Is it really worth having private health insurance?

Asked by: Eusebio Hansen  |  Last update: December 1, 2025
Score: 4.1/5 (41 votes)

With private coverage, you can choose a plan that suits your budget and healthcare needs, providing stability for your family's health without relying on an employer's plan. Private health insurance can be a valuable investment for families, particularly when employer plans are costly or insufficient.

Is it better to get private health insurance?

Private health insurance may offer comprehensive coverage and faster access to care. However, it often comes with higher costs. On the other hand, public health insurance provides universal access and cost-effectiveness but may have limitations on choice and longer waiting times.

What are the disadvantages of private healthcare?

Disadvantages of private health insurance

Many individual policies can cost several hundred dollars a month, and family coverage can be even higher. And even the more comprehensive policies come with deductibles and copays that insureds must meet before their coverage kicks in.

Is it even worth having health insurance?

Health insurance provides important financial protection in case you have a serious accident or sickness. People without health coverage are exposed to these costs. This can sometimes lead people without coverage into deep debt or even into bankruptcy.

What does Dave Ramsey say about health insurance?

Dave recommends purchasing health insurance through your employer when possible to keep costs low. Compare options to find the best coverage for your needs. Choose a plan with a Health Savings Account to help you to put money away with tax benefits to cover medical costs.

Whiteboard Wednesdays: How health insurance works, and who needs it.

17 related questions found

What type of insurance does Suze Orman recommend?

One of my key life insurance rules is this: Stick with term life insurance. Unless you have someone in your family with special needs, there is typically no need to buy whole life, or universal life, which are referred to as “permanent” policies and cost a lot more.

How much of your income should go to health insurance?

No one eligible for our coverage will have to pay more than 8.5 percent of their overall household income for health insurance (unless you choose to sign up for a plan with richer benefits, like a Gold or Platinum plan).

Is it cheaper to not use health insurance?

People without insurance pay, on average, twice as much for care. This means when you use a network provider you pay less for the same services than someone who doesn't have coverage – even before you meet your deductible. Sometimes these savings are small.

How to live without medical insurance?

Being uninsured or underinsured does not mean there are no avenues to get health coverage. Hospitals that accept federal money must provide a certain amount of free or reduced fee care. Check with the hospital's financial aid department to see if you qualify for reduced or charity care.

Is Blue Cross Blue Shield private insurance?

Blue Cross Blue Shield is a private insurer that offers Medicare Advantage (Part C) plans. The plans they offer have various pros and cons, including cost and coverage.

What are the cons of private care?

One of the main drawbacks is that private practices can be more expensive for patients. They may also have longer wait times for appointments and treatments. Additionally, private practices may not have the same level of resources or access to specialists as hospitals or other healthcare facilities.

Is it better to have a private or public healthcare system?

While public healthcare is less costly to residents, people with public insurance tend to have fewer options for medical services. Private healthcare plans typically offer a wider range of included services, making it easier for policyholders to access the care they need.

What is the best health insurance company to go with?

Best Health Insurance Companies for 2025
  • Best Overall and Best for Self-Employed: Kaiser Permanente.
  • Best Widely Available Plans: UnitedHealthcare.
  • Best for Low Complaints and Best for Chronic Conditions: Aetna.
  • Most Affordable: Molina Healthcare.

Who benefits from private health insurance?

Employment: Individuals who are not eligible for employer-sponsored health insurance, or do not have access to a health insurance plan through their employer. Self-Employment: Individuals who are self-employed or have their own business.

Which health insurance company denies the most claims?

According to the analysis, AvMed and UnitedHealthcare tied for the highest denial rate, with both companies denying about a third of in-network claims for plans sold on the Marketplace in 2023, respectively.

Is $200 a month good for health insurance?

Health insurance that costs $200 per month is a good deal in California. Silver plans typically cost $513 per month for a 21-year-old or $656 per month for a 40-year-old. The best way to get cheap rates is to use health insurance subsidies, which lower the cost of an insurance plan based on your income.

Why do people avoid buying health insurance?

Cost is the most commonly cited reason for being uninsured. In 2023, 63.2% of uninsured adults ages 18-64 said they were uninsured because coverage is not affordable (Figure 7).

Can I pay out-of-pocket instead of using insurance?

You may choose not to use insurance if the service you need isn't covered, or it's less expensive if you pay out of pocket. In most cases, providers and facilities must give you an estimate when you schedule care at least 3 business days in advance, or if you ask for one.

Can I see a doctor without insurance?

Even if you don't have health insurance, it's still possible to see a healthcare provider; however, it may come at a fee. There are clinics that cater to the uninsured, known as cash-only clinics, concierge clinics, or direct care providers.

What is the 9.5 rule in Obamacare?

The 9.5% threshold for health insurance costs

The Health Reform bill established 9.5% as the amount of income used for health insurance beyond which, it would not be an affordable. This means that if you make $40K annually, the bill subsidizes health insurance premiums beyond just short of $4K.

What is the difference between a PPO and a HMO?

HMOs (health maintenance organizations) are typically cheaper than PPOs, but they tend to have smaller networks. You need to see your primary care physician before getting a referral to a specialist. PPOs (preferred provider organizations) are usually more expensive.