vital-scans open quality ledger

www.healthcare.gov: Readability — week 2026-W38

Plain-language metrics for the main content of each scanned page (navigation, header, and footer excluded). Download CSV.

What these mean

Words per page
Main-content word count. Median 151
Reading ease (Flesch)
0–100; higher is easier. ~60+ is plain language; below ~30 is very hard. Median 42
Grade level (Flesch-Kincaid)
US school grade needed to read it; aim for ~8 or lower for the public. Median 15
Scored
A reading grade is only meaningful on running prose, so we score a page only when it has enough of it. Pages that are mostly links or cards (too little text) or mostly tables and data (not prose) are left unscored — a grade there would be misleading, no matter how many words they contain. 96 of 298 scored

Heuristics for triage and trends, not authoritative linguistics. They flag pages worth a human plain-language review.

Per-page readability

Readability per scanned page (2026-W38). — click a column heading to sort
/glossary/vision-or-vision-coverage135559.3yes
/small-businesses/health-care-law-and-businesses/how-aca-affects-businesses7122418yes
/choose-a-plan/your-total-costs7584516.4yes
/glossary/generic-drugs51n/an/atoo little text
/unemployed/cobra-coverage481n/an/anot prose (tables/data)
/glossary/grievance18n/an/atoo little text
/small-businesses/shop-calculators-mpr66n/an/atoo little text
/glossary/health-reimbursement-account-hra68n/an/atoo little text
/medicaid-chip/medicaid-expansion-and-you726n/an/anot prose (tables/data)
/glossary/essential-health-benefits10645.710.2yes
/verify-information/documents-and-deadlines677n/an/anot prose (tables/data)
/people-with-disabilities/coverage-options24938.914yes
/taxes/marketplace-plan-without-savings493n/an/anot prose (tables/data)
/glossary/agent1884513.7yes
/small-businesses/choose-and-enroll/qualify-for-shop-marketplace531n/an/anot prose (tables/data)
/small-businesses10039.312.7yes
/taxes-2022/job-based-coverage265n/an/anot prose (tables/data)
/glossary/medically-necessary33n/an/atoo little text
/income-and-household-information/income662n/an/anot prose (tables/data)
/glossary/broker87n/an/atoo little text
/glossary/health-care-workforce-incentive37n/an/atoo little text
/glossary/gold-health-plan80n/an/atoo little text
/glossary/pre-existing-condition-exclusion-period-individual-policy60n/an/atoo little text
/glossary/brand-name-drugs42n/an/atoo little text
/marketplace-appeals/expedited-appeal2354115.9yes
/individual-privacy-act-statement83316.518yes
/small-businesses/provide-shop-coverage/business-in-more-than-one-state549n/an/anot prose (tables/data)
/glossary/accreditation37n/an/atoo little text
/glossary/catastrophic-health-plan10538.414.4yes
/have-job-based-coverage/if-you-lose-job-based-coverage707n/an/anot prose (tables/data)
/glossary/point-of-service-plan-pos-plan68n/an/atoo little text
/have-job-based-coverage/options31931.918yes
/taxes-reconciling521n/an/anot prose (tables/data)
/glossary/co-insurance238n/an/anot prose (tables/data)
/appeal-insurance-company-decision/external-review887n/an/anot prose (tables/data)
/glossary/biosimilar-biological-products16n/an/atoo little text
/glossary/skilled-nursing-care39n/an/atoo little text
/glossary/self-insured-plan63n/an/atoo little text
/verify-information/after-you-submit-documents18942.914yes
/people-with-disabilities/waiting-for-disability-decision41746.811.1yes
/glossary/marketplace18751.811.2yes
/glossary/actuarial-value83n/an/atoo little text
/preventive-care-women559n/an/anot prose (tables/data)
/glossary/fully-insured-job-based-plan22n/an/atoo little text
/using-marketplace-coverage/appealing-insurance-company-decisions20046.713.8yes
/glossary/public-health39n/an/atoo little text
/glossary/employer-shared-responsibility-payment61n/an/atoo little text
/young-adults/ready-to-apply49551.413.8yes
/why-coverage-is-important/coverage-protects-you145n/an/anot prose (tables/data)
/glossary/qsehra70n/an/atoo little text
/appeal-insurance-company-decision/appeals24244.313.8yes
/glossary/plan-id88n/an/atoo little text
/glossary/rehabilitative-rehabilitation-services63n/an/atoo little text
/small-businesses/agents-and-brokers42231.417.6yes
/american-indians-alaska-natives1578n/an/anot prose (tables/data)
/coverage/mental-health-substance-abuse-coverage2892218yes
/glossary/uncompensated-care41n/an/atoo little text
/privacy653825.618yes
/glossary/emergency-medical-condition30n/an/atoo little text
/glossary/lawfully-present122618yes
/high-deductible-health-plan81246.714.5yes
/glossary/health-maintenance-organization-hmo82n/an/atoo little text
/glossary/tax-filing-requirement87n/an/atoo little text
/glossary/medical-underwriting45n/an/atoo little text
/glossary/tax-filing-requirement-dependents10734.617.3yes
/get-coverage46n/an/atoo little text
/glossary/certified-applicant-counselor53n/an/atoo little text
/glossary/high-risk-pool-plan-state10341.913.8yes
/apply-and-enroll/health-insurance-grace-period515n/an/anot prose (tables/data)
/glossary/health-plan-categories12536.412.6yes
/glossary/inconsistency1043214yes
/how-to-cancel-a-marketplace-plan28546.413.9yes
/glossary/health-coverage52n/an/atoo little text
/quick-guide/dates-and-deadlines299n/an/anot prose (tables/data)
/glossary/exemption-certificate-number-ecn13741.613.1yes
/keep-or-change-plan1815n/an/anot prose (tables/data)
/small-businesses/provide-shop-coverage/using-insurance-agents-and-brokers282n/an/anot prose (tables/data)
/taxes-2021/how-coverage-affects-taxes26161.111.2yes
/glossary/grace-period162n/an/anot prose (tables/data)
/glossary/competitive-bidding26n/an/atoo little text
/taxes-2023/marketplace-plan-with-savings39043.616.9yes
/glossary/conversion59n/an/atoo little text
/small-businesses/employees-shop/overview645n/an/anot prose (tables/data)
/glossary/pre-existing-condition-job-based-coverage10022.418yes
/retirees69138.416.9yes
/unemployed/coverage531n/an/anot prose (tables/data)
/glossary/state-continuation-coverage77n/an/atoo little text
/glossary/policy-year66n/an/atoo little text
/current-plan-changed-or-cancelled899n/an/anot prose (tables/data)
/small-businesses/learn-more/explore-coverage44940.413.8yes
/health-care-law-protections/rights-and-protections221n/an/anot prose (tables/data)
/glossary/modified-adjusted-gross-income-magi127n/an/anot prose (tables/data)
/glossary/authorized-representative40n/an/atoo little text
/glossary/allowed-amount53n/an/atoo little text
/taxes-2018/marketplace-plan-without-savings43669.49.3yes
/glossary/high-deductible-health-plan121n/an/anot prose (tables/data)
/glossary/pre-existing-condition61n/an/atoo little text
/part-time-workers376n/an/anot prose (tables/data)
/authorized-representative-form-instructions22852.712.2yes
/self-employed/income50447.711.2yes
/immigrants/documentation196n/an/anot prose (tables/data)
/glossary/co-payment135n/an/anot prose (tables/data)
/young-adults/college-students707n/an/anot prose (tables/data)
/glossary/donut-hole-medicare-prescription-drug13642.315.8yes
/marketplace-in-your-state10334.816.9yes
/quick-guide/getting-marketplace-health-insurance44835.817.5yes
/glossary/abortion-services131n/an/anot prose (tables/data)
/glossary/affordability-exemption89n/an/atoo little text
/glossary/non-preferred-provider79n/an/atoo little text
/glossary/multi-state-plan134558.9yes
/glossary/life-time-limit82n/an/atoo little text
/people-with-disabilities/more-information1533216.4yes
/lower-costs/qualifying-for-lower-costs24831.717.6yes
/small-businesses/topics165n/an/anot prose (tables/data)
/glossary/out-of-network-copayment45n/an/atoo little text
/glossary/limited-cost-sharing-plan114n/an/anot prose (tables/data)
/using-marketplace-coverage/getting-medical-care30360.610.2yes
/hsa-options84439.316.2yes
/create-account63n/an/atoo little text
/glossary/out-of-pocket-estimate46n/an/atoo little text
/glossary/cancelled-debts57n/an/atoo little text
/young-adults/children-under-26340n/an/anot prose (tables/data)
/medicaid-chip/transfer-to-marketplace1605n/an/anot prose (tables/data)
/224n/an/anot prose (tables/data)
/glossary/chronic-disease-management56n/an/atoo little text
/glossary/prescription-drugs17n/an/atoo little text
/taxes-2024/job-based-coverage249n/an/anot prose (tables/data)
/small-businesses/choose-and-enroll/enroll-in-shop125729.618yes
/coverage/preventive-care-benefits13244.812.5yes
/glossary/adjusted-gross-income-agi12432.816.4yes
/glossary/federally-qualified-health-center-fqhc54n/an/atoo little text
/lower-costs/save-on-monthly-premiums758n/an/anot prose (tables/data)
/glossary/fee-for-service44n/an/atoo little text
/have-job-based-coverage/flexible-spending-accounts550n/an/anot prose (tables/data)
/american-indians-alaska-natives/coverage1578n/an/anot prose (tables/data)
/marketplace-appeals/after-you-file300n/an/anot prose (tables/data)
/glossary/medical-loss-ratio-mlr12342.913.4yes
/unemployed/marketplace-options64734.516.5yes
/why-coverage-is-important/protection-from-high-medical-costs338n/an/anot prose (tables/data)
/glossary/medicare87n/an/atoo little text
/ichra32743.714.6yes
/glossary/flexible-spending-account-fsa153n/an/anot prose (tables/data)
/glossary/workers-compensation28n/an/atoo little text
/glossary/zero-cost-sharing-plan126n/an/anot prose (tables/data)
/glossary/alimony67n/an/atoo little text
/small-businesses/agents-and-brokers/sell-health-insurance-through-shop42231.417.6yes
/apply-and-enroll/complete-your-enrollment44134.316.9yes
/reporting-deductions163n/an/anot prose (tables/data)
/glossary/reinsurance53n/an/atoo little text
/glossary/value-based-purchasing-vbp55n/an/atoo little text
/taxes-2020/no-health-coverage21059.311.5yes
/glossary/spousal-abandonment69n/an/atoo little text
/people-with-disabilities/no-disability-benefits-no-coverage38436.814.5yes
/glossary/cobra66n/an/atoo little text
/reporting-changes/when-you-move439n/an/anot prose (tables/data)
/glossary/deductible17724.218yes
/small-businesses/choose-and-enroll/paying-your-monthly-premiums125729.618yes
/glossary/silver-health-plan10850.211.6yes
/medicaid-chip/childrens-health-insurance-program52144.813.2yes
/glossary/balance-billing60n/an/atoo little text
/have-coverage51n/an/atoo little text
/taxes-2023/how-coverage-affects-taxes197n/an/anot prose (tables/data)
/health-care-law-protections/summary-of-benefits-and-coverage315n/an/anot prose (tables/data)
/glossary/bronze-health-plan136599.9yes
/glossary/exemption81n/an/atoo little text
/find-local-help65n/an/atoo little text
/agent-broker-quick-start486n/an/anot prose (tables/data)
/glossary/state-insurance-department25n/an/atoo little text
/glossary/preventive-services32n/an/atoo little text
/tax-form-10951001n/an/anot prose (tables/data)
/glossary/fee80n/an/atoo little text
/glossary/plan-year66n/an/atoo little text
/court-decisions87653.911.8yes
/glossary/household60n/an/atoo little text
/glossary/social-security-benefits26n/an/atoo little text
/medicaid-limited-benefits170n/an/anot prose (tables/data)
/exemption-form-instructions349n/an/anot prose (tables/data)
/glossary/nondiscrimination61n/an/atoo little text
/glossary/interest48n/an/atoo little text
/glossary/social-security79n/an/atoo little text
/glossary/benefits48n/an/atoo little text
/glossary/appeal10943.412.6yes
/glossary/advanced-premium-tax-credit14857.211.4yes
/small-businesses/choose-and-enroll/using-insurance-agents-and-brokers282n/an/anot prose (tables/data)
/glossary/medicare-hospital-insurance-tax39n/an/atoo little text
/high-deductible-health-plan/hdhp-hsa-work-together405n/an/anot prose (tables/data)
/glossary/dividend41n/an/atoo little text
/glossary/centers-for-medicare-and-medicaid-services37n/an/atoo little text
/glossary/grandfathered-health-plan14460.59.3yes
/glossary/preferred-provider-organization-ppo73n/an/atoo little text
/glossary/in-person-assistance-personnel-program62n/an/atoo little text
/glossary/physician-services29n/an/atoo little text
/immigrants/lawfully-present-immigrants682n/an/anot prose (tables/data)
/glossary/social-security-survivors-benefits122n/an/anot prose (tables/data)
/taxes-2022/marketplace-plan-with-savings39343.417yes
/coverage/what-marketplace-plans-cover53224.617.6yes
/how-can-i-protect-myself-from-tax-scams115939.117.4yes
/taxes-2023/marketplace-plan-without-savings411n/an/anot prose (tables/data)
/taxes-2022/marketplace-plan-without-savings413n/an/anot prose (tables/data)
/glossary/home-and-community-based-services-hcbs56n/an/atoo little text
/immigrants67n/an/atoo little text
/self-employed/coverage830n/an/anot prose (tables/data)
/taxes-2019/marketplace-plan-without-savings425n/an/anot prose (tables/data)
/glossary/job-based-health-plan26n/an/atoo little text
/glossary/prevention-glossary21n/an/atoo little text
/glossary/referral67n/an/atoo little text
/preventive-care-adults428n/an/anot prose (tables/data)
/immigrants/immigrant-families205n/an/anot prose (tables/data)
/health-care-law-protections/lifetime-and-yearly-limits17641.812.3yes
/health-care-law-protections/cancellations23848.911yes
/taxes-2020/marketplace-plan-without-savings43970.18.9yes
/glossary/hospital-outpatient-care21n/an/atoo little text
/small-businesses/learn-more/individual-coverage-hra1658n/an/anot prose (tables/data)
/american-indians-alaska-natives/medicaid-chip341n/an/anot prose (tables/data)
/find-assistance276n/an/anot prose (tables/data)
/taxes/other-health-coverage212n/an/anot prose (tables/data)
/glossary/hardship-exemption63n/an/atoo little text
/glossary/hipaa-eligible-individual11415.418yes
/medicaid-chip/using-medicaid-or-chip-coverage726n/an/anot prose (tables/data)
/glossary/minimum-essential-coverage1264912.7yes
/glossary/federal-poverty-level-fpl313n/an/anot prose (tables/data)
/american-indians-alaska-natives/coverage-resources59n/an/atoo little text
/glossary/new-plan20856.511.1yes
/apply-and-enroll/how-to-apply23736.816.5yes
/apply-and-enroll/change-after-enrolling32641.514.8yes
/turning-26602n/an/anot prose (tables/data)
/tips-and-troubleshooting/creating-an-account21941.415.3yes
/taxes-2018/job-based-coverage36769.78.6yes
/what-if-im-pregnant-or-plan-to-get-pregnant1237n/an/anot prose (tables/data)
/glossary/risk-adjustment40n/an/atoo little text
/taxes-2023/other-health-coverage166n/an/anot prose (tables/data)
/taxes-2024/marketplace-plan-with-savings39744.217yes
/taxes-2020/other-health-coverage177n/an/anot prose (tables/data)
/coverage-outside-open-enrollment/confirm-special-enrollment-period806n/an/anot prose (tables/data)
/fees/fee-for-not-being-covered80n/an/atoo little text
/glossary/primary-care61n/an/atoo little text
/glossary/net-capital-gains44n/an/atoo little text
/immigrants/coverage67n/an/atoo little text
/veterans362n/an/anot prose (tables/data)
/why-coverage-is-important/pay-less-before-meeting-deductible359n/an/anot prose (tables/data)
/using-marketplace-coverage/getting-emergency-care21954.99.8yes
/shop-calculators-taxcredit426n/an/anot prose (tables/data)
/glossary/notice40n/an/atoo little text
/tips-and-troubleshooting/logging-in68548.813.9yes
/job-based-help32743.714.6yes
/young-adults31240.117.4yes
/taxes-2023/job-based-coverage265n/an/anot prose (tables/data)
/fees/plans-that-count-as-coverage80n/an/atoo little text
/glossary/high-cost-excise-tax40n/an/atoo little text
/glossary/self-employment-income56n/an/atoo little text
/quick-guide47837.414.3yes
/glossary/stand-alone-dental-plan59n/an/atoo little text
/glossary/emergency-room-care17n/an/atoo little text
/keep-or-change-plan/automatically-enrolled86134.217.8yes
/glossary/health-savings-account-hsa19331.318yes
/glossary/medicare-advantage-medicare-part-c96n/an/atoo little text
/tips-and-troubleshooting/application-tips-and-troubleshooting137n/an/anot prose (tables/data)
/keep-or-change-plan/choices1815n/an/anot prose (tables/data)
/glossary/special-health-care-need41n/an/atoo little text
/glossary/original-medicare52n/an/atoo little text
/subscribe26n/an/atoo little text
/glossary/multi-employer-plan23n/an/atoo little text
/see-plans99n/an/atoo little text
/small-businesses/agents-and-brokers/guides-tools-resources-for-agents-and-brokers17341.616yes
/glossary/drug-list31n/an/atoo little text
/marketplace-appeals/what-you-can-appeal401n/an/anot prose (tables/data)
/using-marketplace-coverage/common-questions176n/an/anot prose (tables/data)
/quality-ratings222n/an/anot prose (tables/data)
/small-businesses/agents-and-brokers/register-for-the-shop-marketplace42231.417.6yes
/glossary/rider-exclusionary-rider39n/an/atoo little text
/why-coverage-is-important145n/an/anot prose (tables/data)
/glossary/tax-household48n/an/atoo little text
/reporting-changes/which-changes-to-report232n/an/anot prose (tables/data)
/glossary/total-cost-estimate85n/an/atoo little text
/taxes/no-health-coverage221n/an/anot prose (tables/data)
/small-businesses/choose-and-enroll/shop-marketplace-overview645n/an/anot prose (tables/data)
/glossary/insurance-co-op48n/an/atoo little text
/apply-and-enroll14238.516.7yes
/archive29649.114.6yes
/glossary/rental-or-royalty-income57n/an/atoo little text
/verify-information/send-more-info65526.318yes
/glossary/prior-authorization39n/an/atoo little text
/glossary/dental-coverage62n/an/atoo little text
/young-adults/coverage31240.117.4yes
/high-deductible-health-plan/hsa-eligible-hdhp97n/an/atoo little text
/small-businesses/choose-and-enroll/filing-a-shop-employee-complaint40943.712.8yes
/glossary/health-insurance30n/an/atoo little text
/glossary/application-id13726.815.2yes
/taxes/job-based-insurance287n/an/anot prose (tables/data)
/health-care-law-protections/rate-review49558.510.4yes
/choose-a-plan/catastrophic-health-plans24049.910.9yes
/taxes-2018/no-health-coverage36859.110.4yes
/health-care-law-protections221n/an/anot prose (tables/data)
/connect29936.517.5yes
/small-businesses/get-coverage60n/an/atoo little text
/glossary/family-and-medical-leave-act-fmla69n/an/atoo little text
/health-coverage-exemptions/2019-exemptions-catastrophic-coverage705n/an/anot prose (tables/data)
/glossary/tricare22n/an/atoo little text

Unexplained acronyms

Acronyms used without an on-page expansion (e.g. "Centers for Medicare & Medicaid Services (CMS)"), by pages affected. Download: CSV · JSON.

Possible misspellings

Main-content words not found in the dictionary or the project allowlist, by pages affected. Government and medical jargon may be false positives — add real terms to config/spelling-allowlist.txt. Download: CSV · JSON.