2025. Minnesota Veterans'
Health Insurance Status and Access to Care
Y Jonk, Center for Chronic Disease Outcomes Research, KT Call, Division of Health Services Research and Policy, UMN, V Bansiya, Division of Health Services Research and Policy, UMN, K Harrison, Minneapolis VA Medical Center
influencing Minnesota veterans' decision to use VA services, including
geographic location, socioeconomic characteristics, health, and health insurance
status are analyzed. Differences between veterans and non-veterans, VA users and
non-users, and insured and uninsured veterans are described.
Methods: Data are from
the 2001 Minnesota Health Access Survey, the fourth in a series of statewide
telephone surveys conducted since 1990 to monitor and address health insurance
coverage and access to care. The survey identifies 3,400 veterans who have
served in the armed forces. For state planning purposes, any veteran not using
VA medical services and having no other source of insurance coverage are
uninsured. Differences in weighted population characteristics are analyzed using
comparisons of proportions. Logistic
regression analysis was used to identify factors influencing veterans' use of VA
comprise 13.4% of the state's 2001 adult population, with 6.8% of veterans'
using VA services. The aging veteran population and their subsequent eligibility
for Medicare as well as their entitlement to VA coverage of services helps
explain why a significantly lower percentage of veterans (3.9%) report having no
source of insurance coverage relative to the rest of the state's population
(5.9%). Of the state's 4.3 million people, these percentages translate to
231,831 uninsured, of which 17,517 are uninsured veterans.
socioeconomic and health status are highly predictive of veterans' use and
reliance on VA coverage. Approximately
20% of all veterans and the majority of uninsured veterans are low income and
eligible for free VA services.
Impact: A significant proportion (9.3%) of the state's uninsured non-elderly adult population are young, low-income, working, adult male veterans living in rural areas. These findings can be used to target outreach efforts, inform veterans of their eligibility for VA services, and improve access to care.