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Recommendation For Company

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Briana Schwam, Madeline MacLean, Shaun Armet, William Zinkann, & Murteza Acar

 

August 2022

Financial health literacy

Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association.Recommendation For Company

BLUE CROSS BLUE SHIELD OF MASSACHUSETTS

CONFIDENTIAL – NOT FOR DISTRIBUTION

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BLUE CROSS BLUE SHIELD OF MASSACHUSETTS | CONFIDENTIAL – NOT FOR DISTRIBUTION

Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association.

Meet the team

Briana Schwam

Talent & Development

Virginia Tech

 

 

 

 

Murteza Acar

Technical Product Owner

Boston University

 

​

​

​

Madeline MacLeanRecommendation For Company

Underwriting

University of Wisconsin-Madison

​

​​

​​

​​

Shaun Armet

Enterprise Delivery

Arizona State University

​

​​

​​

​​

William Zinkann

API/EDI Project Delivery

Elon University

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BLUE CROSS BLUE SHIELD OF MASSACHUSETTS | CONFIDENTIAL – NOT FOR DISTRIBUTION

Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association.

 

2/9/2016

2

Recommendation For Company
Agenda

Financial Health Literacy Framework

Where are we in Greater Society?

Best Practices

Sharing the Responsibly & Continuing the Cycle

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BLUE CROSS BLUE SHIELD OF MASSACHUSETTS | CONFIDENTIAL – NOT FOR DISTRIBUTION

Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association.

 

2/9/2016

3

Health Information should be…

(from the CDC website)

Health literacy empowers individuals and promotes a sense of well-being and self-trust.

 

Health literacy best practices are not just simplifying information, it is also making sure information is presented accurately and understandably.Recommendation For Company

 

Just because information has been created does not mean that people can see it or use it

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BLUE CROSS BLUE SHIELD OF MASSACHUSETTS | CONFIDENTIAL – NOT FOR DISTRIBUTION

Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association.

Bridge gap between financial literacy and health literacy, how literacy inhibit or advances equity, can they understand and take action relevant to their health and also their finances – financial health literacy is when that comes together

 

Financial health literacy is mitigating the consequences

2/9/2016

4

GAPS in Financial Health Literacy

While premium, copay are the three most common health care expense terms, only 32% of respondents were able to correctly define all three terms.

Around one in four Americans avoided care because they didn’t know what their health insurance plan covered.

Have you ever avoided care or treatment because you were unsure of what your insurance covers?

Around 1 in 4 Americans avoided care because they didn’t know what their health insurance plan covered.

Q:

A:

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BLUE CROSS BLUE SHIELD OF MASSACHUSETTS | CONFIDENTIAL – NOT FOR DISTRIBUTION

Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association.

What is a Copay? Correct Incorrect 0.42 0.57999999999999996

 

 

What is a Premium?

What is a Premium? Correct Incorrect 0.55000000000000004 0.57999999999999996

 

 

What is a Deductible?

What is a Premium? Correct Incorrect 0.5 0.5

 

 

TEMP SLIDE (GAPS IN FINANCIAL HEALTH LITERACY Viewer Response Questions)

 

A Nationally Representative Survey of 1,500 Adults Were Asked Two Questions:

Can you define these three most common, health care expense terms?

Copay | Premium | Deductible

Percentage of Respondents who correctly defined all three

32%

Have you ever avoided care or treatment because you were unsure of what your insurance covers?

25%

Percentage of Respondents who answered YES

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BLUE CROSS BLUE SHIELD OF MASSACHUSETTS | CONFIDENTIAL – NOT FOR DISTRIBUTION

Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association.

 

 

 

 

 

 

 

 

 

 

Financial health literacy framework

2 Decades of Research

 

Shows todays health information is presented in a way that is not usable for most Americans

9 out of 10

 

Adults have difficult using everyday health information

 

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BLUE CROSS BLUE SHIELD OF MASSACHUSETTS | CONFIDENTIAL – NOT FOR DISTRIBUTION

Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association.

A multi level effort to create a heath literate society

While multiple goals are identified, we isolated these three for our presentation for BCBS current strategy

 

Because FHL is a systemic issue, it has required attention from an organized body – who developed the NAPIHL – whose end goal is to create 1.2.3.

 

2/9/2016

7

 

National Action Plan to Improve Health Literacy

 

 

More usable health information

 

 

Cost effective

 

 

Improves health outcomes

 

 

financial health literacy in action

 

Not having the resources to become more financially literate creates a cycle of poor health care and negative experience.

Although gaps exists, there are still steps that can be taken to adjust the cycle with a more positive outcome

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BLUE CROSS BLUE SHIELD OF MASSACHUSETTS | CONFIDENTIAL – NOT FOR DISTRIBUTION

Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association.

 

Providing members with access to accurate and actionable health information

 

 

Deliver person-centered health information and services

 

 

Support life-long learning and skills to promote good heath

 

 

 

Low Financial Health Literacy

 

 

Rate their health as poor

 

 

Higher risk of being admitted to the hospital

 

 

More likely to have chronic medical conditions

 

 

Unable to manage their own care

 

 

IDEALL Project – San Francisco General Hospital

Improving diabetes efforts across language and literacy

Provided patients with weekly phone calls to address literacy and language needs

Improved communication and self-efficacy at a modest cost

Patient Navigators – IHN Network

The Health Education and literacy Program

– Utilized health coaches to uninsured and underinsured residents to empower them to take control of their health information

27% of chronic disease patients we able to discuss a self-management plan

Limited literacy – New York city health and hospitals corporation

Focused on meeting the needs of residents with limited health literacy

25% of their 1.3 million residents with LEP

Multilingual materials

Patient Centered resources based on consumer reports / Interpreters and client navigators

 

 

 

 

 

 

 

 

Strategies in action

 

GREATER SOCIETY

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BLUE CROSS BLUE SHIELD OF MASSACHUSETTS | CONFIDENTIAL – NOT FOR DISTRIBUTION

Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association.

 

2/9/2016

9

 

IDEALL Project – San Francisco General Hospital

 

 

Provided patients with weekly phone calls to address literacy and language needs

 

 

Patient Navigators – IHN Network

 

 

– Utilized health coaches to uninsured and underinsured residents to empower them to take control of their health information

 

 

Limited literacy – New York city health and hospitals corporation

 

 

25% of their 1.3 million residents with LEP

 

 

Improved communication and self-efficacy at a modest cost

 

 

27% of chronic disease patients we able to discuss a self-management plan

 

 

Multilingual materials

 

 

Patient Centered resources based on consumer reports / Interpreters and client navigators

 

 

Breaking the stigma

Spread awareness & normalize conversations surrounding financial health literacy

accessibility

DISTRIBUTION

 

High quality for all

Ensure accurate and reliable information are being distributed to ALL members

Do all members have access to improving their financial health literacy?

 

High costs do not always equate high quality

 

Our goal is to diminish and help eliminate inequities to ensure all members’ needs are met

best practices

How to Advance Financial Health Literacy

 

 

 

 

 

Patient portals,

patient forms

Numerous Platforms: Paper & Online

 

 

Provide resources:

info sheet, concierge assistance​,

financial planner

Continue financial education for associates  in employee trainings &

ongoing consumer education

 

Cost and quality must be portrayed separately to provide transparency and cater to the quality the member desires

 

 

 

 

 

 

 

 

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BLUE CROSS BLUE SHIELD OF MASSACHUSETTS | CONFIDENTIAL – NOT FOR DISTRIBUTION

Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association.

1) We have put together four key best practices to improving financial health literacy. A common need for members is high quality care. How can we ensure high quality for all when high costs do not always equate high quality. Our goal is to diminish and help eliminate inequalities to ensure all members’ needs are met. A best practice to ensure high quality for all is for the cost and quality to be portrayed separately in order for the member to receive the quality that they desire.

 

2) Accessibility is a major barrier in society today: Not all individuals have access to care and access to medicine. Another significant barrier is access to tools and resources to improve financial health literacy. A best practice to ensure accessibility is for health companies to provide resources such as financial health literacy info sheets, concierge assistance, and access to work with a professional financial planner.

 

3) An important step in advancing financial health literacy is ensuring that information is accurate and reliable. The next step that is often missed is the distribution method. It is crucial that these tools and resources are being distributed on numerous platforms such as online patient portals and paper forms to ensure that we are reaching ALL members.

 

4) Conversations surrounding financial health literacy should be a norm in our everyday lives. Together, we can break the stigma by spreading awareness and continuing financial education for associates in employee trainings and ongoing consumer education.

 

 

 

 

 

 

Equity standpoint for first box – we want to diminish and help eliminate inequities – socioeconomic, cultural, need their needs met

 

bri

https://patientengagementhit.com/news/what-is-patient-financial-health-literacy-why-is-it-important

 

Add slide with chart of group percentages and health literacy to see the difference with minorities?

2/9/2016

10

Increase on health insurance knowledge is vital

There is less general knowledge about health insurance on

Higher health insurance literacy to improve health care utilization

Consumers increase their confidence on using insurance (Smith, Monti, Politi, 2018).

 

best practices

1. Consumer Education

Enhance communication between insurer and consumer through

Plain, clear, and transparent language

Use of digital engagement tools such as mobile apps and video conferencing

Use of trusted sources of health insurance information such as health care professionals

Encourage feedback on insurance product

Follow-up on consumers

 

2. Enhanced Communication on Health Insurance Concepts

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BLUE CROSS BLUE SHIELD OF MASSACHUSETTS | CONFIDENTIAL – NOT FOR DISTRIBUTION

Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association.

1.Consumer Education

 

There is need for health insurers to focus on consumer education of their product to increase utilization of healthcare services.

Consumer education will increase health insurance knowledge thus enhance understanding of health care and confidence in seeking health services.

Most insured and uninsured people have less general knowledge about health insurance on various areas including premiums to be paid, costs covered on treatment of various conditions and any out-of-pockets costs, health services provided with no out-of-pocket costs and conditions covered among others.

With higher health insurance literarcy, consumers will seek health care services with confidence.

 

2. Enhanced Communication

 

There is need for enhanced communication between the insurers and consumers to enhance understanding on different aspects of health coverage.

Enhanced communication of health insurance concepts will give the insured confidence to seek healthcare services while attract the uninsured to get health coverage because they understand the concepts.

Digital engagement tools can be used to facilitate communication.

The information shared should be clear and transparent to consumers.

Health insurers can follow-up on their consumers regarding check-up visits to encourage them to get routine check-ups.

 

2/9/2016

11

Non-Insured at slightly higher rate to forego care due to cost compared to the insured (Tipirneni et al, 2018)

Consumer Education (cont’d)

Foregone Care due to Cost

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BLUE CROSS BLUE SHIELD OF MASSACHUSETTS | CONFIDENTIAL – NOT FOR DISTRIBUTION

Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association.

Don’t want people making decisions based on lack of information of their coverage – inaccurate information

People make decisions of their care based on cost, those decisions need to be based on the most accurate information

 

This graph is showing the prevalence of this decision making

Delete 13 and take off that bullet on right and put what is above in this notes

 

3 bullets saying what is above

 

The graph above is an illustration of the prevalence of foregone care among insured and non-insured participants of a study conducted by Tipirneni and team (2018).

As much as more of the non-insured than insured avoided health care utilization due to costs, the difference is minimal.

One key factor contributing to avoidance of health care utilization among the insured is inadequate knowledge on costs associated with seeking health care thus the need for consumer education.

 

2/9/2016

12

Foregone Care due to Cost

Cholesterol Check Insured Non-Insured 11 15 Colon Cancer Screening Insured Non-Insured 10 7 Pap Smear Insured Non-Insured 14 16 X-Ray Insured Non-Insured 6 7 MRI Insured Non-Insured 17 23

 

 

 

 

the cycle to success

The Importance of Education

Leaders to Associates

This top-down approach creates enterprise-wide communication, resources, and language regarding financial health literacy.

 

 

Associates to Members

While benefits and member service departments directly working with members, all associates share the responsibly of understanding financial health literacy.

 

 

Members to Society

Financial health literacy is a part of everyday life such as grocery shopping and medical appointments.

Our goal is for society to reach financial stability.

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BLUE CROSS BLUE SHIELD OF MASSACHUSETTS | CONFIDENTIAL – NOT FOR DISTRIBUTION

Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association.

In order to break the stigma, we must educate ourselves to help educate others. This cycle ensures that all associates enterprise-wide have the tools and resources to understand and speak on financial health literacy. The cycle starts with leaders communicating with associates by using consistent language and communication. Then, associates will continue the cycle by sharing this information with members. While not all departments work directly with members, we all must share the responsibly of understanding financial health literacy. Lastly, members will use this knowledge in their everyday lives when individuals are in need of making financial decisions based on their health needs.

 

bri

 

We Must Educate Ourselves to Help Educate Others

 

impact

2/9/2016

13

  Let’s work together to advance financial health literacy

 

 

 

 

 

 

 

 

 

Thank you! QUESTIONS?

 

Scan the QR Code to Continue the Conversation & Grow Your Knowledge in Financial Health Literacy

https://linktr.ee/financialhealthliteracy

 

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BLUE CROSS BLUE SHIELD OF MASSACHUSETTS | CONFIDENTIAL – NOT FOR DISTRIBUTION

Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association.

Bri:

 

We ask you to take action with us to advance financial health literacy by continuing the conversation and grow your knowledge in financial health literacy. We encourage you to scan the QR code and save the link. We put together these resources to ensure that we are continuing the cycle and sharing the responsibly of educating, spreading awareness, and breaking the stigma on financial health literacy.

 

Thank you for taking the time out of your day to learn more about financial health literacy and how we can continue the cycle! We would be more than happy to answer any questions at this time.

2/9/2016

14

 

Sources

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BLUE CROSS BLUE SHIELD OF MASSACHUSETTS | CONFIDENTIAL – NOT FOR DISTRIBUTION

Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association.

Recommendation For Company essay paper

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Recommendation For Company

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DATA H I G H LI G HTS

Health Insurance Literacy Survey 2020

By Hanna HorvathRecommendation For Company

 

 

Introduction

Health Insurance Literacy Survey 2020

Health care is a major voter issue in America. However, Americans’ understanding of health care plans — and the laws that govern them — remains low, especially for the uninsured, according to the results of Policygenius’ fourth annual Health Insurance Literacy Survey. This year’s findings are essentially unchanged from our 2019 survey, suggesting American’s health literacy has not improved, even in an election year.Recommendation For Company

The following results are based on a survey of a nationally representative sample of 1,501 adults conducted by Google Surveys from Sept. 23 through Sept. 28, 2020.

2

 

 

3

Have you ever avoided care or treatment because you were unsure of what your insurance covers?

Health Insurance Literacy Survey 2020

Annual incomeRecommendation For Company

Yes

Answer:

No

Less than $35k

65%

35%

$50-74k

65%

35%

$35-49k

60%

40%

$100-124k

75%

25%

$75-99k

67%

33%

$125-150k

83%

17%

More than $150k

80%

20%

Around one in four Americans avoided care because they didn’t know what their health insurance plan covered. Americans with lower incomes are more likely to avoid care: 36% of people making less than $75,000 annually said they avoided care because of uncertainty over what their health insurance covered, compared to 24% of those making more than $75,000.Recommendation For Company

 

 

4

Have you ever avoided testing, care or treatment for COVID-19 because you were unsure of what your insurance covers?

Health Insurance Literacy Survey 2020

More than 8% of respondents said they avoided COVID-19 testing, treatment and care because they were unsure whether it was covered. Like health insurance coverage, COVID-19 is a key election issue: More than one in five voters say the pandemic is their top issue, according to a September poll by the Kaiser Family Foundation.

Annual income

Yes

Answer:

No

Less than $35k

85%

15%

$50-74k

94%

6%

$35-49k

88%

12%

$100-124k

93%

7%

$75-99k

89%

11%

$125-150k

91%

9%

More than $150k

93%

7%

 

 

5

When does open enrollment for the federal health insurance marketplace take place?

Health Insurance Literacy Survey 2020

Dec. 1 – Jan.31

Nov. 1 – Dec. 31

None of the above 36%

12%

7%

64%

9%

2%

45%

10%

6%

Nov. 1 – Dec. 15 16% 9% 13%

Oct. 15 – Dec. 31

Nov. 15 – Jan. 31 8%

20%

8%

9%

8%

18%

Has health insurance

Doesn’t have health insurance

All respondents

Open enrollment for Healthcare.gov, the federal health insurance marketplace, takes place from Nov. 1 through Dec. 15, 2020. These dates have remained unchanged since 2017. While some states have their own exchanges and extended deadlines, the majority use Healthcare.gov to enroll individual residents. Still, around 87% of Americans could not identify the correct time to sign up for a plan.

Correct answer

Incorrect answer

Key:

 

 

6

Which statements about U.S. health care law are true?

Only 37% of respondents knew Affordable Care Act plans covered those with pre-existing conditions, a defining characteristic of the law and a political flashpoint during the 2020 election season. An estimated 19% to 50% of non-elderly Americans have a pre-existing health condition, according to the Centers for Medicare and Medicaid Services.

Health Insurance Literacy Survey 2020

Medicaid programs vary by state

ACA plans cover pre-existing conditions

You can get aid to buy an ACA plan

None of the above

29%

26%

45%

43%

14%

49%

22%

28%

25%

36%

37%

35%

There’s no tax penalty for forgoing coverage

20% 15% 17%

Kids can stay on their parent’s plan until age 26

Short-term health plans can least three years

12%

55%

6%

19%

10%

45%

Has health insurance

Doesn’t have health insurance

All respondents

The first six answers are true, but only 5% of Americans could correctly identify all six. More than a third of Americans said none of them were true.

Correct answer

Incorrect answer

Key:

 

 

7

Plans sold through Healthcare.gov must cover:

The Affordable Care Act requires all plans, not just those sold on the federal and state marketplaces, to cover 10 essential health benefits, including the six above. More than four in 10 Americans believe plans sold on Healthcare.gov cover none of the above benefits. Around 22% of people were able to correctly identify all six benefits.

Health Insurance Literacy Survey 2020

Maternity and newborn care

Substance abuse rehabilitation

Pediatric care, including vision and oral care

42%

34%

48%

14%

13%

16%

33%

27%

38%

Ambulatory services

36% 13% 29%

Hospitalization

Mental health care 39%

53%

15%

22%

32%

42%

None of the above 33% 59% 44%

Has health insurance

Doesn’t have health insurance

All respondents

Health care plans must cover all six of these benefits.

Correct answer

Incorrect answer

Key:

 

 

8

What is a copay?

Health Insurance Literacy Survey 2020

A fixed amount you pay for a covered expense (correct answer)

Answers:

The amount you pay before coverage kicks in

The amount you pay each month for insurance

None of the above

30%

18%

3%

49% 42%

17%

39%

2%

3%

29%

19%

50%

Doesn’t have health insurance

Doesn’t have health insurance

All respondents

All respondents

Has health insurance

Has health insurance

What is a deductible?

60%

10% 10%

50%

35%

5%

28%

9%

53%

11% 24%

5%

The amount you pay before coverage kicks in (correct answer)

Answers:

None of the above

The amount you pay each month for insurance

A fixed amount you pay for a covered expense

 

 

9

What is a premium?

Premiums, copays and deductibles are three of the most common health care expenses people pay, yet only 32% of respondents were able to correctly define all three terms. Even among those with health insurance, only 38% knew all three terms. Like most of the survey, these findings were not significantly different from our 2019 survey results.

Health Insurance Literacy Survey 2020

5% 6%

5%

55%

34%

6%

32%

11%

51%

7% 24%

65%

The amount you pay each month for insurance (correct answer)

Answers:

None of the above

The amount you pay before coverage kicks in

A fixed amount you pay for a covered expense

Doesn’t have health insurance

All respondents

Has health insurance

 

 

Policygenius is the nation’s leading online insurance marketplace, with headquarters in New York City and Durham, North Carolina. We’ve helped more than 30 million people shop for all types of insurance like they shop for everything else — online — and have placed over $60 billion in coverage. Policygenius launched in 2014 and is one of the early insurtech pioneers. Policygenius launched wills and trusts through a new mobile app in 2020. Policygenius was named to Forbes’ list of Best Startup Employers (2020), Crain’s Fast 50 (2019) and Inc. Magazine’s Best Workplaces (2018, 2019, 2020).

About Policygenius

For more information: Brooke Niemeyer Associate Director of Media Relationsbrooke.niemeyer@policygenius.com

About the author

Survey methodology

Hanna Horvath is a health insurance expert at Policygenius. She previously worked at WNBC in New York and her work has appeared in NBC News, Business Insider and MSN.

The second annual Policygenius Health Insurance Literacy Survey is based on responses from a survey of a nationally representative sample of 1,501 people. It was conducted by Google Surveys from Sept. 23 through Sept. 28, 2020, with a margin of error of 4%. Percentages are rounded to the nearest whole number for simplicity, so some responses may not add up to 100.

 

Recommendation For Company essay paper

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Recommendation For Company

ORDER A PLAGIARISM FREE PAPER NOW

DATA H I G H LI G HTS

Health Insurance Literacy Survey 2020

By Hanna Horvath

 

 

Introduction

Health Insurance Literacy Survey 2020Recommendation For Company

Health care is a major voter issue in America. However, Americans’ understanding of health care plans — and the laws that govern them — remains low, especially for the uninsured, according to the results of Policygenius’ fourth annual Health Insurance Literacy Survey. This year’s findings are essentially unchanged from our 2019 survey, suggesting American’s health literacy has not improved, even in an election year.

The following results are based on a survey of a nationally representative sample of 1,501 adults conducted by Google Surveys from Sept. 23 through Sept. 28, 2020.Recommendation For Company

2

 

 

3

Have you ever avoided care or treatment because you were unsure of what your insurance covers?

Health Insurance Literacy Survey 2020

Annual income

Yes

Answer:

No

Less than $35k

65%

35%

$50-74kRecommendation For Company

65%

35%

$35-49k

60%

40%

$100-124k

75%

25%

$75-99k

67%

33%

$125-150k

83%

17%

More than $150k

80%

20%

Around one in four Americans avoided care because they didn’t know what their health insurance plan covered. Americans with lower incomes are more likely to avoid care: 36% of people making less than $75,000 annually said they avoided care because of uncertainty over what their health insurance covered, compared to 24% of those making more than $75,000.

 

 

4

Have you ever avoided testing, care or treatment for COVID-19 because you were unsure of what your insurance covers?Recommendation For Company

Health Insurance Literacy Survey 2020

More than 8% of respondents said they avoided COVID-19 testing, treatment and care because they were unsure whether it was covered. Like health insurance coverage, COVID-19 is a key election issue: More than one in five voters say the pandemic is their top issue, according to a September poll by the Kaiser Family Foundation.

Annual income

Yes

Answer:

No

Less than $35k

85%

15%

$50-74k

94%

6%

$35-49k

88%

12%

$100-124k

93%

7%

$75-99k

89%

11%

$125-150k

91%

9%

More than $150k

93%

7%

 

 

5

When does open enrollment for the federal health insurance marketplace take place?

Health Insurance Literacy Survey 2020

Dec. 1 – Jan.31

Nov. 1 – Dec. 31

None of the above 36%

12%

7%

64%

9%

2%

45%

10%

6%

Nov. 1 – Dec. 15 16% 9% 13%

Oct. 15 – Dec. 31

Nov. 15 – Jan. 31 8%

20%

8%

9%

8%

18%

Has health insurance

Doesn’t have health insurance

All respondents

Open enrollment for Healthcare.gov, the federal health insurance marketplace, takes place from Nov. 1 through Dec. 15, 2020. These dates have remained unchanged since 2017. While some states have their own exchanges and extended deadlines, the majority use Healthcare.gov to enroll individual residents. Still, around 87% of Americans could not identify the correct time to sign up for a plan.

Correct answer

Incorrect answer

Key:

 

 

6

Which statements about U.S. health care law are true?

Only 37% of respondents knew Affordable Care Act plans covered those with pre-existing conditions, a defining characteristic of the law and a political flashpoint during the 2020 election season. An estimated 19% to 50% of non-elderly Americans have a pre-existing health condition, according to the Centers for Medicare and Medicaid Services.

Health Insurance Literacy Survey 2020

Medicaid programs vary by state

ACA plans cover pre-existing conditions

You can get aid to buy an ACA plan

None of the above

29%

26%

45%

43%

14%

49%

22%

28%

25%

36%

37%

35%

There’s no tax penalty for forgoing coverage

20% 15% 17%

Kids can stay on their parent’s plan until age 26

Short-term health plans can least three years

12%

55%

6%

19%

10%

45%

Has health insurance

Doesn’t have health insurance

All respondents

The first six answers are true, but only 5% of Americans could correctly identify all six. More than a third of Americans said none of them were true.

Correct answer

Incorrect answer

Key:

 

 

7

Plans sold through Healthcare.gov must cover:

The Affordable Care Act requires all plans, not just those sold on the federal and state marketplaces, to cover 10 essential health benefits, including the six above. More than four in 10 Americans believe plans sold on Healthcare.gov cover none of the above benefits. Around 22% of people were able to correctly identify all six benefits.

Health Insurance Literacy Survey 2020

Maternity and newborn care

Substance abuse rehabilitation

Pediatric care, including vision and oral care

42%

34%

48%

14%

13%

16%

33%

27%

38%

Ambulatory services

36% 13% 29%

Hospitalization

Mental health care 39%

53%

15%

22%

32%

42%

None of the above 33% 59% 44%

Has health insurance

Doesn’t have health insurance

All respondents

Health care plans must cover all six of these benefits.

Correct answer

Incorrect answer

Key:

 

 

8

What is a copay?

Health Insurance Literacy Survey 2020

A fixed amount you pay for a covered expense (correct answer)

Answers:

The amount you pay before coverage kicks in

The amount you pay each month for insurance

None of the above

30%

18%

3%

49% 42%

17%

39%

2%

3%

29%

19%

50%

Doesn’t have health insurance

Doesn’t have health insurance

All respondents

All respondents

Has health insurance

Has health insurance

What is a deductible?

60%

10% 10%

50%

35%

5%

28%

9%

53%

11% 24%

5%

The amount you pay before coverage kicks in (correct answer)

Answers:

None of the above

The amount you pay each month for insurance

A fixed amount you pay for a covered expense

 

 

9

What is a premium?

Premiums, copays and deductibles are three of the most common health care expenses people pay, yet only 32% of respondents were able to correctly define all three terms. Even among those with health insurance, only 38% knew all three terms. Like most of the survey, these findings were not significantly different from our 2019 survey results.

Health Insurance Literacy Survey 2020

5% 6%

5%

55%

34%

6%

32%

11%

51%

7% 24%

65%

The amount you pay each month for insurance (correct answer)

Answers:

None of the above

The amount you pay before coverage kicks in

A fixed amount you pay for a covered expense

Doesn’t have health insurance

All respondents

Has health insurance

 

 

Policygenius is the nation’s leading online insurance marketplace, with headquarters in New York City and Durham, North Carolina. We’ve helped more than 30 million people shop for all types of insurance like they shop for everything else — online — and have placed over $60 billion in coverage. Policygenius launched in 2014 and is one of the early insurtech pioneers. Policygenius launched wills and trusts through a new mobile app in 2020. Policygenius was named to Forbes’ list of Best Startup Employers (2020), Crain’s Fast 50 (2019) and Inc. Magazine’s Best Workplaces (2018, 2019, 2020).

About Policygenius

For more information: Brooke Niemeyer Associate Director of Media Relationsbrooke.niemeyer@policygenius.com

About the author

Survey methodology

Hanna Horvath is a health insurance expert at Policygenius. She previously worked at WNBC in New York and her work has appeared in NBC News, Business Insider and MSN.

The second annual Policygenius Health Insurance Literacy Survey is based on responses from a survey of a nationally representative sample of 1,501 people. It was conducted by Google Surveys from Sept. 23 through Sept. 28, 2020, with a margin of error of 4%. Percentages are rounded to the nearest whole number for simplicity, so some responses may not add up to 100.

 

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DATA H I G H LI G HTS

Health Insurance Literacy Survey 2020

By Hanna Horvath

 

 

Introduction

Health Insurance Literacy Survey 2020

Health care is a major voter issue in America. However, Americans’ understanding of health care plans — and the laws that govern them — remains low, especially for the uninsured, according to the results of Policygenius’ fourth annual Health Insurance Literacy Survey. This year’s findings are essentially unchanged from our 2019 survey, suggesting American’s health literacy has not improved, even in an election year.Recommendation For Company

The following results are based on a survey of a nationally representative sample of 1,501 adults conducted by Google Surveys from Sept. 23 through Sept. 28, 2020.

2

 

 

3

Have you ever avoided care or treatment because you were unsure of what your insurance covers?

Health Insurance Literacy Survey 2020

Annual income

Yes

Answer:

No

Less than $35k

65%

35%

$50-74k

65%

35%

$35-49k

60%

40%

$100-124k

75%

25%

$75-99k

67%

33%

$125-150k

83%

17%

More than $150kRecommendation For Company

80%

20%

Around one in four Americans avoided care because they didn’t know what their health insurance plan covered. Americans with lower incomes are more likely to avoid care: 36% of people making less than $75,000 annually said they avoided care because of uncertainty over what their health insurance covered, compared to 24% of those making more than $75,000.

 

 

4

Have you ever avoided testing, care or treatment for COVID-19 because you were unsure of what your insurance covers?

Health Insurance Literacy Survey 2020

More than 8% of respondents said they avoided COVID-19 testing, treatment and care because they were unsure whether it was covered. Like health insurance coverage, COVID-19 is a key election issue: More than one in five voters say the pandemic is their top issue, according to a September poll by the Kaiser Family Foundation.

Annual income

Yes

Answer:

No

Less than $35k

85%

15%

$50-74k

94%

6%

$35-49k

88%

12%

$100-124k

93%

7%

$75-99k

89%

11%

$125-150k

91%

9%

More than $150k

93%

7%

 

 

5

When does open enrollment for the federal health insurance marketplace take place?Recommendation For Company

Health Insurance Literacy Survey 2020

Dec. 1 – Jan.31

Nov. 1 – Dec. 31

None of the above 36%

12%

7%

64%

9%

2%

45%

10%

6%

Nov. 1 – Dec. 15 16% 9% 13%

Oct. 15 – Dec. 31

Nov. 15 – Jan. 31 8%

20%

8%

9%

8%

18%

Has health insurance

Doesn’t have health insurance

All respondents

Open enrollment for Healthcare.gov, the federal health insurance marketplace, takes place from Nov. 1 through Dec. 15, 2020. These dates have remained unchanged since 2017. While some states have their own exchanges and extended deadlines, the majority use Healthcare.gov to enroll individual residents. Still, around 87% of Americans could not identify the correct time to sign up for a plan.

Correct answer

Incorrect answer

Key:

 

 

6

Which statements about U.S. health care law are true?Recommendation For Company

Only 37% of respondents knew Affordable Care Act plans covered those with pre-existing conditions, a defining characteristic of the law and a political flashpoint during the 2020 election season. An estimated 19% to 50% of non-elderly Americans have a pre-existing health condition, according to the Centers for Medicare and Medicaid Services.

Health Insurance Literacy Survey 2020

Medicaid programs vary by state

ACA plans cover pre-existing conditions

You can get aid to buy an ACA plan

None of the above

29%

26%

45%

43%

14%

49%

22%

28%

25%

36%

37%

35%

There’s no tax penalty for forgoing coverage

20% 15% 17%

Kids can stay on their parent’s plan until age 26

Short-term health plans can least three years

12%

55%

6%

19%

10%

45%

Has health insurance

Doesn’t have health insurance

All respondents

The first six answers are true, but only 5% of Americans could correctly identify all six. More than a third of Americans said none of them were true.

Correct answer

Incorrect answer

Key:

 

 

7

Plans sold through Healthcare.gov must cover:

The Affordable Care Act requires all plans, not just those sold on the federal and state marketplaces, to cover 10 essential health benefits, including the six above. More than four in 10 Americans believe plans sold on Healthcare.gov cover none of the above benefits. Around 22% of people were able to correctly identify all six benefits.

Health Insurance Literacy Survey 2020

Maternity and newborn care

Substance abuse rehabilitation

Pediatric care, including vision and oral care

42%

34%

48%

14%

13%

16%

33%

27%

38%

Ambulatory services

36% 13% 29%

Hospitalization

Mental health care 39%

53%

15%

22%

32%

42%

None of the above 33% 59% 44%

Has health insurance

Doesn’t have health insurance

All respondents

Health care plans must cover all six of these benefits.

Correct answer

Incorrect answer

Key:

 

 

8

What is a copay?

Health Insurance Literacy Survey 2020

A fixed amount you pay for a covered expense (correct answer)

Answers:

The amount you pay before coverage kicks in

The amount you pay each month for insurance

None of the above

30%

18%

3%

49% 42%

17%

39%

2%

3%

29%

19%

50%

Doesn’t have health insurance

Doesn’t have health insurance

All respondents

All respondents

Has health insurance

Has health insurance

What is a deductible?

60%

10% 10%

50%

35%

5%

28%

9%

53%

11% 24%

5%

The amount you pay before coverage kicks in (correct answer)

Answers:

None of the above

The amount you pay each month for insurance

A fixed amount you pay for a covered expense

 

 

9

What is a premium?

Premiums, copays and deductibles are three of the most common health care expenses people pay, yet only 32% of respondents were able to correctly define all three terms. Even among those with health insurance, only 38% knew all three terms. Like most of the survey, these findings were not significantly different from our 2019 survey results.

Health Insurance Literacy Survey 2020

5% 6%

5%

55%

34%

6%

32%

11%

51%

7% 24%

65%

The amount you pay each month for insurance (correct answer)

Answers:

None of the above

The amount you pay before coverage kicks in

A fixed amount you pay for a covered expense

Doesn’t have health insurance

All respondents

Has health insurance

 

 

Policygenius is the nation’s leading online insurance marketplace, with headquarters in New York City and Durham, North Carolina. We’ve helped more than 30 million people shop for all types of insurance like they shop for everything else — online — and have placed over $60 billion in coverage. Policygenius launched in 2014 and is one of the early insurtech pioneers. Policygenius launched wills and trusts through a new mobile app in 2020. Policygenius was named to Forbes’ list of Best Startup Employers (2020), Crain’s Fast 50 (2019) and Inc. Magazine’s Best Workplaces (2018, 2019, 2020).

About Policygenius

For more information: Brooke Niemeyer Associate Director of Media Relationsbrooke.niemeyer@policygenius.com

About the author

Survey methodology

Hanna Horvath is a health insurance expert at Policygenius. She previously worked at WNBC in New York and her work has appeared in NBC News, Business Insider and MSN.

The second annual Policygenius Health Insurance Literacy Survey is based on responses from a survey of a nationally representative sample of 1,501 people. It was conducted by Google Surveys from Sept. 23 through Sept. 28, 2020, with a margin of error of 4%. Percentages are rounded to the nearest whole number for simplicity, so some responses may not add up to 100.