Healthcare costs for employer-based healthcare, by family type, 2004, 2014, 2024

While almost all Vermonters have healthcare coverage, the quality of that coverage varies, and the out-of-pocket costs can still be high. While Medicaid and Dr. Dynasaur provide expansive care with limited out-of-pocket costs for low-income adults and children, seniors on Medicare often purchase a supplemental private plan to pay for care that Medicare does not cover. And Vermonters who get private care through their employers have seen increases in premiums, deductibles, and other out-of-pocket costs in recent years. After growing more slowly than overall inflation from 2021 to 2023, the cost of medical care grew by more than 6 percent from 2023 to 2024. Insurers for small group and individual plans offered on the ACA exchange will impose increases of 11 percent to 23 percent in 2025.