Do People Actually Understand Their Coverage? [The Answer May Surprise You]

Most Americans are Happy with Their Health Insurance, Though Most Don’t Fully Understand It
More than three-quarters of respondents in a Forbes Advisor Survey couldn’t identify the word coinsurance, and nearly half incorrectly defined copayment and deductible – and that’s just the beginning of their confusion about the U.S. health insurance system.
Seems like a pretty big disconnect, right?
As we begin the new year, with many Americans in brand new health plans, new deductibles, and new questions, transparency in coverage is even more vital. But, if we can instead break down coverage in ways real people can understand, we can start to improve this statistic.
And, that’s our passion.
We believe members should be able to understand their health insurance in ways they can clearly comprehend - without medical jargon, confusing layouts, and answers that only lead to more questions. We believe call agents should be able to quickly provide succinct answers to members’ questions, and that providers can inform patients on coverage basics easily. Additionally, we believe members should be able to access their benefits through self-service and find that same, accurate and complete information without making a call.
When this happens, everyone wins. Members get the care they need with the peace of mind, call centers and insurance plans have happier customers, and providers are able to provide better care.
It just makes sense.
Share this article
Related articles

The Right Mindset to Kick Off Successful Customer Service in the New Year
Customer service reps have been training and preparing. We’ve scaled up our teams in preparation for this influx of calls and the deluge of questions. It happens year after year, and yet somehow, we still hold our breath in anticipation for the start.

The Silver Lining of Your Sales Season
You know how it goes this time of year - sales teams are usually in one of two boats right now. Some are popping champagne and celebrating their wins, while others are dealing with those tough conversations with management about missing their targets.

Do You Know the Metrics of Your Sales Team?
when we talk to sales leaders, the norm is actually to NOT know their numbers. Even worse, many sales Leaders can’t even access this information without jumping through a series of hoops and red tape. If you talk to any successful sales leader, they’ll tell you just how important the key performance indicators (KPIs) are to their success. KPIs guide your progress toward your sales goals. They are indicators of if and how well you are meeting your goals.

The Right Mindset to Kick Off Successful Customer Service in the New Year
Customer service reps have been training and preparing. We’ve scaled up our teams in preparation for this influx of calls and the deluge of questions. It happens year after year, and yet somehow, we still hold our breath in anticipation for the start.