Survey: Key Obamacare Allies Face Uphill Battle with Consumers - Healthpocket
InfoPoll | 08-13-13

Key Obamacare Allies Face Uphill Battle with Consumers

“Navigators” Still Unknown, Consumers Look Elsewhere for Insurance Advice

A graph showing answers to the question 'During Obamacare's first Open Enrollment Period, where will you get advice regarding your health insurance selection?'

America is less than two months away from the largest change to its healthcare system since the introduction of Medicare. With only 16% of the population claiming to be very familiar with the Affordable Care Act1 and many more indicating confusion about the law’s provisions,2 the government is preparing to spend millions of dollars promoting the health insurance options available under Obamacare. Nonprofit advocacy groups aligned with the Obama Administration such as Enroll America and Organizing for Action have already launched privately funded advertising campaigns to promote the consumer benefits of Obamacare to the public. Additionally, state and federal exchanges will employ “navigators” to assist consumers with health insurance questions regarding the new health plans, subsidy eligibility, and enrollment.

Given emerging government and nonprofit marketing efforts for Obamacare as well as educational support to be offered by navigators, HealthPocket surveyed 1,150 adults across the nation to determine where consumers will seek guidance regarding health insurance during this year’s open enrollment period. 1,150 people across the nation were asked “During Obamacare's first Open Enrollment Period, where will you get advice regarding your health insurance selection?” Only 3% of survey respondents said that they plan on obtaining advice from a navigator or nonprofit group. This answer had the lowest response rate within every age category for the five answer choices offered. The survey also found that women were half as likely as men to prefer navigators and nonprofits for health plan guidance.

Among the younger age groups, the most important demographic segment for making Obamacare health insurance exchanges financially viable, navigators and nonprofits currently fare poorly as a choice for guidance. HealthPocket found that only 3% of respondents between 18 and 34 years old intended to seek advice from navigators or nonprofits.

Enrolling younger adults into the new Obamacare metal plans is vitally important because this group is more likely to be healthy and use medical services infrequently. Given that the Affordable Care Act will prohibit the denial of insurance to applicants due to pre-existing medical conditions, insurers will be covering a portion of the population that was previously uninsured or insured through expensive high-risk pools. In order to prevent these more sickly enrollees from driving up the cost of health insurance premiums, the insurers need millions3 of young and healthy consumers to enroll into one of the new bronze, silver, gold and platinum health plans regardless of whether that enrollment is performed on-exchange or off-exchange. Consequently, young adults will be one of the key targets for Obamacare advertising. The advertising effort itself will be enormous. The Associated Press estimates that, between federal and state marketing efforts, $684 million will be spent on radio, TV, and social media ads for the Affordable Care Act’s open enrollment period this year.4

Of the one third of respondents who intended to seek out advice on their health insurance selection, most will turn to a healthcare provider. 14% of all survey respondents preferred their doctor or pharmacist for health insurance advice. Internet research, in comparison, was the advice resource for 11% of respondents. Friends and family was chosen by only 6% of respondents.

The survey results indicate that considerable work lies ahead for navigators and nonprofit groups seeking to inform consumers’ health insurance decisions. It is unclear whether consumers’ disinclination for obtaining health plan advice from navigators and nonprofits is due to a general lack of awareness regarding these groups or a stronger preference for other sources of guidance. While 18 to 24 year-olds were the most likely of all surveyed age segments to seek guidance from navigators or nonprofits, at 5% the preference for navigators and nonprofits is so low that the vast majority of young adults still need to be convinced they need these groups for advice.


Results are based on 1,150 responses to an online survey conducted from August 1, 2013 to August 5, 2013. Respondents were asked "During Obamacare's first Open Enrollment Period, where will you get advice regarding your health insurance selection?" Respondents had the option of selecting one of the following answers: “My doctor or pharmacist,” “A navigator or nonprofit group,” “Friends or family,” “Internet research,” and “None / I won't be changing insurance.” The survey was displayed within a network of over 100 different news web sites and other content sites. Demographic inferencing and methodology to acquire survey respondents who approximate national statistics on age, gender, income, and region was performed by Google-administered technology. Race, education, and health insurance status were not examined. Margin of error across survey responses is estimated at + 3.1/-3.3.


This survey analysis was completed by Kev Coleman, Head of Research & Data at Correspondence regarding this study can be directed to Mr. Coleman at

Feedback and questions are welcome but, given the volume of email, personal responses may not be feasible.



1 Jeffrey M. Jones. "In U.S., 43% of Uninsured Unaware They Must Get Coverage" June 28, 2013. Accessed August 5, 2013.
2 Mitch Lipka. “Obamacare leaves consumers confused, poll finds” MSN Money. June 3, 2013. Accessed August 5, 2013.
3 Jenny Gold. “Latinos Key to Obama’s Health Law Strategy.” Kaiser Health News. June 7, 2013. Accessed August 7, 2013.
4 Carla K. Johnson. "Marketing 'Obamacare' shaping up as big challenge." Associated Press. Friday, July 26, 2013. Accessed August 7, 2013.


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