
Understanding the Coverage Gap for Uninsured Adults
The Affordable Care Act (ACA) expanded Medicaid to lower income adults, yet 1.4 million individuals remain uninsured in states that opted out of this expansion. This is particularly concerning for nonelderly adults without children, who are often employed in low-wage jobs that do not provide health insurance. Texas, Florida, and Georgia account for a staggering 75% of those caught in this coverage gap, revealing a regional disparity in access to essential health services.
Why Are So Many Adults Uninsured?
Within the ten states that have not adopted Medicaid expansion, income limitations prevent many from qualifying for coverage. Unfortunately, many individuals in the coverage gap are working families who do not earn enough to secure health insurance through their jobs. About 59% live in working households, many laboring in service industries such as hospitality and retail, where jobs are often part-time or do not offer affordable insurance options.
The Impact of Race and Disability on Coverage
People of color are notably overrepresented in the coverage gap, comprising around 60% of those affected. Additionally, one in six individuals in the gap has a disability, hindering their ability to work or access affordable healthcare. As they approach retirement age, many are left without options until they can receive Medicare at age 65. This illustrates a troubling intersection of socioeconomic and racial disparities that must be addressed for equitable health coverage.
What Could Change with Medicaid Expansion?
Adopting Medicaid expansion could drastically alter the landscape for uninsured adults. An estimated 2.7 million individuals could gain access to coverage if all states agreed to expand Medicaid. Both the ACA Marketplace and Medicaid provide coverage options, but Medicaid generally offers more comprehensive benefits with lower out-of-pocket costs. Therefore, expanding access could not only improve individual health but also reduce overall healthcare costs for communities struggling with uninsured rates.
Act Now: Be Informed About Your Coverage Options
Worried you may not have the best insurance options? No stress, no pressure, no cost. Speak to our specialist right away at Call 231-571-6100.
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