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CHIP and adultBasic Disenrollment Survey 2008: Reasons, Satisfaction, and Recommendations

This survey conducted in 2008 interviewed prior enrollees of CHIP and adultBasic programs to gather information about reasons for disenrollment, satisfaction with the programs, and likelihood of recommending them to others. The survey also explored demographics and current insurance coverage. The findings highlight the reasons for disenrollment, including obtaining other health insurance, perception of income being too high for the program, limited availability of healthcare providers, limited health benefits, and other general factors. The survey also reveals high levels of satisfaction with the programs and a favorable likelihood of recommending them to others.

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CHIP and adultBasic Disenrollment Survey 2008: Reasons, Satisfaction, and Recommendations

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  1. In 2008, Market Decisions interviewed 405 prior adultBasic enrollees and parents or guardians of 801 prior CHIP enrollees while conducting the CHIP & adultBasic Disenrollment Survey • Approximately 100 prior enrollees per contractor per program • The basic topic areas of the questionnaire were: • Verification of disenrollment • Reasons for not maintaining enrollment • Satisfaction with the program • Current insurance coverage • Demographics

  2. Satisfaction with CHIP • 93% of respondents were very or somewhat satisfied with the program overall • 89% were satisfied with their choice of doctors or other healthcare providers • 88% were satisfied with CHIP staff • For full-cost and low-cost CHIP • 87% were satisfied with co-pays for doctor’s visits • 80% were satisfied with co-pays for prescription medicine • 77% were satisfied with the monthly premium

  3. Recommending CHIP to Others • 87% of CHIP respondents indicated that they were very likely to recommend CHIP to another person • 9% said they were somewhat likely to recommend CHIP • Overall, 96% gave a favorable response and would recommend CHIP to others

  4. CHIP Reasons for Disenrollment • 65% obtained other health insurance • 42% said the difficulty of obtaining proof of income was a factor in their decision not to reenroll their child in CHIP

  5. CHIP Reasons for Disenrollment – Perception of income being too high for the program • 25% of respondents whose children received Free CHIP said they were no longer eligible because of an increase in income • 23% of respondents whose children received low-cost CHIP said that they were no longer eligible because their income was too high • 14% of the respondents with children in the full-cost group said that a rise in income made them ineligible

  6. CHIP Disenrollment Reason - Limited availability of healthcare providers • 17% of CHIP respondents said they could not find a dentist that accepted CHIP • 11% said there were too few doctors accepting CHIP in their area • 8% said they did not reenroll because their child’s current doctor did not accept CHIP • 5% said they could not find a doctor at all that accepted CHIP

  7. CHIP Disenrollment Reason - Limited health benefits • 8% indicated that CHIP health care benefits are too limited • 7% said the program does not cover the health care services their child needs • Specifically mentioned was lack of: • Dental care • Diagnostic tests • Medical care for an illness or condition • Eye care

  8. CHIP Disenrollment Reason - Other general factors • 10% said that they did not want to be receiving government assistance • 6% said that cost was a factor • 6% reported that renewal paper work was too hard • 6% cited poor customer service from CHIP staff • 5% said that their child has no need for health insurance • 4% thought that their doctor treated their child differently because of CHIP enrollment

  9. Table 1. Is ____ a reason why you did not pay the premium or send in the renewal form?

  10. Table 1. Is ____ a reason why you did not pay the premium or send in the renewal form? (Continued)

  11. Satisfaction with the adultBasic Program • 91% said they were very or somewhat satisfied with adultBasic overall • 93% were satisfied with the monthly premium • 91% were satisfied with the co-pays for doctors visits • 91% were satisfied with the choice of doctors and other health care providers • 87% were satisfied with the adultBasic staff assistance • 86% were satisfied with how well they were treated while contacting adultBasic staff

  12. Recommending adultBasic to Others • Overall, 94% indicated that they would recommend adultBasic • 81% very likely • 13% somewhat likely

  13. adultBasic Reasons for Disenrollment • 55% obtained coverage through other means • 31% said they had difficulty obtaining proof of income • 22% said they were no longer eligible because their income was too high

  14. adultBasic Reasons for Disenrollment – Cost issues • 14% said that cost was an issue for not reenrolling in adultBasic • Of the 14%, 48% said that the monthly premium of $35 for adultBasic was too expensive • Of the 14%, 41% said that the cost of the monthly premiums and co-pays for services were too high

  15. adultBasic Reasons for Disenrollment – Benefit issues • 14% said that limited health benefits were a factor in not reenrolling in adultBasic • 13% said that adultBasic did not provide coverage for services they needed • Specifically mentioned was the lack of: • Dental care • Coverage of prescription medications • Eye care

  16. adultBasic Reasons for Disenrollment – Provider issues • 11% said there were too few doctors in their area that accepted adultBasic • 8% said that their current doctor did not accept adultBasic • 5% said they could not find a doctor in their area at all that accepted adultBasic

  17. adultBasic Reasons for Disenrollment – Quality and customer service • 6% of respondents said that quality of care was a concern • 6% listed issues with adultBasic staff customer service • 4% mentioned difficulties with the renewal process • 3% thought they were treated differently by a health care provider because they were enrolled in adultBasic

  18. adultBasic Reasons for Disenrollment – Other factors • 9% said they now have coverage through Medicaid • 9% said they did not want to be receiving government assistance • 5% indicated that they did not need health insurance

  19. Table 4. Is ____ a reason why you did not pay the premium or send in the renewal form?

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