Just six months before open enrollment begins for health plans under the Patient Protection and Affordable Care Act, yet another survey reveals consumers still don't know what they might be buying.

The online survey by HealthPocket, a website that compares and ranks health plans, indicated most people don't understand the most fundamental change to health plan designs under health reform.

When respondents were asked how the new PPACA bronze, silver, gold and platinum health plans differ from one another, 86 percent said they didn't know.

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