Despite spending more than $1 trillion on health insurance each year, many U.S. consumers are making poorly informed decisions – and paying for their lack of understanding.

According to the latest Health Insurance Literacy Survey from HealthCare.com:

  • 1 in 4 Americans say lack of health insurance understanding caused them to receive a higher-than-expected medical bill.
  • Half believe that copays count toward deductibles, when they generally do not.
  • Half of respondents say they can't afford health insurance without employer coverage.
  • 3 in 10 stay in jobs they don't like or take jobs they don't want so they can receive health insurance.

The survey of 1,000 consumers younger than 65 identified several broad areas of concern.

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