Infographic: Health Insurance in Kansas 2021

Health insurance is considered essential for access to high-quality healthcare and offers protection from excessive medical bills. Throughout the year, the Kansas Health Institute (KHI) provides detailed information about insurance coverage in Kansas to enrich the ongoing discussion about health coverage options in Kansas and nationally. This infographic provides our first look at recently released detailed data from the US Census Bureau. Follow us in the coming months TwitterFacebook or LinkedIn and check www.khi.org often for more information as it becomes available.

This infographic provides a high-level overview of insurance coverage for 2,896,361 Kansans in 2021.

Highlights include:

  • More than 1.7 million Kansans were covered by private insurance, including:
    • 1.5 million in employment,
    • 58,269 through military or TRICARE insurance and
    • 176,594 through directly purchased insurance, including 86,026 who purchased coverage in the Kansas Marketplace created by the Affordable Care Act (ACA).
  • Another 885,487 were covered by Social Security, including:
    • 439,532 from Medicare,
    • 359,253 from Medicaid or the Children’s Health Insurance Program (CHIP),
    • 79,699 from Medicare and Medicaid, and
    • 7,003 from the Department of Veterans Affairs.
  • And 266,114 Kansas residents were uninsured, including:
    • 225,515 minor adults and
    • 38,490 children.

Federal and state policies have supported access to health insurance coverage during the COVID-19 pandemic. Medicaid and CHIP enrollees were allowed to remain enrolled without redetermination, and subsidies to purchase a plan in the ACA marketplace were made more generous and extended to households with incomes above 400 percent of the federal poverty level (FPL; $26 500 for a family of four in 2021).

The American Savings Plan Act of 2021 (ARPA) made households above 400 percent FPL newly eligible for a marketplace subsidy in 2021, but the amount they received depended on their reference plan premium and household income. Households may have received $0 if the premium for their reference silver plan was less than 8.5 percent of their annual income—the effective maximum income to receive a subsidy.

Two-thirds (179,583 or 67.5 percent) of uninsured Kansas residents in 2021 had a household income that would qualify them for subsidies to purchase health insurance in the Kansas Marketplace. Among those who would be eligible, 139,819 (77.9 percent) would be eligible for subsidies to reduce monthly premiums under the original terms of the ACA, and 39,764 (22.1 percent) would be eligible for subsidies under ARPA.

As of November 2022, Kansas is one of 11 states that has not expanded Medicaid coverage for adults with household incomes up to 138 percent of FPL, as permitted by the ACA. South Dakota became the 39th state to expand Medicaid after a ballot initiative passed Nov. 8. In 2021, the Medicaid expansion would have covered individual adults with an annual household income of up to $17,744 and adults in a family of four with an annual household income of up to $36,570.

If the state had expanded its Medicaid program in 2021, 72,355 uninsured, low-income Kansas adults would have been eligible for Medicaid coverage.

Another 29,473 uninsured, low-income Kansas adults and children may already be eligible for Medicaid or CHIP but were not enrolled

NOTE about the data:
This infographic uses the most recent data available, which comes from the US Census Bureau’s 2021 American Community Survey Public Use Microdata Sample and the 2022 Average Early Enrollment Snapshot Report. and all of 2021 from the Centers for Medicare and Medicaid Services. The Kansas population represented is the non-institutionalized population in Kansas. Estimates of the number of Kansas residents eligible for Medicaid or eligible for marketplace plans and subsidies are based on the Census Bureau’s definition of households that consist of all persons currently living in the household included in the sample, regardless of how household members are related. Actual experience may vary because determining eligibility for Medicaid and the health insurance marketplace involve other considerations.

This infographic is part of our series of annual insurance updates.

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