Coverage landscape overview / Payer types

How health care is covered

The US health care system, while complex, provides coverage to millions of Americans via public and private payers1


Public

capitol icon
state capitol icon

Federal government1


Medicare2

Part A

  • Hospital insurance

Part B

  • Medical benefits (HCP-administered - infused or injected drugs)

Part C

  • Medicare Advantage

  • Private plans for A and B enrollees

Part D

  • Pharmacy benefit (self-administered drugs)


TRICARE

(Veterans Affairs)


Medicaid

  • Fee-for-service

  • Managed Medicaid


Indian Health Service

State government


Medicaid

CHIP (Children's Health Insurance Program)


Private

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Private insurers


Private insurance companies, eg2

  • UnitedHealth

  • Kaiser Foundation

  • Anthem

  • Humana

  • CVS Health

  • Cigna

Insurance coverage in the US, 20183

coverage bar chart

Percentages do not add up to 100 as people may have more than one type of insurance.

References: 1. Tikkanen R et al. Published June 5, 2020. Accessed June 21, 2020. https://www.commonwealthfund.org/international-health-policy-center/countries/united-states 2. Crones G. Published February 3, 2020. Accessed June 21, 2020. https://www.insurancebusinessmag.com/us/news/healthcare/top-10-health-insurance-companies-in-the-us-212292.aspx 3. Berchick ER et al. Issued November 2019. Accessed June 21, 2020. https://www.census.gov/content/dam/Census/library/publications/2019/demo/p60-267.pdf

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