Most Americans are shown to be deficient in health insurance literacy, lacking a basic understanding of health insurance terms and how to use their plan. According to America's Health Insurance Plans, nearly 90 percent of adults have difficulty using available information to make an informed decision about their health. As a result, the Report on Economic Well-Being of U.S. Households indicates that in 2018, one in four adults skipped medical care due to cost and one in five was dealing with significant, unexpected medical bills.

RESPONSE

In 2020, the University of Delaware and University of Maryland Cooperative Extension services collaborated on the Health Insurance Literacy Initiative (HILI) to offer free Smart Choice and Smart Use programs in Delaware and Maryland. These in-person and virtual programs aim to improve health insurance literacy:

Smart Choice Basics
Smart Use: Smart Actions
Smart Use: Essential Health Benefits
Smart Use: Understanding and Estimating Health Care Costs
Smart Choice: Smart Use Healthcare in Your Senior Years, and
Smart Use: Managing Health Insurance and Resolving Conflicts.

IMPACT

Smart Choice Basics was offered six times to a total of 65 individuals. Forty-three of these individuals also completed the post-event survey, indicating that the program significantly increased their confidence in understanding health insurance terms and applying knowledge and information to make a "smart choice."

Smart Use: Smart Actions was offered five times and reached 49 individuals, 33 of whom completed the survey. The survey revealed that all 33 felt the program significantly increased their knowledge and confidence in understanding their healthcare coverage before receiving a service.

Smart Use: Essential Health Benefits was offered twice, reaching 25 individuals.

Smart Use: Understanding and Estimating Health Care Costs was offered twice, reaching 34 individuals. The twenty-eight participants who completed the survey indicated that the program significantly increased their confidence in estimating total health care costs and understanding health insurance terms.

Smart Choice: Smart Use Healthcare in Your Senior Years was conducted 13 times, reaching 291 individuals. One hundred and five participants also completed the survey, indicating that the program significantly increased their confidence in understanding health insurance options and could estimate their total health care costs.

Smart Use: Managing Health Insurance and Resolving Conflicts was offered twice and reached 35 individuals. Of those, nine responded to the survey and felt that the program had significantly increased their likelihood to find the cost of a medical procedure before it occurs.