47% of Americans Paying More for Employer-Based Health Insurance

January 10, 2014

Are you paying more per paycheck for your employer-based health insurance coverage this year? If yes, you are not alone. Nearly half (44%) of Americans with employer-based health insurance coverage say their out-of-pocket costs are on the rise. And, 47% of employees say they are paying more per paycheck for their portion of the premium.

These are key findings from Bankrate.com's September 2013 Health Insurance Pulse survey of ~1,000 Americans. The survey asked Americans about their current health coverage, health care costs, and general opinions on the Affordable Care Act ("ObamaCare").

Of those surveyed, 45% had employer-based health insurance coverage, 9% purchased health insurance on their own, 27% had government-provided coverage, 15% were uninsured, and 3% were covered by a different source or didn't know.

What's the pulse of health insurance in America? Here's a summary of what they found.

Americans paying more per paycheck for employer-based health insurance

While 47% of those with employer-based coverage saw an increase in what they paid per paycheck for health insurance, the amount of the increase varied by income bracket.

For example, 64% of those earning between $50,000 and $75,000 a year reported more money coming out of their paychecks for coverage, compared to 38% of those earning less than $30,000.

Only 10% of Americans with employer-sponsored coverage lost coverage for their spouse or children last year, and just 20% said they have fewer doctors to choose from. 

Across the board, 40% seeing higher monthly healthcare spendingbankrate_chart_1

Among respondents with all kinds of coverage, 40% say their monthly spending on healthcare is higher compared to a year ago (including premiums, prescriptions, co-pays, etc.).

Who does this impact the most?
  • 47% of parents with kids younger than 18 are spending more on health care, versus 37% of other respondents.

  • 46% of suburbanites, 40% of rural Americans and 30% of urbanites are paying more for health care now than they were 12 months ago.

  • 10% of Democrats, 8% of Independents, and 5% of Republicans say their monthly spending on health care has gone down compared to 12 months ago.

28% want to understand how ObamaCare impacts their current health coverage


When asked "which one thing would you like to better understand about ObamaCare?":

  • 28% said how it would affect their current health coverage

  • 24% said how it will affect their budget

  • 20% said whether it's really going to happen, and

  • 15% wanted to know what ObamaCare is.


The Health Insurance Pulse survey of six questions measured how consumers are feeling about their own health care and health insurance, and about the Affordable Care Act. From Aug. 15-18, 2013, telephone interviews with 1,000 adults living in the continental U.S. were conducted by Princeton Survey Research Associates International. The results of Bankrate's Health Insurance Pulse have a margin of error of plus or minus 3.7 percentage points. 

Find the survey via Bankrate.com here.


On this blog we talk a lot about how group health insurance is broken, with one of the major symptoms being the unsustainable cost of employer-based health insurance for employers and employees. Will these increased costs to employees create a need for change?

Leave your thoughts or comments below.

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