1. 2019 Medical Case Management Client Health Insurance Survey
May 2, 2019

2. The Ryan White Planning Council began collecting health insurance information on all clients within our EMA in 2014.
This was done in order to determine the effects of the Affordable Care Act on our clients and to ensure that funding continues to be allocated to services that PLWHA depend upon.
Each year we have updated this survey in order to zero in on the information that we feel will be most useful in order to identify any areas that may need to be re-evaluated.
About the 2019 Medical Case Management Client Health Insurance Survey

3. Total Clients Surveyed by region
1 (New Haven)
744
2 (Waterbury)
326
3 (Bridgeport)
620
4 (Stamford/Norwalk)
346
5 (Danbury)
137
TOTAL FOR EMA
2173

4. 2019 Client Health Insurance Results
New Haven 2
Waterbury 3
Bridgeport 4
Stmfd/Norwalk 5
Danbury
Total Number of Clients Surveyed
744
326
620
346
137
How many are uninsured 83 29 81 44 32
How many are uninsured due to being uninsurable 24 71
From all uninsured, how many have CADAP
How many clients have Medicaid
447
159
308
168 43
How many clients have Medicare
148 59 70 60 39
Of those, how many have Medicare Part D
117 52 51 34
How many clients have Medicare and CADAP 38 18 23
How many clients have Medicare & Medicaid (Husky)
105 28 22
How many clients are enrolled in the Affordable Care Act 12 20 31 33
From clients who have ACA, how many currently use CIPA 11 17
Private Insurance - Not from exchange (e.g. Employer Paid) 79 30 15
From all clients who have private insurance, how many use CIPA 6 10
From those who have Private Insurance or the Affordable Care Act, how many also have CADAP 57 92
Veterans Affairs (VA) Insurance

5. COMPARISON FOR REGION 1: NEW HAVEN
2019
2018
2017
Total Number of Clients Surveyed
744
602
652
How many are uninsured 83 62 71
How many are uninsured due to being uninsurable -
From all uninsured, how many have CADAP
How many clients have Medicaid
447
304
381
How many clients have Medicare
148
Of those, how many have Medicare Part D
117
How many clients have Medicare and CADAP 38
How many clients have Medicare & Medicaid (Husky)
105 52 75
How many clients are enrolled in the Affordable Care Act 12 15 13
From clients who have ACA, how many currently use CIPA 11 7
Private Insurance - Not from exchange (e.g. Employer Paid) 79 57 56
From all clients who have private insurance, how many use CIPA 6
From those who have Private Insurance or the Affordable Care Act, how many also have CADAP 41 50
Veterans Affairs (VA) Insurance 5 2

6. COMPARISON FOR REGION 2: WATERBURY
2019
2018
2017
Total Number of Clients Surveyed
326
297
417
How many are uninsured 29 44 54
How many are uninsured due to being uninsurable 24 -
From all uninsured, how many have CADAP 48
How many clients have Medicaid
159
172
176
How many clients have Medicare 59
Of those, how many have Medicare Part D 52
How many clients have Medicare and CADAP 18
How many clients have Medicare & Medicaid (Husky) 28 10 42
How many clients are enrolled in the Affordable Care Act 20 9
From clients who have ACA, how many currently use CIPA 17 7 3
Private Insurance - Not from exchange (e.g. Employer Paid) 30 88
From all clients who have private insurance, how many use CIPA
From those who have Private Insurance or the Affordable Care Act, how many also have CADAP 39 25
Veterans Affairs (VA) Insurance 1

7. COMPARISON FOR REGION 3: BRIDGEPORT
2019
2018
2017
Total Number of Clients Surveyed
620
659
611
How many are uninsured 81 96
How many are uninsured due to being uninsurable 71 -
From all uninsured, how many have CADAP 91 78
How many clients have Medicaid
308
330
323
How many clients have Medicare 70
Of those, how many have Medicare Part D 51
How many clients have Medicare and CADAP 38
How many clients have Medicare & Medicaid (Husky) 69 58
How many clients are enrolled in the Affordable Care Act 31 26 20
From clients who have ACA, how many currently use CIPA 11
Private Insurance - Not from exchange (e.g. Employer Paid) 60 66 42
From all clients who have private insurance, how many use CIPA 2
From those who have Private Insurance or the Affordable Care Act, how many also have CADAP 83 68 50
Veterans Affairs (VA) Insurance

8. COMPARISON FOR REGION 4: STAMFORD/NORWALK
2019
2018
2017
Total Number of Clients Surveyed
346
325
329
How many are uninsured 44 51 43
How many are uninsured due to being uninsurable -
From all uninsured, how many have CADAP
How many clients have Medicaid
168
154
152
How many clients have Medicare 60
Of those, how many have Medicare Part D
How many clients have Medicare and CADAP 23
How many clients have Medicare & Medicaid (Husky) 34 27 30
How many clients are enrolled in the Affordable Care Act 33 25 31
From clients who have ACA, how many currently use CIPA 29
Private Insurance - Not from exchange (e.g. Employer Paid) 59 49 45
From all clients who have private insurance, how many use CIPA 20
From those who have Private Insurance or the Affordable Care Act, how many also have CADAP 92 73 74
Veterans Affairs (VA) Insurance

9. COMPARISON FOR REGION 5: DANBURY
2019
2018
2017
Total Number of Clients Surveyed
137
135
130
How many are uninsured 32 33 40
How many are uninsured due to being uninsurable -
From all uninsured, how many have CADAP
How many clients have Medicaid 43 52 47
How many clients have Medicare 39
Of those, how many have Medicare Part D 34
How many clients have Medicare and CADAP 4
How many clients have Medicare & Medicaid (Husky) 22 18 1
How many clients are enrolled in the Affordable Care Act 12 8 2
From clients who have ACA, how many currently use CIPA 6
Private Insurance - Not from exchange (e.g. Employer Paid) 15 11 19
From all clients who have private insurance, how many use CIPA
From those who have Private Insurance or the Affordable Care Act, how many also have CADAP 23
Veterans Affairs (VA) Insurance

10. COMPARISON FOR ENTIRE EMA
2019
2018
2017
Total Number of Clients Surveyed
2173
2140
How many are uninsured
269
286
289
How many are uninsured due to being uninsurable
254 -
From all uninsured, how many have CADAP
281
280
How many clients have Medicaid
1125
1012
1079
How many clients have Medicare
376
Of those, how many have Medicare Part D
314
How many clients have Medicare and CADAP
121
How many clients have Medicare & Medicaid (Husky)
259
176
206
How many clients are enrolled in the Affordable Care Act
108 83 76
From clients who have ACA, how many currently use CIPA 93 64 52
Private Insurance - Not from exchange (e.g. Employer Paid)
243
201
250
From all clients who have private insurance, how many use CIPA 44
From those who have Private Insurance or the Affordable Care Act, how many also have CADAP
294
215
214
Veterans Affairs (VA) Insurance 6 2

11. Uninsured by Region Details
Reason 1
(New Haven)
2 (Waterbury) 3
(Bridgeport) 4
(Stmd/Norwalk) 5
(Danbury)
Total
Undocumented 2018 58 40 64 47 29
238
Undocumented 2019 83 24 71 44 32
254
Over Income for Medicaid
Cannot afford private insurance premiums
Failed to Redetermine 2
Missed Open Enrollment
Had a Fraud claim and couldn’t apply in CT
Started new job
Client declines following up with paperwork
Lost insurance due to laid off
Uninsured by Region Details