How To Find the Best Health Insurance in Kentucky

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Compare quotes from multiple carriers to find the best Kentucky health insurance rate for coverage that meets your needs. While the "Bluegrass" State has no tax penalty or fines for going without health insurance, buying health coverage can help you avoid overwhelming medical bills and the risk of medical debt if you get injured and require rehabilitative treatment or develop a serious illness.

Keep reading to learn about Kentucky health insurance, the most affordable plans, the cost in some of the state's largest cities and the available health care options.

Key Takeaways

  • The average monthly cost of a benchmark Marketplace health plan is $431 in Kentucky.
  • Kentucky doesn’t levy any penalties or fines for not having health insurance coverage.
  • Ambetter typically offers the cheapest silver plan, though other carriers may offer additional benefits, such as a more extensive network.
  • Open enrollment in Kentucky lasts from November 1st to January 15th, with coverage starting on January 1st if you select a plan by December 15th.
  • Kentucky’s Medicaid program offers financial assistance for healthcare to qualifying individuals below a certain income level and meet other requirements.

Is Health Insurance Required in Kentucky?

The Affordable Care Act (ACA) initially enforced a federal tax penalty on individuals who did not enroll in a qualified health insurance plan but as of the 2018 tax year, this penalty no longer applies.[1] While some states still carry fines for not having health insurance coverage as a resident, Kentucky won’t tax or fine you for forgoing coverage.[2]

Kentucky Health Insurance Rankings

The Commonwealth Fund ranked Kentucky 40 out of 51 in an analysis that took a holistic look at the health care systems in each U.S. state and Washington, D.C. Kentucky notably ranked 49th in terms of healthy lives for its residents and 26th, the state’s highest score, in racial and ethnic health equity. When considering all metrics, the state ranked fifth among the 12 Southeastern states.[3]

Below is an overview of Kentucky’s national rank in each of the dimensions analyzed by the Commonwealth Fund:[3]

Dimension

National Rank

Reproductive & Women’s Health

35

Access & Affordability

30

Prevention & Treatment

33

Avoidable Hospital Use & Cost

38

Healthy Lives

49

Income Disparity

39

Racial & Ethnic Health Equity

26

How Much Does Health Insurance Cost in Kentucky?

KY Monthly Premium for Lowest-Cost Plan by Metal Tier

Kentucky Marketplace benchmark plans cost $431 per month on average, which is less expensive than the nationwide average of $477 per month. On average, Kentucky residents pay a monthly premium of $361 for the lowest-cost bronze plan in the state, $421 for the lowest-cost silver plan and $463 for the lowest-cost gold plan.[4]

Average Cost Benchmark Premium by State

Cheapest Health Insurance Options in Kentucky

Bronze-tier Marketplace plans have the lowest monthly health insurance premiums in Kentucky but often come with higher deductibles, copays and coinsurance. This may be fine if you do not visit the doctor often but if you do require frequent or extensive medical care, then a gold or platinum plan may be a better fit. You may have to pay a higher premium but the out-of-pocket cost for visiting the doctor or refilling a prescription will be lower.

health insurance tiers

Plans are often divided into health maintenance organization (HMO) plans or preferred provider organizations (PPO) plans (although there are certainly more types of plans). Despite typically having lower monthly premiums, HMOs often have fewer benefits than PPOs. For example, seeing a specialist with an HMO plan may require a referral from your primary care doctor and your in-network options could be more limited.

Which Health Insurance Companies Are the Most Affordable in Kentucky?

Ambetter offers the most affordable health insurance silver-tier plans in the majority of Kentucky’ counties. Depending on your health status and coverage needs, Anthem, which is part of Blue Cross Blue Shield, may offer access to more benefits with one of the country's most extensive networks of physicians.[5]

Below is an overview of Kentucky health insurers selling silver plans that cost below $800 per month for 40-year-olds.[5]

Health Insurance Company

Average Premium

Ambetter

$362 to $558

Passport Health Plan

$406 to $542

Anthem

$411 to $636

CareSource

$451 to $731

When Is Open Enrollment for Health Insurance in Kentucky?

Kentucky residents can enroll in health insurance in their state’s Marketplace plan via kynect.ky.gov during the designated open enrollment period from November 1 to January 15.[6] To guarantee coverage starting January 1, ensure you choose a health insurance plan by December 15. If you wait until after that date to confirm a selection, your coverage won’t begin until February 1.[7]

Specific qualifying life events may initiate a special enrollment period, enabling you to enroll outside the open enrollment timeframe. These events include moving to a new address, getting married, having and adopting children or losing employer-sponsored health insurance. This special enrollment period generally spans 60 days before or after the qualifying event.[8]

What Types of Health Insurance Are Available in Kentucky?

Some of the major types of medical insurance you can purchase in Kentucky include the following:

How To Get Health Insurance in Kentucky

Getting the best deal on individual or family health insurance requires comparing health insurance quotes to understand your options and find what works based on your needs. Get quotes from three to five insurance companies to ensure you have enough variety. However, sorting through each insurance carrier option one by one can become tedious.

Using an insurance marketplace like SmartFinancial can help save you time and effort in getting health insurance coverage. After you complete a brief questionnaire, we'll match you with a licensed insurance agent to find affordable health plans that meet your needs. Click here for a free Kentucky health insurance quote!

Get a Free Quote for Kentucky Health Insurance Today!

FAQs

Is health insurance expensive in Kentucky?

No, in 2024, the average monthly cost of health insurance Marketplace plans in Kentucky is $46 less than the national average.[4]

Is Medicare available in Kentucky?

Yes, you can enroll in Original Medicare or Medicare Advantage plans in Kentucky if you meet the eligibility requirements.

Have health insurance rates gone up in Kentucky?

Yes, the average benchmark premium in Kentucky increased by $44 between 2022 and 2024.[4]

What happens if I don’t sign up for health insurance in Kentucky?

Kentucky has no fines for not having health insurance but any medical bills without coverage will likely need to be paid out of pocket. If you don’t enroll in a plan, you must wait until the next open enrollment period (November 1 to January 15) unless you qualify for a special enrollment period.[7]

Is there access to free health care in Kentucky?

Kentucky’s Medicaid services program provides financial assistance for eligible low-income individuals, caretakers, pregnant and postpartum women, people with disabilities and the elderly. Children under 19 whose families have an income level that excludes them from Medicaid coverage may be qualified for KCHIP.[9]

Sources

  1. HealthCare.gov. “Exemptions from the Fee for Not Having Coverage.” Accessed Oct. 2, 2024.
  2. VeryWell Health. “Is There a Penalty for Being Uninsured in 2024?” Accessed Oct. 2, 2024.
  3. Commonwealth Fund. “2023 Scorecard on State Health System Performance: Kentucky,” Page 1. Accessed Oct. 2, 2024.
  4. KFF. “Average Marketplace Premiums by Metal Tier, 2018-2024.” Accessed Oct. 2, 2024.
  5. ValuePenguin. “Best Cheap Health Insurance in Kentucky.” Accessed Oct. 2, 2024.
  6. Anthem. “Open Enrollment for Health Insurance 2025.” Accessed Oct. 2, 2024.
  7. HealthCare.gov. “Mark Your Calendar with Key Open Enrollment Dates” Accessed Oct. 2, 2024.
  8. HealthCare.gov. “Special Enrollment Period (SEP).” Accessed Oct. 2, 2024.
  9. Kynect Benefits. “Kentucky Medicaid, KCHIP & APTC.” Accessed Oct. 2, 2024.

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