We care about Aflac’s policyholders affected by the recent weather:
To help provide relief for California policyholders residing in Humboldt, Mendocino, Modoc, Napa, Shasta, Sonoma, and Trinity Counties affected by the winter storms, Aflac will provide a premium grace period starting Jan. 31, 2025, and ending Sept. 29, 2025. This grace period also provides an extension of filing deadlines for claims and leniency for any other action required under the policy. Aflac will provide a replacement copy of the policy upon request by the policyholder.
For Network Dental and Vision Members:
This grace period also provides an extension of filing deadlines for claims; relaxation of prior authorization, precertification, and referral requirements; access to appropriate out-of-network providers due to unavailability on in-network providers or the members’ displacement; and leniency for any other action required under the certificate. A replacement copy of the certificate will be provided upon request by the certificate holder. Affected members should contact Aflac Benefit Solutions (formerly Argus Dental and Vision) at 855-819-1873, Option 1, for assistance.
We care about Aflac’s policyholders affected by the recent weather:
To help provide relief for North Dakota policyholders residing in North Dakota who were affected by the severe summer storms and tornadoes, Aflac will provide a premium grace period starting June 21, 2025, and ending Aug. 20, 2025. This grace period also provides an extension of filing deadlines for claims and leniency for any other action required under the policy. Aflac will provide a replacement copy of the policy upon request by the policyholder.
For Network Dental and Vision Members:
This grace period also provides an extension of filing deadlines for claims; relaxation of prior authorization, precertification, and referral requirements; access to appropriate out-of-network providers due to unavailability on in-network providers or the members’ displacement; and leniency for any other action required under the certificate. A replacement copy of the certificate will be provided upon request by the certificate holder. Affected members should contact Aflac Benefit Solutions (formerly Argus Dental and Vision) at 855-819-1873, Option 1, for assistance.
We care about Aflac’s policyholders affected by the recent wildfires:
To help provide relief for Oregon policyholders residing in Oregon who were affected by the wildfires, Aflac will provide a premium grace period starting July 16, 2025, and ending Sept. 15, 2025. This grace period also provides an extension of filing deadlines for claims and leniency for any other action required under the policy. Aflac will provide a replacement copy of the policy upon request by the policyholder.
For Network Dental and Vision Members:
This grace period also provides an extension of filing deadlines for claims; relaxation of prior authorization, precertification, and referral requirements; access to appropriate out-of-network providers due to unavailability on in-network providers or the members’ displacement; and leniency for any other action required under the certificate. A replacement copy of the certificate will be provided upon request by the certificate holder. Affected members should contact Aflac Benefit Solutions (formerly Argus Dental and Vision) at 855-819-1873, Option 1, for assistance.
We care about Aflac’s policyholders affected by the recent wildfires:
To help provide relief for Oregon policyholders residing in Crook County who were affected by the wildfires, Aflac will provide a premium grace period starting July 12, 2025, and ending Sept. 10, 2025. This grace period also provides an extension of filing deadlines for claims and leniency for any other action required under the policy. Aflac will provide a replacement copy of the policy upon request by the policyholder.
For Network Dental and Vision Members:
This grace period also provides an extension of filing deadlines for claims; relaxation of prior authorization, precertification, and referral requirements; access to appropriate out-of-network providers due to unavailability on in-network providers or the members’ displacement; and leniency for any other action required under the certificate. A replacement copy of the certificate will be provided upon request by the certificate holder. Affected members should contact Aflac Benefit Solutions (formerly Argus Dental and Vision) at 855-819-1873, Option 1, for assistance.
We care about Aflac’s policyholders affected by the recent flooding:
To help provide relief for Texas policyholders and/or certificate holders residing in Bandera, Bexar, Burnet, Caldwell, Coke, Comal, Concho, Gillespie, Guadalupe, Kendall, Kerr, Kimble, Llano, Mason, McCulloch, Menard, Reeves, San Saba, Tom Green, Travis, and Williamson counties who were affected by the flooding, Aflac will provide an extended premium grace period starting July 2, 2025, and ending Sept. 8, 2025. This grace period also includes an extension of filing deadlines for claims and leniency for any other actions required under the policy and/or certificate. Aflac will provide a replacement copy of the policy and/or certificate upon request by the policyholder and/or certificate holder.
For Network Dental and Vision Members:
This grace period also includes an extension of filing deadlines for claims; temporary relaxation of prior authorization, precertification, and referral requirements; access to appropriate out-of-network providers due to unavailability of in-network providers or member displacement; and leniency for any other actions required under the certificate.
Affected members should contact Aflac Benefits Solutions (formerly Argus Dental and Vision) at 855-819-1873, option 1, for assistance.
We care about Aflac’s policyholders affected by the recent wildfires:
To help provide relief for Oregon policyholders residing in Klamath County who were affected by the wildfires, Aflac will provide a premium grace period starting July 8, 2025, and ending Sept. 08, 2025. This grace period also provides an extension of filing deadlines for claims and leniency for any other action required under the policy. Aflac will provide a replacement copy of the policy upon request by the policyholder.
For Network Dental and Vision Members:
This grace period also provides an extension of filing deadlines for claims; relaxation of prior authorization, precertification, and referral requirements; access to appropriate out-of-network providers due to unavailability on in-network providers or the members’ displacement; and leniency for any other action required under the certificate. A replacement copy of the certificate will be provided upon request by the certificate holder. Affected members should contact Aflac Benefit Solutions (formerly Argus Dental and Vision) at 855-819-1873, Option 1, for assistance.
We care about Aflac’s policyholders affected by the recent wildfires:
To help provide relief for Oregon policyholders residing in Umatilla County who were affected by the wildfires, Aflac will provide a premium grace period starting July 2, 2025, and ending Sept. 02, 2025. This grace period also provides an extension of filing deadlines for claims and leniency for any other action required under the policy. Aflac will provide a replacement copy of the policy upon request by the policyholder.
For Network Dental and Vision Members:
This grace period also provides an extension of filing deadlines for claims; relaxation of prior authorization, precertification, and referral requirements; access to appropriate out-of-network providers due to unavailability on in-network providers or the members’ displacement; and leniency for any other action required under the certificate. A replacement copy of the certificate will be provided upon request by the certificate holder. Affected members should contact Aflac Benefit Solutions (formerly Argus Dental and Vision) at 855-819-1873, Option 1, for assistance.
We care about Aflac’s policyholders affected by the recent wildfires:
To provide relief for New Mexico policyholiders and/or certificate holders residing in Grant County and affected by the Trout Fire, Aflac will provide the following protections for policyholders and/or certificate holders: Provide an extended premium grace period from Thursday, Jun. 12, 2025 through Monday, Sep. 15, 2025. Offer policyholders and/or certificate holders a payment plan of no less than six (6) months if unable to pay the delinquency after the extended day grace period (This applies to all coverages except life.). Work with policyholders and/or certificate holders on premium payments to prevent lapse and cancellation of policies. Waive late fees and penalties. Waive early refill time limits on active prescriptions. Allow additional time for actions required under the policy and/or certificate and the submission of documents due to limited access to service and mobility. Provide an extension of filing deadlines for claims and leniency for any other action required under the policy and/or certificate. Provide a copy of the policy and/or certificate to the policyholder and/or certificate holder upon request.
In addition to the above, Aflac through Aflac Benefits Solutions will provide the following protections for Network Dental and Vision members and providers: Waive cost sharing and deductibles. Permit one eyeglass or contact lens replacement and one hearing aid replacement during the pendency of the Emergency Order, waiving frequency limitations. Permit one replacement for dentures or other prosthodontic devices during the pendency of this Emergency Order, waiving frequency limits. Waive additional fees, charges, referrals, eligibility and prior authorization requirements for medically necessary services, whether emergent or not. This applies to benefits and services obtained from both in- and out-of-network providers. Extend medical providers' reporting requirements for claims submissions and for additional information relating to claims. Fully reimburse out-of-network providers at the usual, customary, and reasonable rate.
Affected members should contact Aflac Dental and Vision (formerly Argus Dental and Vision) at 855-819-1873, option 1, for assistance.
We care about Aflac’s policyholders affected by the recent wildfires:
To help provide relief for Oregon policyholders residing in Jefferson County who were affected by the wildfires, Aflac will provide a premium grace period starting June 16, 2025, and ending Aug. 18, 2025. This grace period also provides an extension of filing deadlines for claims and leniency for any other action required under the policy. Aflac will provide a replacement copy of the policy upon request by the policyholder.
For Network Dental and Vision Members:
This grace period also provides an extension of filing deadlines for claims; relaxation of prior authorization, precertification, and referral requirements; access to appropriate out-of-network providers due to unavailability on in-network providers or the members’ displacement; and leniency for any other action required under the certificate. A replacement copy of the certificate will be provided upon request by the certificate holder. Affected members should contact Aflac Benefit Solutions (formerly Argus Dental and Vision) at 855-819-1873, Option 1, for assistance.
We care about Aflac’s policyholders affected by the recent wildfires:
To help provide relief for California policyholders residing in Los Angeles County affected by the wildfires, Aflac will provide a premium grace period starting Dec. 9, 2024, and ending Aug. 18, 2025. This grace period also provides an extension of filing deadlines for claims and leniency for any other action required under the policy. Aflac will provide a replacement copy of the policy upon request by the policyholder.
For Network Dental and Vision Members:
This grace period also provides an extension of filing deadlines for claims; relaxation of prior authorization, precertification, and referral requirements; access to appropriate out-of-network providers due to unavailability on in-network providers or the members’ displacement; and leniency for any other action required under the certificate. A replacement copy of the certificate will be provided upon request by the certificate holder. Affected members should contact Aflac Benefit Solutions (formerly Argus Dental and Vision) at 855-819-1873, Option 1, for assistance.
We care about Aflac’s policyholders affected by the recent wildfires:
To help provide relief for Oregon policyholders residing in Wasco County who were affected by the wildfires, Aflac will provide a premium grace period starting June 11, 2025, and ending Aug. 11, 2025. This grace period also provides an extension of filing deadlines for claims and leniency for any other action required under the policy. Aflac will provide a replacement copy of the policy upon request by the policyholder.
For Network Dental and Vision Members:
This grace period also provides an extension of filing deadlines for claims; relaxation of prior authorization, precertification, and referral requirements; access to appropriate out-of-network providers due to unavailability on in-network providers or the members’ displacement; and leniency for any other action required under the certificate. A replacement copy of the certificate will be provided upon request by the certificate holder. Affected members should contact Aflac Benefit Solutions (formerly Argus Dental and Vision) at 855-819-1873, Option 1, for assistance.
We care about Aflac’s policyholders affected by the recent weather:
To help provide relief for Maryland policyholders residing in Allegany and Garrett Counties affected by the flooding, Aflac will provide a premium grace period starting May 13, 2025, and ending July 14, 2025. This grace period also provides an extension of filing deadlines for claims and leniency for any other action required under the policy. Aflac will provide a replacement copy of the policy upon request by the policyholder.
For Network Dental and Vision Members:
This grace period also provides an extension of filing deadlines for claims; relaxation of prior authorization, precertification, and referral requirements; access to appropriate out-of-network providers due to unavailability on in-network providers or the members’ displacement; and leniency for any other action required under the certificate. A replacement copy of the certificate will be provided upon request by the certificate holder. Affected members should contact Aflac Benefit Solutions (formerly Argus Dental and Vision) at 855-819-1873, Option 1, for assistance.
We care about Aflac’s policyholders affected by the recent weather:
To help provide relief for California policyholders residing in Trinity County affected by the Dec. 15, 2024, and Dec. 29, 2024, winter storms, Aflac will provide billing leniency for impacted insureds, an extension of filing deadlines for claims and leniency for any other action required under the policy. Aflac will provide a replacement copy of the policy upon request by the policyholder. Affected members should contact Aflac at 800-992-3522 for assistance.
For Network Dental and Vision Members:
This also provides an extension of filing deadlines for claims and leniency for any other action required under the certificate. Affected members are not required to obtain prior approval when accessing appropriate out-of-network providers when in-network providers are unavailable. The cost-sharing for out-of-network will be in amount equal to cost-sharing affected members would have paid for the provision of that service in-network. A replacement copy of the certificate will be provided upon request by the certificate holder. Affected members should contact Aflac Benefit Solutions (formerly Argus Dental and Vision) at 855-819-1873, Option 1, for assistance.
We care about Aflac’s policyholders affected by the recent levee failure:
To help provide relief for California policyholders residing in San Joaquin County affected by the Oct. 21, 2024, Victoria Island Levee failure, Aflac will provide billing leniency for impacted insureds, an extension of filing deadlines for claims and leniency for any other action required under the policy. Aflac will provide a replacement copy of the policy upon request by the policyholder. Affected members should contact Aflac at 800-992-3522 for assistance.
For Network Dental and Vision Members:
This also provides an extension of filing deadlines for claims and leniency for any other action required under the certificate. Affected members are not required to obtain prior approval when accessing appropriate out-of-network providers when in-network providers are unavailable. The cost-sharing for out-of-network will be in amount equal to cost-sharing affected members would have paid for the provision of that service in-network. A replacement copy of the certificate will be provided upon request by the certificate holder. Affected members should contact Aflac Benefit Solutions (formerly Argus Dental and Vision) at 855-819-1873, Option 1, for assistance.
We care about Aflac’s policyholders affected by the recent wildfires:
To help provide relief for California policyholders residing in Los Angeles and Ventura Counties affected by the wildfires, Aflac will provide billing leniency for impacted insureds, an extension of filing deadlines for claims and leniency for any other action required under the policy. Aflac will provide a replacement copy of the policy upon request by the policyholder. Affected members should contact Aflac at 800-992-3522 for assistance.
For Network Dental and Vision Members:
This also provides an extension of filing deadlines for claims and leniency for any other action required under the certificate. Affected members are not required to obtain prior approval when accessing appropriate out-of-network providers when in-network providers are unavailable. The cost-sharing for out-of-network will be in amount equal to cost-sharing affected members would have paid for the provision of that service in-network. A replacement copy of the certificate will be provided upon request by the certificate holder. Affected members should contact Aflac Benefit Solutions (formerly Argus Dental and Vision) at 855-819-1873, Option 1, for assistance.
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Health insurance costs can range vastly from state to state.1 Where you live, state and federal laws, income level, age, tobacco use and the specific type of health insurance plan you choose all influence the overarching cost.1 Let’s dive deeper into how health insurance works, how much it costs on average, and what can affect the cost you’ll pay.
Table of Contents
In a nutshell, policyholders pay a health insurance company a monthly premium in exchange for protection against the high costs of medical care. It can be expensive to pay healthcare bills entirely out-of-pocket.
In some instances, certain groups of people are given access to less expensive government healthcare options, depending on age and income level. For example, those over 65 are usually covered by Medicare, while lower-income individuals may qualify for Medicaid.3 If you think you fall into one of these categories, we recommend doing further research to explore your health insurance options.
Medicaid and Medicare are considered public healthcare options because the government offers them. If you do not fall into one of these categories, you may need to consider the costs of private health insurance. You also may be able to get health insurance through your employer, depending on where you work. In this instance, health insurance payments may be taken out of your paycheck directly.
Premiums aren’t the only cost that can influence how much health insurance is. Let’s review a few more terms to understand what influences the cost of health insurance.
As stated earlier, premium payments vary from plan to plan and keep the health insurance benefits active—even if a claim isn’t currently being made. They function similarly to how home and auto insurance premiums do4
The deductible is the amount of money the health insurance requires you to pay out-of-pocket before your health insurance benefits are accessible. The deductible usually starts over at the beginning of every coverage year.5 Deductibles can range from hundreds to thousands of dollars, so we recommend looking closely at each health insurance plan you are considering.
Copays are a certain dollar value that you agree to pay for healthcare and can help prevent you from paying the entire bill out-of-pocket without any insurance. Copays vary depending on if you are getting preventative care, seeing a specialist, or taking a prescription medication. $26 is the average copay for primary care visits and $44 is the average copay for specialist visits.6
Depending on the health insurance plan you choose, you may be able to start receiving the benefit of copays before the deductible is met. In other cases, you may be required to meet the deductible entirely before copays are accessible.
On the other hand, coinsurance is a certain percentage you agree to pay for healthcare. Percentages vary depending on the type of healthcare you are receiving. Sometimes you will have to pay coinsurance and copays for the same visit, depending on what takes place and what your plan states.7
For example, your health insurance company may agree to pay for 80% of the bill and expect you to pay the remaining 20%. If your doctor’s visit costs $300, your insurance would pay $240, and you would pay the remaining $60. Percentage breakdowns vary from plan to plan.
The maximum-out-pocket limit is the most amount of money you will pay for healthcare in a coverage year before your health insurance starts paying for everything.
At public health insurance companies, the maximum out-of-pocket limit is protected by the Affordable Care Act and changes every year. As of 2025, the limit is $9,200 for individuals and $18,400 for families.8 At private health insurance companies, there may be fewer restrictions around this value. We recommend looking at the fine print within each health insurance plan.
A handful of factors will influence how much health insurance costs for you.
Don’t wait until it’s too late. Help cover yourself and your family with coverage from Aflac.
Get StartedThe average health insurance cost isn’t the most helpful analysis since there is so much variety from state to state. However, we understand it’s important to have baseline numbers to consider. Here are a few important values that may help you gauge potential payments:
Health insurance premium prices are usually higher for families than individuals, so that is another crucial factor to consider. For more information regarding the average costs of health insurance, we recommend researching the state you live in and your age.
You can visit the Affordable Care Act (ACA) health insurance marketplace website to find affordable health insurance if you meet the income requirements. Simply go to the website and enter information about your household income and family size in order to find the right plan for you. The ACA marketplace will also let you know if you qualify for Medicaid.
Once you’ve found a health insurance plan that works for you, it’s not uncommon to be left with large chunks of money expected to be paid out-of-pocket.
Aflac offers supplemental insurance that works with your primary health insurance plan to help pay for the costs associated with some surgeries, medication, treatment plans, hospital visits and therapy, depending on the plan you choose. Learn more about our insurance plans so you can maximize your coverage.
Get Started
Medicare, Medicaid, and private health insurance each come with pros and cons. Learn the differences between them to choose the right plan for your needs.
Comparing health insurance can help you choose the right plan and rates for you. Learn how health insurance works and how to compare insurance plans and rates.
Medicare, Medicaid, and private health insurance each come with pros and cons. Learn the differences between them to choose the right plan for your needs.
Comparing health insurance can help you choose the right plan and rates for you. Learn how health insurance works and how to compare insurance plans and rates.
1 Investopedia - How Much Does Health Insurance Cost? Updated April 15, 2025. https://www.investopedia.com/how-much-does-health-insurance-cost-4774184. Accessed April 22, 2025.
2 KFF - Medicaid 101. Updated May 28, 2024. https://www.kff.org/health-policy-101-medicaid/?entry=table-of-contents-introduction. Accessed April 22, 2025.
3 US Department of Health and Human Services - Who is eligible for Medicare. Updated December 8, 2022. https://www.hhs.gov/answers/medicare-and-medicaid/who-is-eligible-for-medicare/index.html. Accessed April 22, 2025.
4 The Zebra - Car Insurance vs. Health Insurance: Which to Use After an Accident. Updated April 21, 2025. https://www.thezebra.com/auto-insurance/insurance-guide/car-insurance-vs-health-insurance/. Accessed April 22, 2025.
5 GoodRX - Does Your Health Insurance Deductible Reset Every Year? Updated October 18, 2023. https://www.goodrx.com/insurance/health-insurance/annual-deductible-reset. Accessed April 22, 2025.
6 GoodRX - Coinsurance vs. Copays: What’s the Difference? Updated April 22, 2024. https://www.goodrx.com/insurance/health-insurance/coinsurance-vs-copay-deductible-out-of-pocket-maximum. Accessed April 22, 2025.
7 PlushCare - Copay vs Coinsurance. Updated January 8, 2025. https://plushcare.com/blog/copay-vs-coinsurance/. Accessed April 22, 2025.
8 HealthCare.gov – Out-of-pocket maximum/limit.https://www.healthcare.gov/glossary/out-of-pocket-maximum-limit. Accessed April 22, 2025.
9 Money Geek - The Average Cost of Health Insurance in 2025. Updated January 9, 2025. https://www.moneygeek.com/insurance/health/average-cost-of-health-insurance/. Accessed April 22, 2025.
Content within this article is provided for general informational purposes and is not provided as tax, legal, health, or financial advice for any person or for any specific situation. Employers, employees, and other individuals should contact their own advisers about their situations. For complete details, including availability and costs of Aflac insurance, please contact your local Aflac agent.
Coverage is underwritten by American Family Life Assurance Company of Columbus. In New York, coverage is underwritten by American Family Life Assurance Company of New York.
Coverage underwritten by Tier One Insurance Company. Tier One Insurance Company is part of the Aflac family of insurers. In California, Tier One Insurance Company does business as Tier One Life Insurance Company (Tier One NAIC 92908).
Coverage may not be available in all states, including but not limited to DE, ID, NJ, NM, NY, VA or VT. Benefits/premium rates may vary based on state and plan levels. Optional riders may be available at an additional cost. Policies and riders may also contain a waiting period. Refer to the exact policy and rider forms for benefit details, definitions, limitations and exclusions.
Aflac WWHQ | Tier One Insurance Company | 1932 Wynnton Road | Columbus, GA 31999
Z2201117R2
EXP 5/26
