coronavirus outbreak began, and this varied by health status and race and ethnicity (figure 3). Adults in fair or poor health were more than 10 percentage points more likely to have wanted but not had a telehealth visit than adults in excellent or very good health (15.2 percent versus 4.5 percent). Similarly, adults with one chronic condition (8.4 percent) and multiple chronic conditions (11.6 percent) were more likely to have wanted but not had a telehealth visit than adults with no chronic conditions (3.4 percent). Hispanic/Latinx adults (9.7 percent) and Black adults (8.0 percent) were more likely than white adults (4.7 percent) to have wanted but not had a telehealth visit. And adults with public insurance coverage (13.2 percent) were more likely to have had this experience than adults with ESI (5.0 percent), though this was statistically insignificant in the regression-adjusted model (data not shown). Figure 3. Share of Adults Ages 18 to 64 Who Wanted a Telehealth Visit but Had Not Had One since the Coronavirus Outbreak Began, Overall and by Selected Characteristics, September 2020 6. All adults Race/ethnicity White^ Black Hispanic/Latinx Other Health insurance coverage ESI^ Public Nongroup Uninsured Urban/rural residence Lives in MSA^ Does not live in MSA Health status Excellent/very good^ Good Fair/poor Chronic condition(s) None^ One Multiple URBAN INSTITUTE Source: Urban Institute Coronavirus Tracking Survey, wave 2. Notes: ESI is employer-sponsored insurance. MSA is metropolitan statistical area. “Other” is adults who are not Hispanic/Latinx, Black, or white and adults identifying as more than one race. Black and white adults are not Hispanic/Latinx. The survey was conducted September 11 through 28, 2020, and 91 percent of respondents completed the survey by September 17. */**/*** Estimates differ significantly from the reference group (^) at the 0.10/0.05/0.01 level, using two-tailed t-tests. 6 | Telehealth and Unmet Health Care Needs During the Pandemic As noted, 6.3 percent of adults wanted a telehealth visit but had not had one since the coronavirus outbreak began. The top reasons for this were taking too long to get an appointment (27.2 percent), needing care that could only be provided in person (26.9 percent), having a provider that was not taking visits by phone or video (22.2 percent), and not having the technology needed for that type of visit (16.7 percent). Table 1 shows a complete tabulation of respondents’ reasons for not having gotten a telehealth visit despite wanting one. Table 1. Reasons for Not Getting a Telehealth Visit since the Coronavirus Outbreak Began Despite Wanting One among Adults Ages 18 to 64, September 2020 Reason Share of adults Took too long to get appointment 27.2 Needed test, treatment, or medication that could only be provided in person 26.9 Provider was not taking visits by phone or video 22.2 Did not have technology needed for this type of visit 16.7 Visit would not be covered by health insurance 14.9 Could not afford copayment or other out-of-pocket costs 13.8 Other 11.6 Did not want to use too much data under cell phone data plan 11.4 Source: Urban Institute Coronavirus Tracking Survey, wave 2. Notes: N = 266. When answering this question, respondents were asked to consider the most recent time they wanted a telehealth visit but did not get one. Percentages total more than 100 because respondents were asked to select all responses that applied. The survey was conducted September 11 through 28, 2020, and 91 percent of respondents completed the survey by September 17. Figure 4 compares shares of adults with unmet health care needs because of the coronavirus outbreak (because of concerns about exposure to the virus or providers having limited services). Among those who wanted but had not had a telehealth visit, 75.4 percent had an unmet health care need, compared with 33.4 percent of all other adults. Figure 4. Share of Adults Ages 18 to 64 with an Unmet Health Care Need Because of the Coronavirus Outbreak among Those Who Wanted a Telehealth Visit but Had Not Had One and All Other Adults, September 2020 75.4% 33.4% Wanted but did not get a telehealth visit All other adults URBAN INSTITUTE Source: Urban Institute Coronavirus Tracking Survey, wave 2. Notes: “Because of the coronavirus outbreak” refers to fears about exposure to the novel coronavirus or providers having limited their services. The survey was conducted September 11 through 28, 2020, and 91 percent of respondents completed the survey by September 17. 7 | Telehealth and Unmet Health Care Needs During the Pandemic Wanting to See a Provider but Not Wanting Telehealth Overall, 7.9 percent of adults had avoided seeing a provider at least once to talk about their own health since the coronavirus outbreak began, because their provider was only taking telehealth visits and the respondent did not want that type of visit. This experience varied by health status and insurance coverage type (figure 5). Adults in fair or poor health were more than 10 percentage points more likely to not want telehealth than adults in excellent or very good health (18.2 percent versus 5.1 percent). Similarly, adults with one chronic condition (11.2 percent) or multiple chronic conditions (13.3 percent) were more likely to not want telehealth than adults without