The cheapest health insurance in New Hampshire for most people is the Ambetter Balanced Care 11 plan, which is the most affordable Silver plan available in every county. Although this is the cheapest Silver plan, the most cost-effective plan for you will depend on your health and financial situation.

Select a plan tier to learn more:

In New Hampshire, residents can find affordable health insurance that fits their needs on the state health insurance exchange.

Cheapest health insurance by metal tier

There are five metal tiers to choose from in New Hampshire — Catastrophic, Bronze, Expanded Bronze, Silver and Gold. In the table below, we identified the cheapest health insurance plan in the state for each coverage tier alongside its sample rates and coverage terms. You can use this analysis below to compare the different costs and benefits of each metal tier.

For example, the Ambetter Balanced Care 11 is the cheapest Silver plan, and it comes with a monthly premium of $325 for a 40-year-old and a deductible of $6,000. On the other hand, the monthly premium for the cheapest Gold plan, the Ambetter Secure Care 5, is $363. That plan has a much lower deductible of $1,450.

Metal tier is an important factor when it comes to the cost of your health insurance. As you can see from the table above, as the metal tier increases, the monthly premium increases. However, you get better benefits like lower out-of-pocket costs. Choosing the metal tier that best suits your medical and financial situation will play an important part in the cost-effectiveness of your plan.

As you can see in the chart below, whichever coverage tier you choose, your health insurance rates will increase as you get older. For example, a 60-year-old in New Hampshire will pay 112% more each month on average for health insurance coverage than a 40-year-old.

Finding your best health insurance coverage in New Hampshire

Choosing the right tier of coverage for you will depend on your health and financial situation. Higher metal tier health plans, like Gold plans, typically have the most expensive premiums but affordable out-of-pocket expenses, like deductibles, copays and coinsurance.

This means if you have high recurring medical costs that arise from a chronic condition or think you may need medical care in the future, a higher metal tier plan may be the best health insurance option for you. On the other hand, if you are young, healthy and have no expected medical costs — and can cover the higher cost-sharing — a lower metal tier policy may be the right choice for you.

Gold plans: Best for high expected medical costs

If you use or expect to use your insurance often, Gold health insurance plans are typically the most cost-effective since they have the lowest out-of-pocket costs. If you use your insurance often, the lower deductibles and copays can balance out the expensive monthly premiums.

Ultimately, Gold plans are best if you have high expected medical costs, such as chronic conditions that may require regular medical attention, or are concerned about being able to pay out of pocket for an unexpected condition.

The average monthly premium of a Gold plan in New Hampshire is 15% higher than the average monthly premium of a Silver plan. However, Gold plans cover about 80% of your health care costs versus the 70% Silver plans typically cover.

The cheapest Gold plan in New Hampshire is the Ambetter Secure Care 5. Compare all tiers in New Hampshire above.

Silver plans: Best for those with low incomes or average medical costs

Silver plans are a good health insurance option for those looking for a balance between costs and benefits. Although these health plans appear to have a higher monthly premium than Bronze plans while offering similar benefits, Silver policies qualify for cost-sharing reduction (CSR) subsidies, which may lower your out-of-pocket costs if your income qualifies.

To qualify for CSR subsidies with a Silver health plan, you must be part of a lower-income household. You may also qualify for premium tax credits, which also depend on your level of income, to lower your monthly premium. Typical Silver plans cover about 70% of your health care costs, while you pay 30%, but under CSR subsidies, you could qualify for a Silver plan that covers up to 94% of your health care costs.

The cheapest Silver plan in New Hampshire is the Ambetter Balanced Care 11. Compare all tiers in New Hampshire above.

Bronze and Catastrophic plans: Best for young, healthy people

Catastrophic and Bronze plans typically have lower premiums compared to Silver and Gold plans. However, you must be under 30 or qualify for an exemption to purchase a Catastrophic plan. You also cannot use a premium tax credit to reduce the cost of a Catastrophic plan.

These cheap policies come with reduced coverage, meaning higher out-of-pocket costs. So, if you needed medical care during the year, you would have to pay more money yourself in deductibles and copays before the policy would provide coverage.

We don't recommend Bronze or Catastrophic policies unless you can afford the higher deductibles, copays and coinsurance in the case of a medical emergency.

The cheapest Bronze plan in New Hampshire is the Anthem Bronze Pathway X Enhanced HMO 6500/40%. The cheapest Catastrophic plan is the Anthem Catastrophic Pathway X Enhanced HMO 8550/0%. Compare all tiers in New Hampshire above.

Health insurance rate changes in New Hampshire

Health insurance premiums, deductibles and out-of-pocket maximums are adjusted yearly by insurance providers and then sent for approval to federal regulators. Therefore, it is important to recognize these changes when choosing your health insurance and budgeting for the coming year.

For 2021, Expanded Bronze health insurance policies experienced the largest dip in pricing — falling over 17%. The average price of every metal tier fell by at least 15%. Overall, all metal tiers are less expensive than they were in 2020.

Health insurance companies in New Hampshire

There are three health insurance companies on the New Hampshire state exchange: Harvard Pilgrim Health Care, Ambetter from New Hampshire Healthy Families and Anthem Blue Cross and Blue Shield.

Cheapest health insurance plan by county

The cheapest Silver health insurance plan in every county of New Hampshire is the Ambetter Balanced Care 11, but you should still do some comparison shopping to see the different costs and benefits of each plan offered in your county. The table below shows the sample rates in your county for an individual, a couple and a family of three.

Average cost of health insurance by family size in New Hampshire

In addition to the coverage tier, the size of your family and the ages of family members will affect your monthly health insurance premium. As adult members of the plan age, monthly premiums are likely to increase annually. Families that insure children 15 years old and up should also expect an annual increase.

The average cost of a Silver health insurance policy for a family of three, assuming two 40-year-old parents and a child, is $948 in New Hampshire. For each additional child, the average cost of a policy increases by about $218, so a family of five, assuming two adults and three children, costs an average of $1,385 per month to insure. On the other hand, an adult couple with no children would pay $730 on average for health insurance.

Methodology

Health insurance policy details in this report were compiled from the Centers for Medicaid & Medicare Services (CMS) government website. Using the Public Use Files (PUF), ValuePenguin calculated average values by metal tier, county and family size. Doing so provided a broader image of the health insurance marketplace in New Hampshire.