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Health Insurance Literacy Measure

Characteristics

Domains assessed: Application/function, Comprehension, Information seeking: Document, Numeracy
Validation sample population age: Adults: 18 to 64 years
Modes of administration in validation study : Computer-based

Psychometrics

Number of items: 75
Sample size in validation study: 1012
Language of validated version: English

Main article reference

Ron R, Ellen ME, Feder-Bubis P. Development and validation of a new comprehensive measurement tool for health insurance literacy. BMC Health Serv Res. 2025 Dec 8;25(1):1580. doi: 10.1186/s12913-025-12881-9

 

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Description

A 75 item questionnaire across six dimensions of health insurance literacy including self report confidence in health insurance concepts, objective knowledge assessment, self assessment of HIL level, data on purchase and utilization of health insurance, and demographic information.

Year Measure first Published: 2026

About This Measure

Scoring categories: Scores for the objective knowledge assessment are calculated by summing the number of correct answers (maximum 23). Scores for understanding key insurance concepts were self reported across 11 concepts on a scale of 1-4 for each. 

About the Validation of this Measure

Country where validated: Israel
Content validity: Content validity was ensured by a panel of six experts on health insurance in Israel as well as a pilot study with insured individuals to ensure the questionnaire's comprehensibility. 
Reliability (Cronbach Alpha): 0.8
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