Demographic Variation in Health Insurance Coverage: United States, 2020
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Demographic Variation in Health Insurance Coverage: United States, 2020

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      Objectives—This report presents national estimates of different types of health insurance coverage and lack of coverage (uninsured). Estimates are presented by selected sociodemographic characteristics, including age, sex, race and Hispanic origin, family income, education level, employment status, and marital status.

      Methods—Data from the 2020 National Health Interview Survey were used to estimate health insurance coverage. Estimates were categorized by selected sociodemographic characteristics. Additionally, estimates for uninsured people were categorized by length of time since they had coverage, private coverage was further classified by source of plan, and public coverage was categorized by type of public plan.

      Results—In 2020, 31.6 million (9.7%) people of all ages were uninsured at the time of the interview. This includes 31.2 million (11.5%) people under age 65. Among children, 3.7 million (5.0%) were uninsured, and among working-age adults (aged 18–64), 27.5 million (13.9%) were uninsured. Among people under age 65, 64.3% were covered by private health insurance, including 56.6% with employment-based coverage and 6.7% with directly purchased coverage. Moreover, 4.0% were covered by exchange-based coverage, a type of directly purchased coverage. Among people under age 65, about two in five children and one in five adults were covered by public health coverage, mainly by Medicaid and the Children’s Health Insurance Program (CHIP). Among adults aged 65 and over, the percentage who were covered by private health insurance (with or without Medicare), Medicare Advantage, and traditional Medicare only varied by age, family income level, education level, and race and Hispanic origin.

      Suggested citation: Cha AE, Cohen RA. Demographic variation in health insurance coverage: United States, 2020. National Health Statistics Reports; no 169. Hyattsville, MD: National Center for Health Statistics. 2022. DOI:

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