Thank you for participating in this survey. This survey will be asking questions regarding your experience falling into the Health Care Expansion (AKA Medicaid) Gap in Florida.

The Affordable Care Act (Obamacare) gives each state the option to expand Medicaid to adults ages 18-64, who make less than $11,490 a year as an individual or $23,550 as a family of four. To date, the Florida Legislature has chosen NOT to expanded Medicaid, leaving many low-income Floridians in the so-called “Health Care Expansion Gap.” Falling into the Health Care Expansion Gap means that you earn too little (less than $11,490 as an individual or $23,550 as a family of four) to be eligible for reduced-cost coverage through the Health Insurance Marketplace, which is accessed via HealthCare.gov, but also don’t qualify for free coverage through Medicaid because Florida has decided not to expand its Medicaid program.

Young Invincibles and Florida CHAIN are attempting to capture stories of young adults who fall into the Health Care Expansion Gap in order to encourage Florida lawmakers to expand Medicaid for up the 1.3 million Floridians, including 419,000 young adults, who could qualify if Florida choses to expand Medicaid eligibility.

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* 1. Are you between the age of 18 and 34?

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* 2. In what city do you live?

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* 3. In what state or U.S. territory do you live?

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* 4. Do you have health insurance?

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* 5. Have you shopped for health insurance on HealthCare.gov (Obamacare)?

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* 6. Were you able to purchase an insurance plan?

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* 7. Did you receive tax credits (financial assistance) to help pay for your monthly premium (monthly bill)?

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* 8. If you answered no to question 7, why not?

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* 9. Have you applied for Medicaid coverage?

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* 10. Were you able to get coverage through Medicaid?

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* 11. If you answered no to question 10, why not? (select all that apply)

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* 12. Does not having insurance because you fall into the Health Care Expansion (AKA Medicaid) Gap getting in the way of (select all that apply):

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* 13. Your story is a crucial part of passing Health Care Expansion in Florida. Would you be willing to share your story or do you know of someone who falls into this circumstance?

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* 14. If you answered yes to question 13, please share the following information:

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* 15. Share your story:

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