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The Uninsured at the Starting Line in California: California findings from the 2013 Kaiser Survey of Low-Income Americans and the ACA

Table A1: Demographics of Adults in California, by Insurance Coverage
Uninsured Insured
Employer Nongroup Medi-Cal
Income
≤138% FPL 52% 10%* 78%*
139-400% FPL 39% 31%* 37% 19%*
>400% FPL 8% 59%*
Family Work Status
Working Family 71% 90%* 72%* 36%*
Non-Working Family 29% 10%* 64%*
Age
19-25 17% 11%*
26-34 28% 18%* 18%*
35-44 22% 26% 23%
45-64 33% 44%* 66%* 48%*
Health Status
Ongoing Health Condition 23% 32%* 43%* 55%*
No Ongoing Health Condition 75% 68% 57%* 45%*
Fair or Poor Health Status
Excellent/Very Good/Good 67% 90%* 82%* 51%*
Fair or Poor 33% 10%* 49%*
Race
White, Non-Hispanic 26% 50%* 56%* 33%
Hispanic 52% 26%* 43%*
Black, Non-Hispanic 5%
Asian/Pacific Islander 13%
American Indian Alaska Native
Other/DK, Non-Hispanic 6%
Citizenship
Citizen 64% 89%* 92%* 80%*
Non-Citizen 36% 10%* 20%*
NOTES: Don’t Know and Refused responses not shown. Excludes people covered by other sources, such as Medicare, VA/CHAMPUS, or other state programs. NA: Not applicable
“–“: Estimates with relative standard errors greater than 30% or unweighted cell sizes below 30 are not provided.
* Estimate statistically significantly different from uninsured estimate at the 95% confidence level.
SOURCE: 2013 Kaiser Survey of Low-Income Americans and the ACA.
Table A2: History of Uninsurance and Attempts to Gain Coverage Among Currently Uninsured Adults in California, by Income
All By Income
≤138% FPL 139-400% FPL
Length of Time Uninsured
<3 months 7%
3 Months to Less than a Year 10% 8% 11%
1 Year to 5 years 33% 34% 31%
5 Years or More 28% 26% 31%
Have Never Had Coverage 22% 25% 21%
Attempts to Gain Coverage
Applied for Medi-Cal in past 5 years 24% 28% 18%^
Applied for Medi-Cal but did not enroll 15% 17% 12%
Applied for Medi-Cal but told ineligible 12% 14% 10%
Tried to purchase nongroup coverage in past 5 years 17% 12% 22%^
Tried to purchase nongroup coverage but did not purchase policy 12% 8% 17%^
Tried to purchase nongroup coverage but too expensive 10% 7% 13%
NOTES: Don’t Know and Refused responses not shown.Excludes people covered by other sources, such as Medicare, VA/CHAMPUS, or other state programs.
“–“: Estimates with relative standard errors greater than 30% or unweighted cell sizes below 30 are not provided.NA: Not applicable. Estimates not shown for >400% as estimates do not meet criteria for statistical reliability.
^ Estimate statistically significantly different from <138% FPL estimate at the 95% confidence level.
SOURCE: 2013 Kaiser Survey of Low-Income Americans and the ACA.
Table A3: Ease of Applying for Medi-Cal, Among Adults who Have Applied, by Income
All By Income
≤138% FPL 139-400% FPL
Share reporting step was somewhat or very easy:
Finding out how to apply 78% 77% 84%
Filling in requested information 68% 65% 72%
Assembling the required paperwork 61% 60% 56%
Submitting the application 77% 78% 75%
Share reporting all steps were somewhat or very easy 48% 47% 46%
NOTE: Includes adults who either are currently covered by Medi-Cal or report that they have applied for the program within the past 5 years. Estimates not shown for >400% as estimates do not meet criteria for statistical reliability.
SOURCE: 2013 Kaiser Survey of Low-Income Americans and the ACA.
Table A4: Reasons For and Problems With Choosing Health Plan, Among Adults in California Who Had and Made a Choice, by Income
All By Income
≤138% FPL 139-400% FPL >400% FPL
Share who chose plan primarily because:
Your costs under the plan were low 27% 20% 23% 31%
The selection of health care providers was broad or included your doctor 27% 28% 24% 27%
The plan covered a wide range of benefits or a specific benefit that you need 29% 22% 33% 29%
Friends or family recommended the plan 5%
Other members of your family were already enrolled in this plan 4%
Some other reason 8% 12% 8%
Share of Insured Adults Reporting:
Difficulty comparing services covered under each plan 25% 28% 29% 22%
Difficulty comparing what costs would be under each plan 17% 18% 20% 15%
Difficulty comparing the doctors, hospitals, and other health care providers you could see under each plan 29% 19% 26% 33%
At least one aspect of plan choice to be difficult 38% 37% 37% 38%
NOTES: Among 58% insured adults who had a choice of plans and reported that they made the choice themselves. Excludes those who responded Don’t Know or Refused.
“–“: Estimates with relative standard errors greater than 30% or unweighted cell sizes below 30 are not provided.
SOURCE: 2013 Kaiser Survey of Low-Income Americans and the ACA.
Table A5: Problems with Health Coverage Among Insured Adults in California, by Coverage
Insured
Employer Nongroup Medi-Cal
Share who:  
Rate Health Coverage as “Not so good” or “Poor” 9% 23%* 23%*
Share who report that: 
Needed Service Not Covered by Plan 14% 35%* 34%*
Plan Would Not Pay for Service You Thought Was Covered 20% 36%* 36%*
Costs You Had to Pay for a Service Were Higher Than Expected 35% 61%* 25%*
NOTES: Excludes people covered by other sources, such as Medicare, VA/CHAMPUS, or other state programs.
“–“: Estimates with relative standard errors greater than 30% or unweighted cell sizes below 30 are not provided.*Estimate statistically significantly different from employer estimate at the 95% confidence level.
SOURCE: 2013 Kaiser Survey of Low-Income Americans and the ACA.
Table A6: Californians’ Knowledge of Coverage Pathways Available Under the ACA, by Income and Coverage
Uninsured^ Insured
Employer Coverage Nongroup Medi-Cal
Know “only a little” or “nothing at all” about Medi-Cal
All 74% 71% 82% 52%*
By Income
≤138% FPL 76% 76% 47%*
139-400% FPL 74% 73% 81% 65%
>400% FPL 69% 80%
Know “only a little” or “nothing at all” about Covered California
All 85% 67% 70% 84%
By Income
≤138% FPL 89% 82% 85%
139-400% FPL 84% 80% 71% 80%
>400% FPL 57% 67%
NOTES: Excludes people covered by other sources, such as Medicare, VA/CHAMPUS, or other state programs.
^Uninsured excludes undocumented immigrants.
“–“: Estimates with relative standard errors greater than 30% or unweighted cell sizes below 30 are not provided.
*Estimate statistically significantly different from uninsured estimate at the 95% confidence level.
SOURCE: 2013 Kaiser Survey of Low-Income Americans and the ACA.

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