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

Rachel Licata and Rachel Garfield
Published: Apr 07, 2014

Table A1: Demographics of Adults in Missouri, by Insurance Coverage
	Uninsured	Insured
	Uninsured	Employer	Nongroup	Medicaid
Income
<100% FPL	41%	6%*	—	67%*
100-400% FPL	55%	48%	46%	33%*
>400% FPL	—	46%	50%	—
Family Work Status
Working Family	62%	93%*	81%*	19%*
Non-Working Family	38%	7%*	—	81%*
Age
19-25	24%	13%*	—	14%
26-34	29%	19%*	—	16%*
35-44	17%	20%	—	26%
45-64	30%	47%*	56%*	43%*
Health Status
Ongoing Health Condition	38%	41%	21%*	67%*
No Ongoing Health Condition	62%	58%	79%*	32%*
Fair or Poor Health Status
Excellent/Very Good/Good	69%	90%*	92%*	48%*
Fair or Poor	31%	10%	—	52%*
Race
White, Non-Hispanic	75%	87%*	81%	67%
Hispanic	6%	3%	—	—
Black, Non-Hispanic	14%	6%*	—	23%*
Asian/Pacific Islander	—	—	—	—
American Indian Alaska Native	—	—	—	—
Other/DK, Non-Hispanic	—	—	—	—
Citizenship
Citizen	96%	99%	100%	99%
Non-Citizen	4%	—	—	—
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% 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 Missouri, by Income
	All	By Income
	All	<100% FPL	100-400% FPL
Length of Time Uninsured
< 3 months	9%	—	10%
3 Months to Less than a Year	14%	11%	17%
1 Year to 5 years	33%	30%	34%
5 Years or More	30%	32%	27%
Have Never Had Coverage	14%	18%	11%

Attempts to Gain Coverage
Applied for Medicaid in past 5 years	34%	40%	27%
Applied for Medicaid but did not enroll	24%	26%	20%
Applied for Medicaid but told ineligible	22%	24%	17%

Tried to purchase nongroup coverage in past 5 years	25%	16%	28%^
Tried to purchase nongroup coverage but did not purchase policy	21%	13%	24%^
Tried to purchase nongroup coverage but too expensive	17%	13%	21%
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% 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 <100% FPL estimate at the 95% confidence level. SOURCE: 2013 Kaiser Survey of Low-Income Americans and the ACA.

Table A3: Ease of Applying for Medicaid, Among Adults who Have Applied, by Income
	All	By Income
	All	<100% FPL	100-400% FPL
Share reporting step was somewhat or very easy:
Finding out how to apply	81%	83%	79%
Filling in requested information	73%	76%	72%
Assembling the required paperwork	60%	61%	56%
Submitting the application	85%	87%	81%
*Share reporting all* steps were somewhat or very easy**	49%	48%	49%
NOTE: Includes adults who either are currently covered by Medicaid 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 Missouri Who Had and Made a Choice, by Income
	All	By Income
	All	<100% FPL	100-400% FPL	>400% FPL
Share who chose plan primarily because:
Your costs under the plan were low	27%	—	31%	25%
The selection of health care providers was broad or included your doctor	19%	22%	19%	19%
The plan covered a wide range of benefits or a specific benefit that you need	38%	35%	35%	41%
Friends or family recommended the plan	3%	—	—	—
Other members of your family were already enrolled in this plan	3%	—	—	—
Some other reason	8%	—	6%	10%
Share of Insured Adults Reporting:
Difficulty comparing services covered under each plan	20%	23%	25%^	15%
Difficulty comparing what costs would be under each plan	18%	18%	23%^	13%
Difficulty comparing the doctors, hospitals, and other health care providers you could see under each plan	23%	18%	26%	22%
At least one aspect of plan choice to be difficult	34%	33%	38%	31%
NOTES: Among 49% 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% are not provided. ^ Estimate statistically significantly different from >400% FPL estimate at the 95% confidence level.SOURCE: 2013 Kaiser Survey of Low-Income Americans and the ACA.

Table A5: Problems with Health Coverage Among Insured Adults in Missouri, by Coverage
	Insured
	Employer	Nongroup	Medicaid
Share who:
Rate Health Coverage as “Not so good” or “Poor”	12%	22%	22%*
Share who report that:
Needed Service Not Covered by Plan	12%	18%	44%*
Plan Would Not Pay for Service You Thought Was Covered	20%	25%	38%*
Costs You Had to Pay for a Service Were Higher Than Expected	40%	46%	22%*
NOTES: Excludes people covered by other sources, such as Medicare, VA/CHAMPUS, or other state programs. “–“: Estimates with relative standard errors greater than 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.

Methods