Health Insurance Coverage in the United States: 2021

Introduction
This report presents data on health insurance coverage in the United States based on information gathered in the Current Population Survey Annual Social and Economic Supplement (CPS-ASEC).
Highlight
In 2021, 8.6 percent of the population, or 28.0 million, did not have health insurance at any time during the year.
The percentage of people with health insurance coverage for all or part of 2021 was 91.4.
In 2021, private health insurance coverage remained more prevalent than public coverage at 66.5 percent and 34.8 percent, respectively. Among the subtypes of health insurance coverage, employment-based insurance was most common, covering 54.4 percent of the population for some or all of the calendar year, followed by Medicare (18.4 percent), Medicaid (17.8 percent), direct-purchase coverage, and Medicaid (17.8 percent). (10.5 percent), TRICARE (2.8 percent), and civilian health and medical programs of the Department of Veterans Affairs (VA) or Department of Veterans Affairs (Champawa) coverage (0.9 percent).
Between 2018 and 2021, the rate of private health insurance coverage declined by 0.8 percentage points to 66.5 percent, with employment-based coverage declining by 0.7 percent to 54.4 percent.
Between 2018 and 2021, the rate of public health insurance coverage increased by 0.4 percentage points to 34.8 percent.
In 2021, 87.0 percent of full-time, year-round workers had private insurance coverage, up from 85.1 percent in 2018. In contrast, those who worked full-time, less than a year, were less likely to be covered by private insurance. in 2021 as compared to 2018 (68.5 percent in 2018 and 66.7 percent in 2021).
More children under the age of 19 were uninsured in poverty in 2020 than in 2015. The uninsured poverty rate for children under the age of 19 rose 1.6 percentage points to 9.3 percent.

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