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Survey Reveals Issues Navigating Health Insurance

Survey Reveals Issues Navigating Health Insurance

1.5 minute read

According to a recent survey from the Kaiser Family Foundation (KFF), 81% of insured adults feel excellent or good about their health insurance. However, 58% reported having at least one issue with their insurance including denied claims, trouble finding in-network providers, and delays or denials of care due to preauthorization.

Some Key Findings

  • Adults with worse physical or mental health were more likely to report having problems with their health insurance. Seventy-four percent of individuals who received mental health treatment in the past year reported a problem.
  • Many adults did not receive needed mental health services or medication. Forty percent skipped or delayed care in the past due to costs.
  • Over 36% of insured adults struggled to understand their health insurance. Ninety percent of adults support policies to make insurance simpler to understand – including easier-to-read explanation of benefits, advanced notice of whether care is covered and out-of-pocket costs, disclosures of claim denial rates, and assistance to avoid or resolved insurance problems.

 

Employer Takeaway

Employees value having health care coverage, but many have issues when trying to use it. Those with poorer health, higher utilizers of care, and individuals who receive mental health care tend to have more problems.

Employers are uniquely positioned to help employees understand and effectively use their health plans. A better understanding may help employees increase their health care literacy and improve their health and well-being. Download the bulletin for more details.

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National Insurance Services is not a law firm and no opinion, suggestion, or recommendation of the firm or its employees shall constitute legal advice. Readers are advised to consult with their own attorney for a determination of their legal rights, responsibilities and liabilities, including the interpretation of any statute or regulation, or its application to the readers’ business activities.

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Ashley Veenendaal

Ashley Veenendaal

Ashley Veenendaal’s energy and enthusiasm are the first things you notice about her. She’s a problem solver who doesn’t mind going out of her way to help a customer. “I aim to provide the solution that works for them,” says Ashley, “not the one that’s easiest for me.” As the Full Benefits Consulting Service Supervisor, Ashley oversees the FBC Client Relations team, streamlining and improving implementation processes, and working on various departmental projects. She is a licensed insurance agent with a Group Benefits Disability Specialist (GBDS) designation. Ashley has a background in billing, underwriting, and customer service.