How U.S. Consumers Pay Their Medical Premiums

Consumers pivot toward electronic bill delivery in 2023.

Healthcare is on a digitization journey, and this extends to the health insurance premium bill market. Of the US$138 billion that consumers paid in premium bills in 2023, about 90% were paid with digital methods (e.g., ACH, prepaid cards), and 65% were paid through digital channels (e.g., a bank or biller’s website). While overall premium bill volume fell between 2020 and 2023, the gross percentage of digital payments in the premium bill market managed to increase by nearly 5% in that time. Clearly, there remain billions of dollars in value for digital payment stakeholders across the ecosystem to capture.

This report is critical for health plans and payers, financial institutions, and payment firms with insurance and healthcare payments business lines that are looking to understand consumer preferences and behaviors toward payment methods, channels, and bill frequency. This report is based on a Q1 2023 Datos Insights survey of 3,025 U.S. consumers, of which 1,229 paid a health insurance premium bill directly to their insurance company.

Clients of Datos Insights’ Healthcare Payments service can download this report.

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