Two of Five Adults Uninsured or Underinsured 25 Million Underinsured 60 Percent Increase in Underinsured from 2003 to 2007 Percent of adults (ages 19–64)

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Fair/poor health status or any chronic condition**

Percent of uninsured adults ages 19–64 Income level Race Age Firm size

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State Uninsured Rates by Poverty and Firm Size

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Percent adults ages 19–64 insured all year who were underinsured*

Percent of adults ages 19–64 who are uninsured

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Percent of adults ages 19–64

Insured all year Total (%) Number (in millions) Uninsured anytime (%)

Distribution of Uninsured or Underinsured by Poverty, 2012

Current national average Impact on number of people

Percent adults ages 19–64 with a health problem or condition^

Percent of adults ages 19– In the past 12 months:

Deductibles Have Become a Growing Factor in Underinsurance Rates

Underinsured Rates Among Adults Who Were Insured All Year by Source of Coverage at the Time of the Survey Percent adults insured all year ages 19–64 who.

Uninsured and Underinsured Adults with Chronic Conditions Are More Likely to Visit the ER for Their Conditions Percent of adults ages 19–64 with at least.

Inadequate Coverage Is Associated with More Problems Paying Medical Bills Percent of adults ages 19–64 who had medical bill or debt problems in past year*

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Percent of adults ages 19– In the past 12 months:

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Percent of adults ages 19–64 Total <200% FPL 200% FPL or more

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Percent of adults (ages 19–64)

Problems with Medical Bills or Accrued Medical Debt Increased, 2005–2007 Percent of adults ages 19–64 with medical bill problems or accrued medical debt.

Uninsured during the year

Uninsured and Underinsured Adults with Chronic Conditions Are More Likely to Visit the ER for Their Conditions Percent of adults ages 19–64 with at least.

The Share of Women Spending 10 Percent or More of Their Income on Health Care Climbed over the Past Decade, Especially for Women with Low Incomes Percent.

Percent of adults ages 19–64

Insured now, time uninsured during year

Percent of adults ages 19–64

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When Low-Income Adults Have a Medical Home and Insurance, Their Rates of Having Cost-Related Access Problems Decline Percent of adults ages 19–64 with.

Percent of adults (ages 19–64)

Percent adults insured all year ages 19–64 who were underinsured*

Percent of adults ages 19–64 insured all year who were underinsured

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The Number of Adults Reporting Not Getting Needed Care Because of Cost Declined in 2014 for the First Time Since 2003 Percent of adults ages 19–

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Two of Five Adults Uninsured or Underinsured 25 Million Underinsured 60 Percent Increase in Underinsured from 2003 to 2007 Percent of adults (ages 19–64) who are uninsured or underinsured 72 68 42 35 27 17 Total Under 200% of poverty 200% of poverty or more * Underinsured defined as insured all year but experienced one of the following: medical expenses equaled 10% or more of income, or 5% or more of income if low income (<200% of poverty); or deductibles equaled 5% or more of income. Data: 2003 and 2007 Commonwealth Fund Biennial Health Insurance Survey. Source: Commonwealth Fund Commission on a High Performance Health System, Why Not the Best? Results from the National Scorecard on U.S. Health System Performance, 2008 (New York: The Commonwealth Fund, July 2008).