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

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

4. 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

6. 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

7. 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

8. 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

9. 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

10. 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

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

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

13. 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

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

17. 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

18. 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

19. 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

20. 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

21. 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

22. 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

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