The Commonwealth Fund 2023 Health Care Affordability Survey asked a nationally representative sample of working-age U.S. adults (ages 19-64) about their ability to afford health insurance and health care and about the impact that health costs have on their household budget. This fact sheet presents results for the 379 respondents who were insured for the full year and had Medicare coverage at the time of the survey. About one in seven people with Medicare are under age 65 and qualify for the program because of serious disabilities, end-stage renal disease, or amyotrophic lateral sclerosis. They are among the poorest and sickest people interviewed for the survey. Because of their low incomes and few assets, about half of adults under age 65 with Medicare were dually eligible for Medicaid in 2019. Affordability problems stem from higher spending because of poor health or disability, cost sharing, uncovered services, and the complexity of some program benefits, which can make them difficult to use.
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1 online resource (1 PDF file (1 unnumbered page))