What should you expect when it comes to health care in Louisiana? According to a study by U.S. News, Louisiana has the fourth worst health care in the nation. That study considers access, quality, and good public health. But residents still have plenty of health care options.
According to the LA Department of Insurance, there are several ways for residents to get health care:
Where do most Louisianans get their health insurance coverage?
|Individual or family||5%|
|Source: Kaiser Family Foundation, Health Insurance Coverage of the Total Population|
Eight percent of LA residents have no insurance, just under the national average. That's good for policyholders, as the more uninsured people there are, the higher rates are for insured people.
LA is full of providers that offer individual and family plans. These are the top health insurance companies in the state:
Louisiana residents spend an average of $7,815 every year on health care, slightly less than the national average. What determines your health insurance cost? Monthly premiums differ person to person, mainly based on these factors:
The more health care coverage you want, the more you’ll pay in monthly premiums. Marketplace plans come in metal tiers: bronze, silver, gold, and platinum.
How much should you expect to pay for health insurance in LA? These are the average monthly premiums for a middle-aged, non-smoking state resident in 2020:
|Source: Kaiser Family Foundation, Change in Average Marketplace Premiums by Metal Tier|
Premiums for gold plans cost nearly 52 percent more than bronze plans. That price jump is because gold plans cover 80 percent of medical costs, whereas bronze plans cover 60 percent of costs.
You may also qualify for a catastrophic plan, the lowest level of coverage available. Catastrophic plans have low monthly premiums but a yearly deductible of $8,150. Because of that high deductible, it may actually save you money to invest in a bronze or silver plan.
Health insurance companies analyze your body mass to determine your risk-level. That’s because a high BMI can lead to serious health conditions. As a result, a high BMI also leads to high insurance rates.
In 2018, LA had a 35.9 percent obesity rate, the ninth highest rate in the nation. Of thousands of Louisianans who used QuoteWizard to compare health insurance plans, 38 percent have a BMI in the obese range.
Smokers pay more for health insurance because of the serious illnesses it causes. About 23.1 percent of LA residents are smokers, the third highest rate in the nation.
Health insurance plans for older people tend to cost up to three times more than for younger people. State residents who used QuoteWizard to shop for health insurance are, on average, 41 years old.
One of the most important factors in determining your health care prices is where you live. Every state has different rules, regulations, and providers surrounding their marketplace.
Health insurance rates are community-rated, which means costs are partly based on the combined claims everyone files. So, if a neighbor files a high number of claims, your prices could increase.
The health of your state also plays a role. According to America’s Health Rankings, LA is the second unhealthiest state in the country.
The Affordable Care Act aims to protect residents from unfair policy pricing. There are some factors that the ACA limits providers from considering while determining your rates.
There’s a limit to how much you can pay out-of-pocket for a marketplace plan. In 2020, the out-of-pocket maximum is $8,150 for an individual plan and $16,300 for a family plan.
Louisiana state law requires health insurance companies to offer at least some coverage for the following services:
There are additional services that insurers need to offer coverage for. Find the full list on cms.gov.
Medicare and Medicaid are both government-funded health care programs. They aim to offer affordable care for different groups of residents. Medicare helps seniors, whereas Medicaid aids low-income families and children.
Medicare aids LA residents 65 and older. There are several coverage options within Medicare. These options include parts A, B, C, D, and supplemental coverage plans. You may also be eligible for one of these Medicare Savings Programs with these income limits:
Medicaid aids low-income families and children. These are the state’s Medicaid financial requirements:
|Household Size||Maximum Yearly Income|
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