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Health Insurance Coverage in the United States: 2024

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Report Number: P60-288

Introduction

This report presents statistics on health insurance coverage in the United States based on information collected in the Current Population Survey Annual Social and Economic Supplement (CPS ASEC).

Highlights

  • In 2024, most people (92.0 percent or 310 million) had health insurance for some or all of the year.
  • In 2024, private health insurance coverage continued to be more prevalent than public coverage, at 66.1 percent and 35.5 percent, respectively.
  • Of the subtypes of health insurance coverage, employment-based insurance was the most common, covering 53.8 percent of the population for some or all of the calendar year, followed by Medicare (19.1 percent), Medicaid (17.6 percent), direct-purchase coverage (10.7 percent), TRICARE (2.8 percent), and VA and CHAMPVA coverage (1.2 percent).
  • The private coverage rate increased between 2023 and 2024 by 0.7 percentage points, driven by an increase in direct-purchase coverage.
  • The 2024 public coverage rate was 0.8 percentage points lower than the rate in 2023. This decrease was driven by a change in Medicaid coverage, which was 1.3 percentage points lower in 2024. Medicare coverage and VA and CHAMPVA coverage rates both increased between 2023 and 2024.
  • In 2024, private coverage rates for children under the age of 19 (63.0 percent) and for adults aged 19 to 64 (74.0 percent) increased from 61.2 percent and 73.1 percent in 2023, respectively. Public coverage rates decreased for both age groups. For children, the public coverage rate was 34.2 percent in 2024, down from 36.2 percent in 2023.

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Source Information

Information on confidentiality protection, sampling error, nonsampling error, and definitions is available at https://www2.census.gov/programs-surveys/cps/techdocs/cpsmar25.pdf.

The U.S. Census Bureau has reviewed this data product to ensure appropriate access, use, and disclosure avoidance protection of the confidential source data used to produce this product (Data Management System (DMS) number: P-7534374; Disclosure Review Board (DRB) approval number: CBDRB-FY25-0382).

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Page Last Revised - September 11, 2025