
- Hawaii: 96.5%
- Vermont: 95.8%
- District of Columbia: 95.5%
- New Hampshire: 95.5%
Health Insurance Coverage in Major States
What percentage of Californians are uninsured?
In 2024, 5.9% of Californians were uninsured.
What percentage of Texas residents are uninsured?
16.7% of Texas residents were uninsured in 2024.
What percentage of New York residents are uninsured?
5.0% of New York residents were uninsured in 2024.
What percentage of Florida residents are uninsured?
In 2024, 10.9% of Florida residents were uninsured.
Health Insurance Coverage by Age
Which age group is most likely to be uninsured?
Adults ages 18–64 were the most likely to be uninsured in January–June 2025, with an uninsured rate of 11.6%, compared with 4.9% for children and 0.6% for adults age 65 and older.
What percentage of adults under 65 are uninsured?
In 2024, 11.6% of adults ages 18–64 were uninsured, and the rate remained the same through January–June 2025.
What percentage of children have health insurance?
In 2024, 94.9% of children ages 0–17 had health insurance.
How does Medicare affect coverage among adults 65 and older?
Medicare makes coverage nearly universal among older adults. Only 0.6% of adults age 65 and older were uninsured in 2024 and from January–June in 2025.
Health Insurance Coverage by Demographics
How does health insurance coverage vary by race and ethnicity?
Among adults ages 18–64 in January–June 2025, uninsured rates were as follows:
- Hispanic adults: 23.6%
- Black non-Hispanic adults: 10.9%
- White non-Hispanic adults: 7.5%
- Asian non-Hispanic adults: 5.0%
Which racial or ethnic groups have the highest uninsured rates?
In January–June 2025, Hispanic adults ages 18–64 had the highest uninsured rate among major racial and ethnic groups at 23.6%.
How does health insurance coverage vary by income level?
Among adults ages 18–64 in 2024, uninsured rates were highest among lower-income groups:
- 100% to less than 200% federal poverty level: 22.4%
- Less than 100% FPL: 21.2%
- 200% to 400% FPL: 13.1%
- Greater than 400% FPL: 5.7%
Health Insurance Costs & Affordability
What is the average cost of health insurance in the U.S.?
In 2025, the average monthly health insurance premium was $619 before advance premium tax credits and $113 after tax credits.
How much does the average employer-sponsored family premium cost?
In 2025, the average employer-sponsored family health insurance premium cost $26,993 per year.
How much does the average single-person health insurance premium cost?
In 2025, the average employer-sponsored single-person health insurance premium cost $9,325 per year.
How much have health insurance premiums increased over time?
From 2024 to 2025, employer-sponsored health insurance premiums increased 5% for single coverage and 6% for family coverage.
Need To Reach A Specialist That Takes Your Insurance? Call REVA
Even with health insurance, reaching the right specialist or hospital isn’t always simple.
REVA bridges the gap with domestic air ambulance flights, safely transferring you to the right hospital or specialist across the U.S.
You can call us anytime, day or night. We’ll handle insurance coordination, ground transfers, and everything else while you focus on recovery.
Sources
Lisa N. Bunch. “Health Insurance Coverage in the United States: 2024.” The United States Census Bureau. September 2025.
Robin A. Cohen. “Health Insurance Coverage: Early Release of Estimates From the National Health Interview Survey, 2024.” National Center for Health Statistics.
CMS. “Health Insurance Exchanges 2025 Open Enrollment Support.”
Elizabeth M. Briones, Ph.D. “Health Insurance Coverage: Early Release of Estimates From the National Health Interview Survey, January–June 2025.” National Center for Health Statistics.
Jennifer Tolbert. “Key Facts about the Uninsured Population.” KFF. April 9, 2026.
United States Census Bureau. “American Community Survey Tables for Health Insurance Coverage.”