How much do employees know about health plans?
To help employees get the most out of their benefits, it might be helpful to understand how much enrollees know about health plans and how satisfied they are with their coverage.
The good news is that 86 percent of enrollees understand that premiums are the amount paid for health insurance. Eighty-two percent know that the deductible is the amount paid out-of-pocket before a plan begins to pay for care.
Those statistics are from the 2024 Consumer Engagement in Health Care Survey (CEHCS) from the Employee Benefit Research Institute (EBRI) and Greenwald Research. This research, conducted from October 24 through November 25, 2024, found that there is, however, confusion when it comes to what is meant by prescription copayments and out-of-pocket maximums.
Here is a summary of what the survey of 2,011 insured adults revealed:
- Time spent deciding: The study found that most enrollees spent less than two hours deciding on their health plan during open enrollment. Half spent less than one hour and 3 in 10 spent less than 30 minutes.
- Resources used: Half of enrollees reported using annual employee benefits guides to help them decide. Those with high-deductible health plans were more likely to use an employee benefits online portal than traditional plan owners.
- Satisfaction with the process: About 90 percent were satisfied with the overall process. This included the time they had to select a plan, materials provided, paperwork, and the person presenting the information during open enrollment.
- Satisfaction with the plan: Two-thirds of the enrollees were “extremely” or “very” satisfied with their health care, while 10 percent were “not too” or “not at all” satisfied. Satisfaction with the choice of doctors and the quality of health care received were also high, with seven in 10 being “extremely” or “very” satisfied.
- Concern with costs: When enrollees were not satisfied with their health plan, it was driven by costs. Fourteen percent of the enrollees were “not too” or “not at all” satisfied with the out-of-pocket cost paid for prescription drugs, and 21 percent were not satisfied with the out-of-pocket cost paid for other health care.
- Health care technology: Sixty-two percent of enrollees have used smart health technology, such as a phone application, wearable device, or other technology that includes the ability to sense or track activity for the purposes of managing health, either currently or in the past, the survey found. Three-quarters agreed that smart health technology has made it easier to access care, but two-thirds wished their data could be shared with their doctor and 6 in 10 with their health insurance company.
Help your employees understand and appreciate their health plan
The survey results provide a national overview of what people know and don’t know about health benefits. To help your employees understand their health plans better, you should:
- Have a plan. Get into a regular routine of communicating about benefits throughout the year.
- Listen. While the CEHCS information is a good start, finding out what your employees know about their health benefits would be even more helpful. This can be a simple email, a formal survey, chitchat around the workplace, or a quick virtual call to a sampling of employees.
- Teach. Tell your employees (without using jargon) about what is included in their health plan, how they can access their benefits, and who they can reach out to with questions.
- Be transparent. Those surveyed who were unhappy with their health plan often mentioned cost. Be open with employees about what their health plan costs and why.
- Confirm comprehension. After delivering information about your company health plan, ask employees for feedback and confirm they understand the information shared. Sometimes employees might be reluctant to ask for clarification. Let them know who to contact with any follow-up questions.
- Conduct supervisor training. Supervisors are often on the front line with employee benefit questions. Make sure supervisors have a solid grasp on your company health plan so they can answer basic questions. And let them know who to contact when questions are more complicated.
Key to remember: For employees to get the most from their health plan, they must understand the terminology. Likewise, employers need to know where there are gaps in employees’ understanding and satisfaction.