Health insurance enrollment outreach and support

Program basics

  • Assists individuals whose employers do not offer affordable coverage, who are self-employed, or who are unemployed with health insurance needs
  • Can be offered by a variety of organizations
  • Outreach effort can vary and are often supported through grants from federal agencies or private foundations

Strength of evidence

Evidence level: Strong (second-highest tier)


Strong (second-highest tier)

Ranked as having the second-highest level of evidence by County Health Rankings and Roadmaps

Target population

Low- and moderate-income adults and families

Program cost

Not available

Implementation locations

  • Nationwide

Dates active

Not available

Outcomes and impact

  • Increased enrollment in health insurance programs, especially among children
  • Increased awareness of health insurance availability
  • Reduced health coverage disparities across demographics

Keys to successful implementation

  • Note: This content is under review
  • Successful strategies in most states focus on grassroots and community efforts to support enrollment
  • Outreach efforts should include inputs from trusted community groups in immigrant and Native American communities
  • Investing in social and informational infrastructure that can provide situational targeting during life transitions, such as divorce or job loss, should be a part of enrollment support
  • States that expanded outreach efforts and used a combination of methods like text reminders, in person assistance, telephone helplines and media coverage, generally saw higher rates of enrollment
  • Barriers to participation include language and translation difficulties and misinformation with respect to the marketplace and its offerings within certain communities
  • Outreach programs should use strategies that can provide accurate information in persuasive ways, explaining all benefits and legal requirements and tailored to specific demographic needs

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