Kentucky offers two health insurance carriers on its exchange – CareSource and Anthem. Their plans are competitive, although premiums have increased slightly over 2020 numbers. The state makes it easy for everyone to find affordable coverage, with various coverage tiers, catastrophic, and short-term plans available for purchase to its residents.
Medicare and Medicaid are available options through the federal government if their qualifications are met. The state’s Medicaid program is administered through Kynect. Kentucky offers the Kentucky Dental Health Program to promote healthy teeth in children, complete with a fluoride program.
Highlights and Updates
- Health insurance plan costs have increased slightly over 2020 premiums, and have been steadily rising over the last six years.
- The average monthly benchmark premium cost in Kentucky is $476, just higher than the national average of $452 per month.
- Two health insurance carriers sell plans on the state exchange.
- The ACA has been a success in Kentucky, cutting the uninsured rate drastically.
- Short-term and catastrophic plans are available for purchase.
How to buy Health Insurance in Kentucky
It is easy to shop around, compare your options, and purchase health insurance in Kentucky by going online to www.healthcare.gov.
How to Apply for Health Insurance in Kentucky
Go to www.healthcare.gov to apply for health insurance in Kentucky.
Health Insurance Carriers in Kentucky
There are currently two health insurance carriers in Kentucky:
- Anthem Blue Cross and Blue Shield
- CareSource Kentucky Co
What are the Cheapest Health Insurance Companies in Kentucky?
CareSource tends to have the cheapest health insurance plans in Kentucky, but this does vary by plan tier and county of residence. Other factors affecting your health insurance premium include your age and how many people are in your family.
How has Obamacare Helped Kentucky’s Uninsured?
The introduction of the ACA has helped Kentucky to reduce its uninsured population greatly, with the uninsured rate declining from 14.4% in 2013 to 6.1% in 2015. By 2016, the uninsured rate fell again to 5.1%. Before the Affordable Care Act, monthly enrollment in Medicaid in Kentucky was approximately 607,000. Following the ACA and Medicaid expansion in the state, monthly enrollment in Medicaid increased to 1.3 million, a difference of 106.3%.
Kentucky Health Insurance Costs Overview
Kentucky has three tiers of health insurance coverage – Gold, Silver, and Expanded Bronze.
How Much Does Health Insurance Cost in Kentucky?
The average benchmark monthly health insurance premium in Kentucky for a 40-year-old is $476. This is slightly higher than the national average of $452 per month. Health insurance premiums have been steadily rising in Kentucky over the last several years.
What is the Cheapest Health Insurance Plan in Kentucky?
The cheapest health insurance plan in Kentucky is the CareSource Marketplace Bronze, which has a premium of $303. The deductible is $7,700, and the out-of-pocket maximum is $8,550.
Cheapest Kentucky Health Insurance Coverage by Metal Tier
The most affordable Gold Plan is CareSource Marketplace Gold. The premium costs $507 per month, with a deductible of $2,000 and an out-of-pocket maximum of $6,500.
Anthem Silver Pathway X Transition HMO 4650 for HSA is the cheapest of the silver plans with a premium of $406 per month, a deductible of $4,650, and an out-of-pocket maximum of $6,850.
The cheapest Bronze plan is the CareSource Marketplace Bronze, which has a premium of $303, with a deductible of $7,700. The out-of-pocket maximum is $8,550.
Kentucky Health Insurance Costs by Occupation
What is the Average Cost of Health Insurance for a Student in Kentucky?
Students may opt to purchase a student health insurance plan through their college or university or remain on their parent’s coverage.
What is the Average Cost of Health Insurance for the Self-Employed in Kentucky?
Individuals who are self-employed in Kentucky have options – they may purchase a plan from one of the carriers on the exchange or may qualify for Medicaid or Medicare depending on their income and other factors.
What is the Average Cost of Health Insurance for Small Business Owners in Kentucky?
Pricing starts at around $215 per employee per month in Kentucky for small businesses.
Kentucky Health Insurance Costs by Number of Participants
What is the Average Cost of Health Insurance for Families in Kentucky?
In Kentucky, a family of four can expect to pay $1,645 per month for Silver coverage. This increases to $1,952 per month for a family of five. A single parent with one child could expect to pay $822 monthly while a couple with no children might pay $1029 per month.
What is the Average Cost of Health Insurance for Individuals in Kentucky?
The benchmark price of health insurance for a 40-year-old individual is $476 per month in Kentucky.
What is the Average Cost of Health Insurance for a Child in Kentucky?
KCHIP may cover children under 19 in Kentucky, which provides free or low-cost health insurance. Member costs per family have an annual cap of $450, making this program affordable for many families. The Kentucky Dental Health Program provides dental care, education, and a fluoride program for children. The Kentucky Department of Public Health offers a free program for infants and children up to age five called Help Me Grow – this program is a free, confidential call service that offers developmental screenings and referrals to health care. Help Me Grow is available in English or Spanish.
Other Types of Kentucky Health Insurance Coverage
Catastrophic Health Insurance in Kentucky
Catastrophic health insurance plans can be purchased in Kentucky for those who qualify – generally individuals under 30 or those with special exceptions.
Short Term or Temporary Health Insurance in Kentucky
Short-term health insurance plans are available, lasting initially for 364 days with up to three years of renewals allowed.
Low-Income Health Insurance in Kentucky
Medicare and Medicaid are available in Kentucky, managed through the federal government. Kynect is the version of Medicaid available in the state for residents who qualify. Following the Medicaid expansion in the Affordable Care Act, many more Kentuckians became eligible and enrolled in Medicaid.
The state offers several programs designed to help low-income adults and families, like their Prescription Assistance Program through the Department of Health. The Prescription Assistance Program helps Kentuckians find low-cost or free prescription drugs by increasing access and reducing paperwork and other hurdles. WIC is available for pregnant women and children up to age five.
The Department of Health also offers routine cancer screening for women through a federally-funded program called the Kentucky Women’s Cancer Screening Program. This preventative care service screens for cervical and breast cancers and refers women for treatment.