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. 2014 Mar 24;111(15):5497–5502. doi: 10.1073/pnas.1320488111

Table 2.

Knowledge about Affordable Care Act, health insurance, and financial literacy

Income in % of FPL
All (%) Uninsured (%) <100 (%) 100–250 (%) 251–400 (%) >400 (%)
Knowledge about ACA
 Knows a great deal/fair amount 24 17 16 20 27 35
 Average number correct ACA knowledge questions 4.46 3.26 2.74 4.04 5.02 6.10
 More than median correct ACA knowledge questions 50 34 26 45 58 70
 Has heard of healthcare reform 78 64 53 77 87 95
 Knows about new exchanges 51 36 35 43 56 71
 Knows about penalty 63 52 44 63 69 77
 Knows about subsidy 46 31 29 41 53 62
Health Insurance Literacy
 Strongly agrees to be confident in financial matters 46 34 26 43 50 64
 Strongly agrees to be good at mathematics 28 25 21 27 29 36
 Average number correct HI knowledge questions 4.84 3.70 3.25 4.62 5.55 5.90
 More than median correct HI knowledge questions 49 27 18 40 63 74
 Can describe a deductible 58 42 30 55 70 78
 Knows about deductible/premium tradeoff 61 42 32 56 74 82
 Knows that HMO greater provider restriction than PPO 38 19 20 28 48 57
Average expected changes in health care
 Family will be better off (1), no change (0), worse off (−1) −0.23 −0.09 −0.09 −0.21 −0.30 −0.31
 Average index for different dimensions −1.44 −0.83 −0.79 −1.32 −1.75 −1.88
 Expects access to care to increase (1), stay unchanged (0), decrease (−1) −0.23 −0.05 −0.03 −0.18 −0.36 −0.35
 Expects waiting times decrease (1), no change (0), increase (−1) −0.36 −0.28 −0.24 −0.32 −0.43 −0.44
 Expects quality of care increase (1), no change (0), decrease (−1) −0.25 −0.13 −0.08 −0.24 −0.33 −0.32
 Expects out-of-pocket decrease (1), no change (0), increase (−1) −0.33 −0.18 −0.23 −0.31 −0.33 −0.45
 Expects ER costs decrease (1), no change (0), increase (−1) −0.28 −0.19 −0.21 −0.28 −0.30 −0.33
 Number of observations 3,414 698 963 1081 724 646
Financial literacy (FL)
 Numeracy 85 71 69 82 90 96
 Inflation 73 55 46 66 82 90
 Risk diversification 62 42 36 52 71 83
 Average FL Index 2.20 1.68 1.50 1.99 2.42 2.68
 Number of observations 2,246 401 507 715 541 483

ALP survey 356, individuals younger than 65, raking weights used. Financial literacy is only available for a subset of respondents that have also answered ALP survey 243. FL index is the sum of correct answers to the three financial literacy questions.