Survey: One in Five Privately Insured Adults Denied Coverage for Doctor-Recommended Care
By
Shannon Firth
Sesame, salt, and substance. A flagship bake.
Summary
A Commonwealth Fund survey of over 4,500 adults with private health insurance found that 21% (one in five) experienced a coverage denial in 2025 for care recommended by their doctors. The report highlights significant gaps in private health insurance coverage, revealing that even those with private plans face barriers to accessing recommended medical care.
Key quotes
· 3 pulledOne in five adults with private insurance was denied coverage for themselves or a family member for care their doctors recommended, according to a Commonwealth Fund report published on Thursday.
Among more than 4,500 adults with private insurance who responded to a healthcare affordability survey, 21% reported a coverage denial in 2025.
About 20% of respondents reported a coverage denial for recommended care
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