How Health Insurance Coverage In Missouri Compares To Other States New


The share of Americans under 65 without health insurance declined each year between 2010, when the Affordable Care Act was enacted, and 2016, when President Barack Obama left. Although the U.S. uninsured rate among Americans under 65 has increased over the years since, it remains well below reported figures of 17% and above in the years leading up to the ACA. .

Without a universal health care program, most Americans under 65 – the age of Medicare eligibility – have employer-sponsored health insurance coverage. Under this system, 10.8% of Americans under 65, or roughly 29 million people, had no health insurance in 2019 – and that was before the COVID-19 pandemic hit. puts more than 22 million Americans out of work.

While most of those jobs have since been reinstated, the official uninsured rate for Americans under 65 for 2020 is likely to be higher than the rate for 2019.

In Missouri, an estimated 598,500 residents do not have health insurance coverage, or 12.0% of the uninstitutionalized population under 65, the 15th highest uninsured rate among states .

Statewide, 63.3% of the population under 65 have employer-based insurance, compared to 60.0% of the same age group nationally. Another 15.6% of the population under 65 in the state is insured by Medicaid, and 9.3% have purchased their own insurance directly – compared to national rates of 21.0% and 9.7% , respectively.

Rankings in this story are based on one-year estimates of the percentage of Americans under 65 without health insurance from the 2019 American Community Survey from the U.S. Census Bureau.

Rank State Pop. under 65 without insurance Pop. under 65 with employer insurance Pop. under 65 with insurance taken out directly Pop. under 65 with Medicaid
50 Massachusetts 3.5% 68.1% 10.2% 23.0%
49 Rhode Island 4.8% 66.8% 11.7% 21.6%
48 Hawaii 5.0% 66.9% 9.9% 19.5%
47 Vermont 5.6% 60.6% 10.3% 25.8%
46 Minnesota 5.8% 69.8% 8.4% 18.9%
45 Iowa 6.0% 67.6% 8.5% 21.3%
44 new York 6.1% 60.2% 10.8% 26.9%
43 Wisconsin 6.8% 69.5% 8.8% 17.6%
41 – tied Maryland 6.9% 65.6% 9.3% 19.6%
41 – tied Michigan 6.9% 63.7% 8.9% 23.8%
39 – tied Pennsylvania 7.0% 65.1% 9.2% 22.0%
39 – tied Connecticut 7.0% 64.2% 8.5% 23.2%
38 New Hampshire 7.6% 68.8% 9.1% 14.6%
36 – tied Kentucky 7.7% 57.1% 7.3% 28.3%
36 – tied Washington 7.7% 63.7% 8.3% 21.4%
35 Ohio 7.8% 64.4% 7.3% 22.2%
33 – tied North Dakota 8.1% 68.3% 13.6% 12.4%
33 – tied Delaware 8.1% 63.6% 8.3% 23.0%
32 West Virginia 8.3% 57.4% 5.7% 30.0%
30 – tied Oregon 8.6% 61.4% 9.4% 23.0%
30 – tied Illinois 8.6% 64.9% 8.3% 19.7%
29 California 8.9% 56.9% 10.4% 26.4%
28 New Jersey 9.2% 66.4% 8.7% 17.4%
26 – tied Virginia 9.3% 64.4% 9.3% 14.5%
26 – tied Colorado 9.3% 62.4% 10.5% 18.1%
25 Nebraska 9.8% 67.2% 12.1% 13.4%
24 Maine 10.1% 61.4% 10.5% 20.2%
23 Montana 10.2% 55.0% 13.6% 23.6%
22 Indiana 10.3% 64.4% 7.8% 19.1%
21 Louisiana 10.5% 50.9% 8.4% 31.6%
20 Utah 10.8% 68.8% 12.5% 9.8%
18 – tied Kansas 10.9% 66.4% 10.1% 14.3%
18 – tied Arkansas 10.9% 51.4% 9.1% 29.1%
17 Alabama 11.7% 58.2% 9.7% 20.8%
15 – tied New Mexico 12.0% 46.1% 7.6% 37.0%
15 – tied Missouri 12.0% 63.3% 9.3% 15.6%
14 Tennessee 12.1% 58.4% 9.6% 21.0%
13 South Dakota 12.2% 61.8% 12.8% 14.2%
12 Idaho 12.8% 58.7% 12.9% 17.3%
11 Caroline from the south 13.2% 57.0% 10.1% 20.2%
9 – tied North Carolina 13.4% 56.7% 10.7% 19.2%
9 – tied Nevada 13.4% 59.4% 8.7% 18.9%
8 Arizona 13.6% 56.2% 8.5% 22.8%
7 Alaska 13.9% 55.0% 6.4% 22.8%
6 Wyoming 14.8% 62.6% 10.8% 12.3%
5 Mississippi 15.4% 50.9% 8.6% 25.1%
4 Georgia 15.5% 58.1% 9.2% 17.5%
3 Florida 16.3% 51.4% 14.2% 18.1%
2 Oklahoma 16.8% 54.8% 9.3% 18.7%
1 Texas 20.8% 54.8% 8.6% 16.2%

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