Even as Congress works on a replacement for the Affordable Care Act that may have a greater role for consumer-driven healthcare options such as health savings accounts, a new survey finds that the majority of employees are clueless about the benefits of HSAs. And they often don’t have the knowledge and lack the accountability to make informed decisions about their health insurance coverage, according to data from healthcare solutions provider Alegeus.

In its “State of Denial” survey of more than 1,000 healthcare consumers, 63% said that they do not know the benefits of an HSA. Plus, nearly one-third “feel no better today about managing their healthcare finances than when they first got healthcare on their own,” Alegeus finds.

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