Government Agency Navigation

Child Health USA 2013 An illustrated collection of current and historical data, published annually.

Health Insurance – Women of Reproductive Age

Narrative

The preconception health of women has been strongly linked to future reproductive health outcomes for both women and infants. Preconception health care and counseling provide an important opportunity to deliver risk-appropriate screening, health promotion, and disease prevention services to improve the health of women and their infants.1 Individuals who are uninsured— including women of reproductive age—are less likely to receive preventive health services and chronic disease management.2

In 2011, over one-fifth of reproductive-aged females were uninsured (21.3 percent) representing 13.3 million females aged 15-44 years. Younger (15-19 years) and older females (35-44 years) were least likely to be uninsured, 14.6 percent and 19.2 percent, respectively, compared to over one-quarter of those aged 20-24 and 25- 29 years. Hispanic and non-Hispanic American Indian/Alaska Native females of reproductive age were most likely to lack insurance coverage in 2011, 37.5 percent and 32.9 percent, respectively, compared to about one-quarter of non-Hispanic Black females (24.0 percent), one-fifth of non-Hispanic Asians (20.2 percent) and one-sixth of non-Hispanic Whites (15.2 percent). The majority of reproductive-aged females had private insurance coverage in 2011 (63.9 percent) alone or in combination with some form of public coverage, while 14.8 percent had publicly-funded insurance such as Medicaid.3 Non-Hispanic American Indian/Alaska Native and Black females of reproductive age were most likely to be publicly insured: 26.6 percent and 23.5 percent, respectively, followed by Hispanic females (19.8 percent); 11.4 percent of non-Hispanic White females had public coverage. Medicaid, in particular, is an important safety net for pregnant women, financing approximately 40 percent of all births in the United States. This coverage includes prenatal care, labor and delivery, and postpartum care up to 60 days after birth.3 Of the 14.8 percent or 9.2 million women of reproductive age who rely on publicly funded insurance, the majority (88.2 percent) are covered by Medicaid (data not shown in graph images or in data tables on this site).

1 Johnson K, Posner SF, Biermann J, Cordero JF, Atrash HK, Parker CS, Boulet S, Curtis MG; CDC/ATSDR Preconception Care Work Group; Select Panel on Preconception Care. Recommendations to improve preconception health and health care—United States. A report of the CDC/ATSDR Preconception Care Work Group and the Select Panel on Preconception Care. MMWR Recomm Rep. 2006 Apr 21;55(RR-6):1-23.

2 Kaiser Family Foundation. The Uninsured and the Difference Health Insurance Makes. Washington, DC: Kaiser Family Foundation ; September, 2012. Accessed: 04/23/13

3 Public or Government health insurance includes federal programs such as Medicare, Medicaid, and military health care; and individual state health plans.

4 Centers for Medicaid and Medicare Services. Pregnant Women. Accessed: 04/23/13

Back to top

Graphs

This image is described in the Data section.

females without insurance graph

This image is described in the Data section.

females with insurance graph

Data

Females Aged 15-44 Years Without Health Insurance, by Age, 2011

Percent of Females:

  • 15-19 Years 14.6
  • 20-24 Years 25.7
  • 25-29 Years 25.5
  • 30-34 Years 23.3
  • 35-44 Years 19.2
  • Total 21.3

Source: U.S. Census Bureau. Current Population Survey, Annual Social and Economic Supplement, 2011. Current Population Survey Table Creator. Accessed: 04/23/13.

Health Insurance Coverage of Females Aged 15-44 Years, by Type of Coverage* and Race/Ethnicity, 2011
Race/Ethnicity Percent of Females with Private Insurance Percent of Females with Public Insurance** Percent of Females Who Are Uninsured
*Estimates for private coverage include individuals that may have some other form of insurance; estimates for public coverage exclude individuals with any form of private coverage. Estimates may not equal 100 due to rounding.
**Public or Government health insurance includes federal programs such as Medicare, Medicaid, and military health care, and individual state health plans.
Source: U.S. Census Bureau. Current Population Survey, Annual Social and Economic Supplement, 2011. Current Population Survey Table Creator. Accessed: 04/23/13.
Non-Hispanic White 73.4 11.4 15.2
Non-Hispanic Black 52.5 23.5 24.0
Hispanic 42.7 19.8 37.5
Non-Hispanic American Indian/Alaska Native 40.6 26.6 32.9
Non-Hispanic Asian 70.2 9.6 20.2
Non-Hispanic Native Hawaiian/Other Pacific Islander 69.7 13.2 17.0
Non-Hispanic Multiple Race 60.3 19.6 20.1
Total 63.9 14.8 21.3