Health Insurance Coverage
Health insurance helps families and communities be aware of good health practices and health risks.¹ People with health insurance also have the opportunity to receive early treatment that can improve their health, particularly children.¹ On the contrary, people without health insurance receive less care and experience greater difficulty seeking recommended medical care such as preventative and screening services.² ³ By tracking health insurance enrollment, we can identify the communities that lack this resource and see how our county compares with state and national standards.
Our Vital Signs
We use U.S. Census Bureau data to track health insurance enrollment in our county. The U.S. Census Bureau releases two sources for health insurance statistics each year, the Annual Social and Economic Supplement to the Current Population Survey and the American Community Survey.⁴ These surveys provide information on health insurance status (insured or not insured) for the nation by demographic groups.⁴
We have identified the following trends in health insurance enrollment in our county:
percent of San Bernardino County residents with insurance coverage
- Enrollment rose by 14% from 2010 (78.4%) to 2017 (92.4%).
- The rise in insurance enrollment mostly took
place between 2013 to 2015.
The chart below shows the overall percentage of the population with health insurance coverage for San Bernardino County and compares it with the State of California and the United States. The chart also includes targets from Healthy People 2020 and Let's Get Healthy California.
- U.S. Census Bureau, American Community Survey, 2010-2018 1-Year Summary File Estimates, Tables B27001, C27001H, C27001I. Retrieved from https://www.census.gov/data/developers/data-sets/acs-1year.html
- U.S. Census Bureau, American Community Survey, 2014-2017 1-Year Supplemental Estimates, Table K202701. Retrieved from https://www.census.gov/data/developers/data-sets/ACS-supplemental-data.html
- Health insurance coverage for San Bernardino County showing percentage of the county insured. Numerator data and denominator data from U.S. Census American Community Survey.
- Murphey, D. Health Insurance Coverage Improves Child Well-Being. Childtrends.org. https://www.childtrends.org/wp-content/uploads/2017/05/2017-22HealthInsurance_finalupdate.pdf. Accessed February 21, 2020.
- Dzau, V. J., M. McClellan, J. M. McGinnis, and E. M. Finkelman, editors. Vital directions for health & health care: An initiative of the National Academy of Medicine. National Academy of Medicine. https://nam.edu/initiatives/vital-directions-for-health-and-health-care/vital-directions-for-health-health-care-special-publication/. Accessed February 21, 2020.
- Hadley J. Insurance Coverage, Medical Care Use, and Short-term Health Changes Following an Unintentional Injury or the Onset of a Chronic Condition. JAMA. https://jamanetwork.com/journals/jama/article-abstract/206024#25296870. Published March 14, 2007. Accessed February 21, 2020.
- US Census Bureau. Health Insurance Coverage Measurement in the CPS ASEC and the ACS. The United States Census Bureau. https://www.census.gov/programs-surveys/cps/technical-documentation/user-notes/health-insurance-user-notes/health-ins-cov-meas-asec-acs.html. Published September 10, 2019. Accessed February 26, 2020.