![]() See the Methodology section for more details. The 2020 survey is a nationally representative survey of 3,661 women ages 18 to 64, conducted between November 19 and December 17, 2020. This brief presents findings from the 2020 KFF Women’s Health Survey on women’s use of health care services, costs, and experiences accessing health care. The ACA contains provisions aimed at alleviating some of the financial barriers to health care access however, many women still face challenges with health care costs and medical bills, particularly those who are uninsured or low-income. Many insured women face health care costs in the form of cost sharing or balance billing resulting from receiving care from an out-of-network provider or hospital, which can also impact their financial well-being. Women with health insurance may experience difficulty affording health care. While the Affordable Care Act (ACA) expanded pathways to affordable coverage to millions of women, coverage and affordability barriers persist for many. Social determinants of health, structural racism, and experiences with health care providers shape health outcomes and health equity. Women’s access to health care depends greatly on the availability of high-quality providers in their communities as well as their own knowledge about maintaining their health through routine checkups, screenings, and provider counseling. ![]() Among women experiencing problems with medical bills in the past year, nearly half (48%) have had difficulty paying for basic necessities like food, heat, or housing because of the bills, as have six in ten (61%) low-income women.One in four (24%) women report having had problems paying medical bills in the past 12 months, over half (57%) of whom say this was due, at least in part, to the COVID-19 pandemic.Nearly four in ten (38%) Black women say they were treated this way because of their race/ethnicity. One in three (30%) women who had a negative provider experience say they were treated this way because of their age and one in five (20%) say it was because of their gender. 12%) or didn’t believe they were telling the truth (10% vs. Among people who have visited a doctor in the past two years, women are more likely than men to say a health care provider has dismissed their concerns (21% vs.Black (61%) and Asian (60%) women are less likely to have had this discussion with their provider than White women (72%). Among women who have been to the doctor in the past two years (93%), uninsured women (55%) are significantly less likely to have discussed mental health issues with their health care provider than women with health insurance (70%).Nearly three in ten women with Medicaid (29%) and individual insurance (28%) say a doctor they wanted to see was not covered by their plan, compared to 15% of women with employer-sponsored insurance. Women with Medicaid coverage are more likely than women with employer-sponsored insurance to report experiencing health insurance coverage limitations.One-third (34%) visit a community health center or health department. Nearly half (46%) of women who usually visit a health center or clinic for their care go to a walk-in clinic such as an urgent care facility or clinic inside a store or pharmacy. ![]()
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