Insurance Coverage Continuity

Although most children have health insurance, many experience a time when they are not covered over the course of a year. Overall, 11.3 percent of children had a gap in coverage in the previous year or were uninsured at the time of the survey. This percentage did not vary significantly by location.

Children with household incomes below 200 percent of the Federal Poverty Level (FPL) were generally more likely than children in higher-income households to experience a gap in their insurance coverage over the course of a year regardless of location. Among low-income children, whose household income was below 100 percent of the FPL urban children were more likely to have a coverage gap than those in small and large rural areas (18.3 versus 12.6 and 11.0 percent, respectively). Among children with household incomes of 400 percent or more of the FPL those living in small rural areas were significantly more likely than their urban peers to have a gap in coverage (6.2 versus 2.8 percent, respectively).

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