Percent of adults ages 19–64

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Exhibit 1. One-Quarter of Adults Reported a Gap in Coverage in 2011; More Than Half Were Uninsured for Two Years or More * Combines Insured now, time uninsured.

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Note: FPL refers to federal poverty level. * A composite of the following four indicators measures access to a medical home: 1) having a regular doctor.

Exhibit ES-1. The Percentage of Young Adults Uninsured Declined over 2010–2012, While Rates Rose in Other Age Groups Note: Totals may not equal sum of.

31 million adults ages 19–64 years who had a coverage gap

Insured Women Are More Likely to Receive Cancer Screenings Than Uninsured Women, 2016 Percent of women Notes: “Continuously insured” refers to adults.

Exhibit 1 After Rising Steadily Through 2010, the Number of Uninsured Women in the U.S. Had Fallen by Nearly Half by

Insured Women Are More Likely to Have a Regular Source of Care and Receive Preventive Services Percent of women ages 19–64 Notes: “Continuously insured”

Has a regular source of care

Adults Insured All Year with Medicaid or Private Coverage Reported Getting Cancer Screening Tests at Significantly Higher Rates Than Adults Uninsured During.

Adults Insured All Year with Medicaid Coverage Reported Lower Rates of Cost-Related Access Problems Than Adults with Private Coverage and Those Uninsured.

Adults with Medical Bill Problems Had Lingering Financial Problems

More Than One-Quarter of Insured Adults Were Underinsured in 2016

Subsidized private insurance

Nearly a Quarter of Underinsured Adults with Health Problems Skimped on Medications or Got Care in a Hospital or Emergency Department Percent adults ages.

More Than One-Quarter of Insured Adults Were Underinsured in 2016

Adults Insured All Year with Medicaid Coverage Reported Lower Rates of Medical Bill Problems Than Adults with Private Coverage and Those Uninsured During.

Underinsured Rates by Source of Coverage

Uninsured Adults and Those with Coverage Gaps Reported Medical Bill Problems at Higher Rates Than Did Those Continuously Insured, 2016 Percent of adults.

Has a regular source of care

Uninsured Adults and Those with Coverage Gaps Reported Cost-Related Access Problems at Higher Rates Than Did Those Continuously Insured Percent of adults.

Fair/poor health status or any chronic condition**

Adults ages 19– Uninsured now 15%

State Uninsured Rates by Poverty and Firm Size

Across Income Groups, Increasing Numbers of U. S

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

High Deductibles Relative to Income by Coverage Source

Percent adults ages 19–64 who pay all or some of premium

Uninsured Adults Are Less Likely to Receive Cancer Screenings, 2016

Exhibit 1 The Number of Uninsured Adults Dropped to 23 Million in 2016, Down from 37 Million in 2010 Adults ages 19–

Percent of adults ages 19–64

Two of Five Adults Ages 50–64 Who Have or Tried to Buy Individual Insurance Were Turned Down, Charged a Higher Price, or Excluded Because of a Preexisting.

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

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

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

The Number of Adults Without Insurance, Forgoing Health Care Because of Cost, and Paying Large Shares of Their Income on Health Care Has Increased, 2001–2010.

Women in Switzerland and the U.S. Report Very High Out-of-Pocket Costs

Deductibles Have Become a Growing Factor in Underinsurance Rates

Percent of women ages 19–64 Total <133% FPL 133%–249% FPL

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.

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*

Percent of adults ages 19–64

Adults Ages 19–64 Who Are Uninsured and Underinsured, By Poverty Status, 2007 *Underinsured defined as insured all year but experienced one of the following:

Since the ACA, Fewer Adults Are Uninsured, but More Are Underinsured

Percent of adults ages 19–64* Total <133% FPL 133%–249% FPL

16 Million Adults Under Age 65 Were Underinsured in 2005

Adequately insured 48% Uninsured anytime 15% Uninsured anytime 36%

About Three of Five Privately Insured Adults with Low Incomes Reported That It Was Difficult or Impossible to Afford Their Deductible How easy or difficult.

Reasons for Skipping Cancer Screening Tests

Inadequate Coverage Is Associated with More Cost-Related Problems Getting Needed Care Percent of adults ages 19–64 who had any of four access problems.

25 Million Adults Underinsured in 2007, Up from 16 Million in 2003

Adults ages 19–64 with either marketplace or employer coverage

Subsidized private insurance

Cost-Related Access Problems and Medical Bill Problems Are Significantly Higher Among Latinos Uninsured During the Year Percent Latino adults ages

Medicaid <133% FPL 26 million

How easy or difficult was it to find…?

Uninsured Adults with Low and Moderate Incomes Are Less Likely to Be Up to Date with Recommended Preventive Tests Percent of adults ages 19–64, income.

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)

Adults Ages 19–64 Who Are Uninsured and Underinsured, by Poverty Status, 2003 *Underinsured defined as insured all year but experienced one of the following:

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

The Number of Underinsured Adults Under Age 65 Rose to 25 Million in 2007, Up from 16 Million in 2003 Percent of adults ages 19– Total.

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.

Working adults ages 19–64 in firms with <50 employees:

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.

More Than Three of Five Adults Who Selected a Private Plan or Enrolled in Medicaid Were Uninsured Prior to Gaining Coverage What type of health insurance.

Percent of adults ages 19–64

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.

Under the Affordable Care Act, Young Adults Will Benefit from Newly Subsidized Sources of Health Insurance Percent of young adults ages 19–29 Total

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

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

High Deductibles Relative to Income by Coverage Source at the Time of the Survey Percent with deductibles that are 5% or more of income, adults ages 19–64.

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Continuously Insured Adults, Including Those Underinsured, Are More Likely to Get Cancer Screenings Percent of adults ages 19–64 Notes: “Continuously insured” refers to adults who were insured for the full year up to and on the survey field date. “Underinsured” refers to adults who were insured all year but experienced one of the following: out-of-pocket costs, excluding premiums, equaled 10% or more of income; out-of-pocket costs, excluding premiums, equaled 5% or more of income if low-income (<200% of poverty); or deductibles equaled 5% or more of income. “Insured now, had a coverage gap” refers to adults who were insured at the time of the survey but were uninsured at any point in the 12 months prior to the survey field date. “Uninsured now” refers to adults who reported being uninsured at the time of the survey. Respondents were asked if they: received a Pap test within the past three years for females ages 21–64, received a mammogram within the past two years for females ages 40–64, and received a colon cancer screening within the past five years for adults ages 50–64. Data: Commonwealth Fund Biennial Health Insurance Survey (2018).