Older Americans enrolled in Medicare are substantially happier with their health insurance than people who insure themselves or receive coverage through their employers, a new Commonwealth Fund report finds.

That's because those enrolled in Medicare say they have better access to care and are less likely to have problems paying their medical bills.

Just 8 percent of Medicare beneficiaries 65 or over rated their coverage "fair" or "poor." By comparison, 20 percent of those with employer-based coverage gave their insurance plan low marks. And 33 percent of people who bought insurance on their own reported unhappiness with their coverage.

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