Delaware Health Insurance

Last Updated on September 22, 2020 by Andrew Lee

Delaware is one of the few states with a low uninsured rating in the country. However, many of its residents still don’t have health insurance. The goal of the state government is to have an estimated 54,000 uninsured individuals obtain coverage.

Whether or not you belong in this group of people, you should learn as much as you can about how health insurance in DE looks today. Get your facts straight about coverage here, in order to ensure you obtain the most suitable plan for yourself.

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Much lower uninsured rating

Insurance companies always take a close look at a certain location’s uninsured rating. Because of this, one city or county has premiums different from those of another area.

Statistically, rate increases happen annually. The difference lies in how big the increase is. In most cases, the lower the number of uninsured individuals is, the lower the hike. According to the U.S. Department of Health & Human Services, The First State, with an estimated population of 945,934 (2015, latest data), had a 3.8% decrease in its uninsured rating between 2010 and 2015. Put simply, 35,000 more people obtained coverage by the end of 2015.

The healthy lives of DE’s residents

Your health is not the only factor that determines your premiums. How healthy the other residents of the state also influence your rates. The good news is, Delaware has continued to show just how health-conscious its people are.  

In the 2015 Commonwealth Fund’s Scorecard on State Health System Performance, the state secured 15th place (out of 51). Its highest rankings (9th) were for the indicators “Access” (to health insurance) and “Prevention & Treatment.” Here are some of the study’s most notable findings:

  • Mortality amenable to healthcare: 85 out of 100,000 people
  • Breast cancer fatalities: 21.3 out of 100,000 women
  • Colorectal cancer fatalities: 13.8 out of 100,000 individuals
  • Percentage of adult smokers: 19%
  • Adult obesity: 31%
  • Obesity in children aged 10-17: 32%

The Commonwealth Fund also found out the following:

  • 10% of adults (19 to 64 years old) don’t have insurance, compared with the national average of 15%
  • 5% of children (infants to 18 years old) are uninsured, as opposed to the countrywide average of 6%
  • 11% of the adult population chose not to obtain insurance due to the high costs associated with it
  • 13% of adults had expensive out-of-pocket medical bills

The portion covered by insurers and what you’ll shoulder

When paying for medical and hospital bills, the amount your insurance provider will cover depends on the type of metal tier you have. You would then shoulder the remaining bill.

Bronze – 60%

Silver – 70%

Gold – 80%

Platinum – 90%

Every year, citizens of the United States can expect premium increases. However, how great the hike varies from state to state, city to city. To give you some idea on what to expect as your premium averages for this 2017, here are some projections from the United States Department of Health & Human Services:

  • Average lowest-cost, monthly premium within metal level: $534
  • Average net premium for lowest cost plan within metal tier: $184
  • Second-lowest silver before advance premium tax credit (for a 27-year old with a $25,000 household income): $347
  • Second-lowest silver after advance premium tax credit (for a 27-year old with a $25,000 household income): $142
  • Second-lowest silver before advance premium tax credit (for a family of four with a $60,000 household income): $1,257
  • Second-lowest silver before advance premium tax credit (for a family of four with a $60,000 household income): $405

Make sure you are adequately covered

You don’t want to become part of the uninsured statistics, what with medical and hospital costs continuously on the rise. Take the time to assess your personal needs and individual health, so that you can determine which of the four plans suits you best and will provide you with adequate coverage.