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Teaching Health Literacy to Adult English Language Learners
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Module One - Health Literacy and Adult ESOL

Access to Health Literacy Information - Collaborating with Healthcare Organizations

Numerous federally or state-funded special programs are eager to provide outreach to educational institutions via healthcare experts who are trained to provide health literacy information on such sensitive issues as AIDS and HIV, tuberculosis, STDs, as well as wellness, preventive care and nutrition. These providers often will supply guest speakers and simplified or bilingual resources and information. If available in your area, these valuable healthcare resource personnel can provide expert information to ESOL students in simple, understandable language. Bilingual healthcare experts are often available to communicate critical health issues with students with very limited English language and literacy. At least one of the following health entities should exist in most communities and can facilitate providing your students with health literacy information.

  • Community or County Hospitals usually have an education department that provides literature and makes presentations about health services and access to them.
  • Community, City or County Health Departments educate communities about antiseptic practices, infectious diseases, and availability and necessity of vaccinations.
  • Community Health Clinics often make presentations about their services and how to access them. They will also distribute literature about health problems within certain communities. They may offer classes on special topics.
  • Department of Human Services/Welfare Offices will often make presentation s about accessing Medicare or Medicaid and other services in communities for the poor. Sometimes they will help students enroll in Medicaid or Medicare programs.
  • Planned Parenthood will often make presentations and distribute literature about family planning, STDs and reproductive health. They might also provide support to help students access health services at reduced or no cost.
  • American Cancer Society, American Heart Association, America Lung Association, American Diabetes Association, Center for Disease Control, Environmental Protection Agency often have local representatives or agencies. The provide literature about diseases, how to prevent them, and how to access services. They may also perform basic health tests, such as blood pressure, cholesterol, and blood sugar screenings.

Click on this link to look at the range of services that are provided at many county health clinics.


Take a moment to consider the students in your classroom. Which of these services could they benefit from? Ideas of services could include anything from information on basic access to healthcare to outside speakers on specific topics. Your ideas can include any services from the above link or any service or materials from another healthcare agency that you might have already used in your classroom, so feel free to share past classroom success related to promoting health literacy! Post 3 to 5 sentences to the bulletin board to share with others.


Understanding Health Insurance

The U.S. Health Insurance system can be confusing for our students who come from countries with subsidized health care or from countries where health insurance options are far more limited than those in the U.S. Some of our learners might lack health insurance not because they can't afford it, but because they believe it to be too costly and frankly, the choices incomprehensible. Others work for companies that provide low-cost or free health insurance, but health-insurance jargon such as PPO, HMO, co-pay, deductible, and annual maximum allowable are baffling. Our learners need assistance in navigating their way through the myriad options and stipulations of health insurance so that they can understand their insurance benefits and responsibilities.

The national EL Civics initiative has created a renewed interest in improving health literacy for adult English language learners. Click on the links below to access lesson plans and worksheets developed for by Fairfax County, Virginia, with funding from an EL Civics grant. These lesson plans and handouts will help your high intermediate to advanced ESOL students better understand health insurance options and choosing healthcare plans in the U.S.

Understanding Health Insurance

Choosing a Health Insurance Plan

Our students might have access to company health insurance plans, but need help understanding various options.

Click on the link below for a lesson plan suitable for High Intermediate to Academic Skills - Level LCP D - F students - which should help guide instructors through discussing Medicaid, Medicare and Health Insurance options.

Click on the second link for an activity sheet to help students consider the different options offered by one employer's health insurance plan.

Do I qualify for Medicare or Medicaid?

Some English language learners might qualify for Medicaid or Medicare, but not know where and how to access these services. Medicaid and Medicare eligibility rules and options can be complicated. Invite a representation into your classroom from the local Department of Children and Families or another local community social service agency to present information to your students.

http://www.fdhc.state.fl.us/Medicaid/index.shtml
The Department of Children and Families website with general information about Medicaid and Medicare eligibility and services for teacher resource.

Additional Web Resources

http://www.moneyinstructor.com/wsp/healthinsurance.asp
Lesson plans and activity sheets on insurance from "MoneyInstructor.com" suitable for high intermediate to advanced students. Limited membership is free.

http://money.cnn.com/magazines/moneymag/money101/lesson16/
An excellent reading and lesson plans on insurance suitable for high intermediate or advanced students.

http://www.pbs.org/now/science/medicare.html
PBS website for teachers provides a thorough overview of Medicare, complete with objectives and lesson. Designed for grades 9 through 12. Vocabulary and syntax too complex for all but most advanced ESL students, but is an excellent resource for information.




This web-based training program was developed by Florida Technet, through an Adult Education State Leadership Grant from the Florida Department of Education, Division of Community Colleges and Workforce Education.

Disclaimer: While every effort has been made to ensure the accuracy of this web-based training component, it is not an official publication of the Florida Department of Education.

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