KFF Survey Finds LGBTQ+ Adults More Likely to Forgo Healthcare Due to Cost
A KFF survey of 2,640 LGBTQ+ adults found 60% missed needed healthcare in the past year due to cost or provider availability, compared to 38% of non-LGBTQ+ adults. Transgender adults, those under 30, and those with lower incomes or no insurance were most likely to forgo care. Among uninsured LGBTQ+ adults, over three-quarters reported missing needed healthcare. Nearly a third of LGBTQ+ adults said their health worsened as a result, with transgender adults and those on Medicaid or self-purchased plans experiencing higher rates of insurance denials and delays.
The survey highlights significant access barriers for LGBTQ+ Medicaid enrollees, particularly transgender beneficiaries and younger adults, pointing to potential network adequacy, benefit design, and prior authorization concerns that state agencies and managed care plans may need to address through targeted outreach and coverage policies.
Behavioral Health · Managed Care
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